Head and Neck Cancer Revision Questions Flashcards
Signs of cancer
unexplained lump >3weeks
presistent pain in throat >3weeks
presistent hoarseness >3weeks
red or mixed pathces on oral musocsa >3weeks
dysphagia and odynophagia >3weeks ulceration or unexplained swelling on muscosa >3weeks
commonest site for oral cancer
lateral border of tongue
Side effects of chemo
nausea, vomiting, diarrohea fatigue, loss of apeptite fever, hair loss mouth sores, dry mouth. tooth decay, bleeding, oral muscoitis infection, reproduciton function damage
Radiotherapy side effects
gets worse with time
occurs only in area being irrraidiated
get trismus as result of fibrosis of the muscle
loss of taste (hypogeusia) due to radiation to the taste buds
Mucositis
inflammation of ulceration leading to pain
happens 7-14 days after drug therapy
impacts on eating and OH
opiod analgesia required
Treatment for mucositis
Na Bicarb Tea tree oil topical lignocaine gelclair saline mw oral cooling ice
Radiation induced caries
Occurs at necks of teeth
high dose flouride toothpaste provided
Cervical margin caries treatment
primary orthograde endo and decororitae
How do you prevent osteoradionecorosis
remove teeth of doubtful prognosis
prevention
XLA 10-14days prio to radio
liase with oncologist
Treatment for osteoradionecorsis
saline irrigation
antibiotics
antimicrobials for acute conditions
Prevention for post treatment of oral cancer
diet OH Increse fluoride tirsmus fluoride trays tooth mousse stop smoking
