eISSN: 2081-2841
ISSN: 1689-832X
Journal of Contemporary Brachytherapy
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4/2018
vol. 10
 
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abstract:
Case report

High-dose-rate brachytherapy in severe trismus: Making it happen!

Kanchan Dholam, Gurkaran Preet Singh, Sarbani Ghosh Laskar, Sandeep V. Gurav, Gorakh S. Akire

J Contemp Brachytherapy 2018; 10, 4: 380–384
Online publish date: 2018/08/31
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Brachytherapy has been widely employed as a salvage or adjuvant modality in localized early and/or recurrent lesions. In recent years, advances in brachytherapy techniques have helped to achieve better loco-regional disease control and higher survival rates at the cost of limited morbidity. This is mainly owing to the development of technologically advanced three-dimensional computer planning systems and treatment delivery techniques. Low-dose-rate brachytherapy has been substituted by high-dose-rate and pulsed-dose-rate techniques, which allow better dose optimization. Inter-disciplinary approach results in fabrication of customized intra-oral surface mould, which allows accurate dose delivery, excellent dose distribution, and is less time-consuming. However, fabrication of surface mould becomes extremely challenging when intra-oral anatomic factors are unfavorable. We present a report on the management of a previously-irradiated completely edentulous patient with severe trismus for whom high-dose-rate surface mould brachytherapy had been prescribed. A unique, reliable, and practical solution has been presented based firmly on the scientific knowledge of contemporary implant dentistry.
keywords:

dental implant, head-neck cancer, surface mould, trismus, tumor recurrence

 
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