구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제36권4호
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  • Pages.282-288
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  • 2020
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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효율적 방사선요법을 위한 구강 방사선스텐트의 적용: 증례보고

Radiation prosthetic stents applied to oral cancer patients during the radiation therapy: case reports

  • 남기영 (계명대학교 의과대학 치과학교실)
  • Nam, Ki Young (Department of Dentistry, College of Medicine, Keimyung University)
  • 투고 : 2020.10.12
  • 심사 : 2020.10.28
  • 발행 : 2020.12.31
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초록

구강방사선스텐트는 구강암의 방사선치료 시 종양조직에 적정 선량을 유도하거나 주변 정상 조직에 대한 불필요한 방사선을 최소화하는 보조 장치이며 환자상황에 따라 개별적으로 적용되므로 효율적인 적용을 위한 관련 외과의, 방사선 치료전문의 그리고 치과전문의들간의 전략적인 협진이 필수적이다. 본 보고에서는 2종의 방사선스텐트(볼러스합입형, 설압형)를 다학제 협진하에 제작하였고 방사선치료 시 선택적으로 적용하여 그 효율성을 경험하였기에 증례와 함께 보고하는 바이다.

Radiation prosthetic stent is defined as the customized oral devices which serve for an efficient administration of radiation dose to the affected areas or a minimizing the unnecessary irradiation to surrounding normal tissues during maxillofacial cancer radiotherapy. Since the use of stents is individualized, a close collaboration among radiotherapist, surgeon and prosthodontist is essential thereby which helps in limiting the post-therapy morbidity as well as the stable oral rehabilitation. In this report, two customized stents (bolus carrier and tongue depressing) were fabricated and applied to patient undergone irradiation for soft palate and tongue carcinoma selectively. Multidisciplinary approach can be a proper strategy and recommended for control the sequel of post-irradiation.

키워드

참고문헌

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피인용 문헌

  1. Spacers with boluses applied to various sites of oral squamous cell carcinoma: Technical note and retrospective case series vol.15, pp.3, 2020, https://doi.org/10.3892/mco.2021.2349