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Technique for construction of dental molds for high‐dose‐rate remote brachytherapy

Identifieur interne : 000825 ( Istex/Curation ); précédent : 000824; suivant : 000826

Technique for construction of dental molds for high‐dose‐rate remote brachytherapy

Auteurs : Daniel E. Jolly ; Subir Nag

Source :

RBID : ISTEX:10CAB0505044407CB502FAA2441DB5A70A6D80FA

English descriptors

Abstract

High‐dose‐rate remote (HDR) brachytherapy eliminates radiation exposure hazard to personnel, allows for optimum dosage planning (dosimetry), and delivers high radiation dose close to the tumor in only a few minutes. The catheters can be Incorporated into a fixed geometry within a mold, allowing for repeated treatments without the need for repeated implantation of radioactive Isotopes or repeated dosimetry. This article presents the use of HDR brachytherapy in three patients to Illustrate the advantages of HDR brachytherapy for the treatment of head and neck cancers in the following circumstances: (a) for outpatient therapy, (b) as an addition to or potentiation of external beam irradiation, (c) for preservation of function of regional structures, (d) for optimization of dosimetry, and (e) for palliation. It requires close interaction among the radiation oncologist, head and neck surgeon, and the dental oncologist and/or maxillofacial prosthodontist in order for optimum benefit for the patient to be achieved.

Url:
DOI: 10.1111/j.1754-4505.1992.tb00452.x

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ISTEX:10CAB0505044407CB502FAA2441DB5A70A6D80FA

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Daniel E. Jolly
<affiliation>
<mods:affiliation>associate professor, Section of Community Dentistry, The Ohio State University College of Dentistry, 305 West 12th Avenue, Columbus, OH 43210</mods:affiliation>
<wicri:noCountry code="subField">43210</wicri:noCountry>
</affiliation>
Subir Nag
<affiliation>
<mods:affiliation>associate professor, Department of Radiation Oncology, The Ohio State University College of Medicine, Arthur G. James Cancer Hospital and Research Institute</mods:affiliation>
<wicri:noCountry code="subField">Institute</wicri:noCountry>
</affiliation>

Le document en format XML

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<term>Acrylic resin</term>
<term>Anterior maxilla</term>
<term>Anterior wall</term>
<term>Arrows point</term>
<term>Associate professor</term>
<term>Body cavity</term>
<term>Brachytherapy</term>
<term>Carcinoma</term>
<term>Catheter</term>
<term>Clear methylmethacrylate resin</term>
<term>Cuffed endotracheal tube</term>
<term>Dent</term>
<term>Dental oncologist</term>
<term>Dental service</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Denture fabrication</term>
<term>Diagnostic radiographs</term>
<term>Dosimetry</term>
<term>Dummy wires</term>
<term>Edentulous patients</term>
<term>Entire prosthesis</term>
<term>External beam radiation</term>
<term>External beam radiation therapy</term>
<term>Final impression</term>
<term>General anesthesia</term>
<term>High radiation dose</term>
<term>Hollow catheters</term>
<term>Impression material</term>
<term>Inner canthus</term>
<term>Isotope</term>
<term>Lesion</term>
<term>Medical staff</term>
<term>Nasal</term>
<term>Nasal cavity</term>
<term>Nasal neoplasms</term>
<term>Nasal prosthesis</term>
<term>Normal tissues</term>
<term>Ohio state university college</term>
<term>Oncologist</term>
<term>Oral cavity</term>
<term>Outpatient therapy</term>
<term>Plastic catheters</term>
<term>Plastic tubes</term>
<term>Prosthesis</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthetic devices</term>
<term>Radiation carrier</term>
<term>Radiation carriers</term>
<term>Radiation exposure</term>
<term>Radiation mold</term>
<term>Radiation oncologist</term>
<term>Radiation source</term>
<term>Radiation sources</term>
<term>Radiation therapy</term>
<term>Radiation treatment</term>
<term>Radioactive isotope</term>
<term>Recurrent carcinoma</term>
<term>Reproducible manner</term>
<term>Sharp curves</term>
<term>Shiley tracheostomy tube</term>
<term>Special care</term>
<term>Squamous</term>
<term>Squamous cell carcinoma</term>
<term>Stoma</term>
<term>Stone model</term>
<term>Surgical resection</term>
<term>Tissue surface</term>
<term>Tracheal stoma</term>
<term>Tracheostomy</term>
<term>Tracheostomy stoma</term>
<term>Tumor area</term>
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<term>Anterior maxilla</term>
<term>Anterior wall</term>
<term>Arrows point</term>
<term>Associate professor</term>
<term>Body cavity</term>
<term>Brachytherapy</term>
<term>Carcinoma</term>
<term>Catheter</term>
<term>Clear methylmethacrylate resin</term>
<term>Cuffed endotracheal tube</term>
<term>Dent</term>
<term>Dental oncologist</term>
<term>Dental service</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Denture fabrication</term>
<term>Diagnostic radiographs</term>
<term>Dosimetry</term>
<term>Dummy wires</term>
<term>Edentulous patients</term>
<term>Entire prosthesis</term>
<term>External beam radiation</term>
<term>External beam radiation therapy</term>
<term>Final impression</term>
<term>General anesthesia</term>
<term>High radiation dose</term>
<term>Hollow catheters</term>
<term>Impression material</term>
<term>Inner canthus</term>
<term>Isotope</term>
<term>Lesion</term>
<term>Medical staff</term>
<term>Nasal</term>
<term>Nasal cavity</term>
<term>Nasal neoplasms</term>
<term>Nasal prosthesis</term>
<term>Normal tissues</term>
<term>Ohio state university college</term>
<term>Oncologist</term>
<term>Oral cavity</term>
<term>Outpatient therapy</term>
<term>Plastic catheters</term>
<term>Plastic tubes</term>
<term>Prosthesis</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthetic devices</term>
<term>Radiation carrier</term>
<term>Radiation carriers</term>
<term>Radiation exposure</term>
<term>Radiation mold</term>
<term>Radiation oncologist</term>
<term>Radiation source</term>
<term>Radiation sources</term>
<term>Radiation therapy</term>
<term>Radiation treatment</term>
<term>Radioactive isotope</term>
<term>Recurrent carcinoma</term>
<term>Reproducible manner</term>
<term>Sharp curves</term>
<term>Shiley tracheostomy tube</term>
<term>Special care</term>
<term>Squamous</term>
<term>Squamous cell carcinoma</term>
<term>Stoma</term>
<term>Stone model</term>
<term>Surgical resection</term>
<term>Tissue surface</term>
<term>Tracheal stoma</term>
<term>Tracheostomy</term>
<term>Tracheostomy stoma</term>
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<div type="abstract" xml:lang="en">High‐dose‐rate remote (HDR) brachytherapy eliminates radiation exposure hazard to personnel, allows for optimum dosage planning (dosimetry), and delivers high radiation dose close to the tumor in only a few minutes. The catheters can be Incorporated into a fixed geometry within a mold, allowing for repeated treatments without the need for repeated implantation of radioactive Isotopes or repeated dosimetry. This article presents the use of HDR brachytherapy in three patients to Illustrate the advantages of HDR brachytherapy for the treatment of head and neck cancers in the following circumstances: (a) for outpatient therapy, (b) as an addition to or potentiation of external beam irradiation, (c) for preservation of function of regional structures, (d) for optimization of dosimetry, and (e) for palliation. It requires close interaction among the radiation oncologist, head and neck surgeon, and the dental oncologist and/or maxillofacial prosthodontist in order for optimum benefit for the patient to be achieved.</div>
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