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Journal of Contemporary Brachytherapy
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ABS 2015
vol. 10
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.

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

Kovács G, Martinez-Monge R, Budrukkar A et al. GEC-ESTRO Head & Neck Working Group. GEC-ESTRO ACROP recommendations for head & neck brachytherapy in squamous cell carcinomas: 1st update – Improvement by cross sectional imaging based treatment planning and stepping source technology. Radiother Oncol 2017; 122: 248-254.
Mukherji A, Mourougan S, Saravannan K et al. Dosimetric analysis and clinical outcomes in CT-based mould bra­chytherapy in early oral cancers in patients unfit for surgery. J Contemp Brachytherapy 2015; 7: 147-153.
Narayana A, Cohen GN, Zaider M et al. High-dose-rate interstitial brachytherapy in recurrent and previously irradiated head and neck cancers – preliminary results. Brachytherapy 2007; 6: 157-163.
Hepel JT, Syed AM, Puthawala A et al. Salvage high-dose-rate (HDR) brachytherapy for recurrent head-and-neck cancer. Int J Radiat Oncol Biol Phys 2005; 62: 1444-1450.
Due AK, Vogelius IR, Aznar MC et al. Recurrences after intensity modulated radiotherapy for head and neck squamous cell carcinoma more likely originate from regions with high baseline 18F-FDG uptake. Radiother Oncol 2014; 111: 360-365.
De Crevoisier R, Bourhis J, Domenge C et al. Full dose reirradiation for unresectable head and neck carcinoma. Experience at the Gustave Roussy Institute in a series of 1659 patients. J Clin Oncol 1998; 16: 3556-3562.
Haraf D, Weichselbaum R, Vokes E. Re-irradiation with concomitant chemotherapy of unresectable recurrent head and neck cancer: A potentially curable disease. Ann Oncol 1996; 7: 913-918.
Gerbaulet A, Pötter R, Mazeron JJ et al. The GEC ESTRO Handbook of Brachytherapy. ESTRO, Brussels 2002.
Nag S. High dose rate brachytherapy: its clinical applications and treatment guidelines. Technol Cancer Res Treat 2004; 3: 269-287.
Ciérvide R, Ramos L, Aristu JJ et al. Use of customized-mould brachytherapy in the management of malignancies arising in the maxillary antrum after maxillectomy: a dosimetric analysis. Brachytherapy 2011; 10: 159-162.
Moretto D, Gargari M, Nordsjö E et al. Immediate loading: a new implant technique with immediate loading and aesthetics: Nobel ActiveTM. Oral Implantology 2008; 1: 50-55.
Mazeron JJ, Ardiet JM, Haie-Méder C et al. GEC-ESTRO recommendations for brachytherapy for head and neck squamous cell carcinomas. Radiother Oncol 2009; 91: 150-156.
Nishimura Y, Yoshihiko, Yokoe Y et al. High-dose-rate brachytherapy using moulds for oral cavity cancer: The technique and its limitations. Int J Clin Oncol 1998; 3: 351-356.
Obinata K, Ohmori K, Shirato H et al. Experience of high-dose-rate brachytherapy for head and neck cancer treated by a customized intra-oral mould technique. Radiat Med 2007; 25: 181-186.
Kudoh T, Ikushima H, Kudoh KT et al. High-dose-rate brachytherapy for patients with maxillary gingival carcinoma using a novel customized intraoral mould technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: e102-108.
Chatani M, Tsuboi K, Yagi M et al. High dose rate brachytherapy using moulds after chemoradiotherapy for oral cavity cancer. Jpn J Radiol 2012; 30: 40-44.
Matsuzaki H, Takemoto M, Hara M et al. Two-piece customized mold technique for high-dose-rate brachytherapy on cancers of the buccal mucosa and lip. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 113: 118-125.
Budrukkar A, Dasgupta A, Pandit P et al. Clinical outcomes with high-dose-rate surface mould brachytherapy for intra- oral and skin malignancies involving head and neck region. J Contemp Brachytherapy 2017; 9: 242-250.
Bhalavat R, Chandra M, Pareek V et al. High-dose-rate interstitial brachytherapy in head and neck cancer: do we need a look back into a forgotten art – a single institute experience. J Contemp Brachytherapy 2017; 9: 124-131.
Jones EL, Tonino Baldion, Thomas C et al. Introduction of novel 3D-printed superficial applicators for high-dose rate skin brachytherapy. Brachytherapy 2017; 16: 409-414.
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