Oral mucositis: a challenging complication of radiotherapy, chemotherapy, and radiochemotherapy. Part 2: diagnosis and management of mucositis

Head Neck. 2004 Jan;26(1):77-84. doi: 10.1002/hed.10326.

Abstract

Background: Oral mucositis is a common sequel of radiotherapy, chemotherapy, and radiochemotherapy in patients with cancer or patients requiring hemopoietic stem cell transplants. Mucositis has a direct and significant impact on the duration of disease remission and cure rates, because it is a treatment-limiting toxicity. Mucositis also affects survival because of the risk of infection and has a significant impact on quality of life and cost of care.

Methods: This article reviews publications on the diagnosis and management of oral mucositis accessible from a MEDLINE search using as key words mucositis, radiotherapy, chemotherapy, hemopoietic stem cell transplant, and oral.

Conclusions: Conventional care of patients with mucositis is currently essentially palliative, with good oral hygiene, narcotic analgesics, and topical palliative mouth rinses.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / adverse effects
  • Cryotherapy / methods
  • Diet
  • Head and Neck Neoplasms / drug therapy
  • Head and Neck Neoplasms / radiotherapy
  • Humans
  • Mouth / microbiology
  • Mouth / virology
  • Mouth Mucosa
  • Oral Hygiene
  • Pain Management
  • Radiotherapy / adverse effects
  • Stomatitis / chemically induced
  • Stomatitis / classification
  • Stomatitis / diagnosis*
  • Stomatitis / therapy*

Substances

  • Antineoplastic Agents