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Low-level laser therapy/photobiomodulation in the management of side effects of chemoradiation therapy in head and neck cancer: part 2: proposed applications and treatment protocols.

Identifieur interne : 000937 ( PubMed/Corpus ); précédent : 000936; suivant : 000938

Low-level laser therapy/photobiomodulation in the management of side effects of chemoradiation therapy in head and neck cancer: part 2: proposed applications and treatment protocols.

Auteurs : Judith A E M. Zecha ; Judith E. Raber-Durlacher ; Raj G. Nair ; Joel B. Epstein ; Sharon Elad ; Michael R. Hamblin ; Andrei Barasch ; Cesar A. Migliorati ; Dan M J. Milstein ; Marie-Thérèse Genot ; Liset Lansaat ; Ron Van Der Brink ; Josep Arnabat-Dominguez ; Lisette Van Der Molen ; Irene Jacobi ; Judi Van Diessen ; Jan De Lange ; Ludi E. Smeele ; Mark M. Schubert ; René-Jean Bensadoun

Source :

RBID : pubmed:26984249

English descriptors

Abstract

There is a large body of evidence supporting the efficacy of low-level laser therapy (LLLT), more recently termed photobiomodulation (PBM) for the management of oral mucositis (OM) in patients undergoing radiotherapy for head and neck cancer (HNC). Recent advances in PBM technology, together with a better understanding of mechanisms involved and dosimetric parameters may lead to the management of a broader range of complications associated with HNC treatment. This could enhance patient adherence to cancer therapy, and improve quality of life and treatment outcomes. The mechanisms of action, dosimetric, and safety considerations for PBM have been reviewed in part 1. Part 2 discusses the head and neck treatment side effects for which PBM may prove to be effective. In addition, PBM parameters for each of these complications are suggested and future research directions are discussed.

DOI: 10.1007/s00520-016-3153-y
PubMed: 26984249

Links to Exploration step

pubmed:26984249

Le document en format XML

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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.</nlm:affiliation>
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<name sortKey="Raber Durlacher, Judith E" sort="Raber Durlacher, Judith E" uniqKey="Raber Durlacher J" first="Judith E" last="Raber-Durlacher">Judith E. Raber-Durlacher</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.</nlm:affiliation>
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<name sortKey="Nair, Raj G" sort="Nair, Raj G" uniqKey="Nair R" first="Raj G" last="Nair">Raj G. Nair</name>
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<nlm:affiliation>Oral Medicine Oral Pathology and Human Diseases, Menzies Health Institute Queensland and Oral Medicine Consultant, Department of Haematology and Oncology/Cancer Services, Gold Coast University Hospital, Queensland Health, Queensland, Australia.</nlm:affiliation>
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<nlm:affiliation>Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA.</nlm:affiliation>
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<name sortKey="Elad, Sharon" sort="Elad, Sharon" uniqKey="Elad S" first="Sharon" last="Elad">Sharon Elad</name>
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<nlm:affiliation>Division of Oral Medicine, Eastman Institute for Oral Health, and Wilmot Cancer Center, University of Rochester Medical Center, Rochester, NY, 14620, USA.</nlm:affiliation>
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<name sortKey="Hamblin, Michael R" sort="Hamblin, Michael R" uniqKey="Hamblin M" first="Michael R" last="Hamblin">Michael R. Hamblin</name>
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<nlm:affiliation>Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, MA, 02114, USA.</nlm:affiliation>
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<name sortKey="Barasch, Andrei" sort="Barasch, Andrei" uniqKey="Barasch A" first="Andrei" last="Barasch">Andrei Barasch</name>
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<nlm:affiliation>Division of Oncology, Weill Cornell Medical Center, New York, NY, USA.</nlm:affiliation>
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<name sortKey="Migliorati, Cesar A" sort="Migliorati, Cesar A" uniqKey="Migliorati C" first="Cesar A" last="Migliorati">Cesar A. Migliorati</name>
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<name sortKey="Milstein, Dan M J" sort="Milstein, Dan M J" uniqKey="Milstein D" first="Dan M J" last="Milstein">Dan M J. Milstein</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.</nlm:affiliation>
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<name sortKey="Genot, Marie Therese" sort="Genot, Marie Therese" uniqKey="Genot M" first="Marie-Thérèse" last="Genot">Marie-Thérèse Genot</name>
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<nlm:affiliation>Laser Therapy Unit, Institut Jules Bordet, Centre des Tumeurs de l'Université Libre de Bruxelles, Brussels, Belgium.</nlm:affiliation>
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<name sortKey="Lansaat, Liset" sort="Lansaat, Liset" uniqKey="Lansaat L" first="Liset" last="Lansaat">Liset Lansaat</name>
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<nlm:affiliation>Antoni van Leeuwenhoek Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute, Amsterdam, the Netherlands.</nlm:affiliation>
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<name sortKey="Van Der Brink, Ron" sort="Van Der Brink, Ron" uniqKey="Van Der Brink R" first="Ron" last="Van Der Brink">Ron Van Der Brink</name>
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<nlm:affiliation>Division of Otolaryngology and Head and Neck Surgery, City of Hope, Duarte, CA, 91010, USA.</nlm:affiliation>
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<name sortKey="Arnabat Dominguez, Josep" sort="Arnabat Dominguez, Josep" uniqKey="Arnabat Dominguez J" first="Josep" last="Arnabat-Dominguez">Josep Arnabat-Dominguez</name>
<affiliation>
<nlm:affiliation>Department of Oral Surgery, Faculty of Dentistry, University of Barcelona, Barcelona, Spain.</nlm:affiliation>
</affiliation>
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<name sortKey="Van Der Molen, Lisette" sort="Van Der Molen, Lisette" uniqKey="Van Der Molen L" first="Lisette" last="Van Der Molen">Lisette Van Der Molen</name>
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<nlm:affiliation>Antoni van Leeuwenhoek Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute, Amsterdam, the Netherlands.</nlm:affiliation>
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<name sortKey="Jacobi, Irene" sort="Jacobi, Irene" uniqKey="Jacobi I" first="Irene" last="Jacobi">Irene Jacobi</name>
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<nlm:affiliation>Antoni van Leeuwenhoek Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute, Amsterdam, the Netherlands.</nlm:affiliation>
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<name sortKey="Van Diessen, Judi" sort="Van Diessen, Judi" uniqKey="Van Diessen J" first="Judi" last="Van Diessen">Judi Van Diessen</name>
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<nlm:affiliation>Antoni van Leeuwenhoek Department of Radiation Oncology, Amsterdam, Netherlands Cancer Institute, Amsterdam, the Netherlands.</nlm:affiliation>
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<name sortKey="De Lange, Jan" sort="De Lange, Jan" uniqKey="De Lange J" first="Jan" last="De Lange">Jan De Lange</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.</nlm:affiliation>
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<name sortKey="Smeele, Ludi E" sort="Smeele, Ludi E" uniqKey="Smeele L" first="Ludi E" last="Smeele">Ludi E. Smeele</name>
<affiliation>
<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Schubert, Mark M" sort="Schubert, Mark M" uniqKey="Schubert M" first="Mark M" last="Schubert">Mark M. Schubert</name>
<affiliation>
<nlm:affiliation>Seattle Cancer Care Alliance (SCCA), Oral Medicine, 825 Eastlake Ave E Ste G6900, Seattle, WA, 98109, USA.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Bensadoun, Rene Jean" sort="Bensadoun, Rene Jean" uniqKey="Bensadoun R" first="René-Jean" last="Bensadoun">René-Jean Bensadoun</name>
<affiliation>
<nlm:affiliation>World Association for Laser Therapy (WALT) Scientific Secretary, Centre de Haute Energie (CHE), 10 Bd Pasteur, 06000, Nice, France. renejean.bensadoun@che-nice.com.</nlm:affiliation>
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<name sortKey="Raber Durlacher, Judith E" sort="Raber Durlacher, Judith E" uniqKey="Raber Durlacher J" first="Judith E" last="Raber-Durlacher">Judith E. Raber-Durlacher</name>
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<name sortKey="Epstein, Joel B" sort="Epstein, Joel B" uniqKey="Epstein J" first="Joel B" last="Epstein">Joel B. Epstein</name>
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<nlm:affiliation>Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA.</nlm:affiliation>
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<name sortKey="Elad, Sharon" sort="Elad, Sharon" uniqKey="Elad S" first="Sharon" last="Elad">Sharon Elad</name>
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<nlm:affiliation>Division of Oral Medicine, Eastman Institute for Oral Health, and Wilmot Cancer Center, University of Rochester Medical Center, Rochester, NY, 14620, USA.</nlm:affiliation>
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<name sortKey="Hamblin, Michael R" sort="Hamblin, Michael R" uniqKey="Hamblin M" first="Michael R" last="Hamblin">Michael R. Hamblin</name>
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<nlm:affiliation>Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, MA, 02114, USA.</nlm:affiliation>
</affiliation>
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<name sortKey="Barasch, Andrei" sort="Barasch, Andrei" uniqKey="Barasch A" first="Andrei" last="Barasch">Andrei Barasch</name>
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<nlm:affiliation>Division of Oncology, Weill Cornell Medical Center, New York, NY, USA.</nlm:affiliation>
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<name sortKey="Migliorati, Cesar A" sort="Migliorati, Cesar A" uniqKey="Migliorati C" first="Cesar A" last="Migliorati">Cesar A. Migliorati</name>
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<nlm:affiliation>Department of Diagnostic Sciences and Oral Medicine, Director of Oral Medicine, College of Dentistry, University of Tennessee Health Science Center, 875 Union Ave. Suite N231, Memphis, TN, 38163, USA.</nlm:affiliation>
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<name sortKey="Milstein, Dan M J" sort="Milstein, Dan M J" uniqKey="Milstein D" first="Dan M J" last="Milstein">Dan M J. Milstein</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.</nlm:affiliation>
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<name sortKey="Genot, Marie Therese" sort="Genot, Marie Therese" uniqKey="Genot M" first="Marie-Thérèse" last="Genot">Marie-Thérèse Genot</name>
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<nlm:affiliation>Laser Therapy Unit, Institut Jules Bordet, Centre des Tumeurs de l'Université Libre de Bruxelles, Brussels, Belgium.</nlm:affiliation>
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<name sortKey="Lansaat, Liset" sort="Lansaat, Liset" uniqKey="Lansaat L" first="Liset" last="Lansaat">Liset Lansaat</name>
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<nlm:affiliation>Antoni van Leeuwenhoek Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute, Amsterdam, the Netherlands.</nlm:affiliation>
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<name sortKey="Van Der Brink, Ron" sort="Van Der Brink, Ron" uniqKey="Van Der Brink R" first="Ron" last="Van Der Brink">Ron Van Der Brink</name>
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<nlm:affiliation>Division of Otolaryngology and Head and Neck Surgery, City of Hope, Duarte, CA, 91010, USA.</nlm:affiliation>
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<name sortKey="Arnabat Dominguez, Josep" sort="Arnabat Dominguez, Josep" uniqKey="Arnabat Dominguez J" first="Josep" last="Arnabat-Dominguez">Josep Arnabat-Dominguez</name>
<affiliation>
<nlm:affiliation>Department of Oral Surgery, Faculty of Dentistry, University of Barcelona, Barcelona, Spain.</nlm:affiliation>
</affiliation>
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<author>
<name sortKey="Van Der Molen, Lisette" sort="Van Der Molen, Lisette" uniqKey="Van Der Molen L" first="Lisette" last="Van Der Molen">Lisette Van Der Molen</name>
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<nlm:affiliation>Antoni van Leeuwenhoek Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute, Amsterdam, the Netherlands.</nlm:affiliation>
</affiliation>
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<name sortKey="Jacobi, Irene" sort="Jacobi, Irene" uniqKey="Jacobi I" first="Irene" last="Jacobi">Irene Jacobi</name>
<affiliation>
<nlm:affiliation>Antoni van Leeuwenhoek Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute, Amsterdam, the Netherlands.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Van Diessen, Judi" sort="Van Diessen, Judi" uniqKey="Van Diessen J" first="Judi" last="Van Diessen">Judi Van Diessen</name>
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<nlm:affiliation>Antoni van Leeuwenhoek Department of Radiation Oncology, Amsterdam, Netherlands Cancer Institute, Amsterdam, the Netherlands.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="De Lange, Jan" sort="De Lange, Jan" uniqKey="De Lange J" first="Jan" last="De Lange">Jan De Lange</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.</nlm:affiliation>
</affiliation>
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<name sortKey="Smeele, Ludi E" sort="Smeele, Ludi E" uniqKey="Smeele L" first="Ludi E" last="Smeele">Ludi E. Smeele</name>
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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Schubert, Mark M" sort="Schubert, Mark M" uniqKey="Schubert M" first="Mark M" last="Schubert">Mark M. Schubert</name>
<affiliation>
<nlm:affiliation>Seattle Cancer Care Alliance (SCCA), Oral Medicine, 825 Eastlake Ave E Ste G6900, Seattle, WA, 98109, USA.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Bensadoun, Rene Jean" sort="Bensadoun, Rene Jean" uniqKey="Bensadoun R" first="René-Jean" last="Bensadoun">René-Jean Bensadoun</name>
<affiliation>
<nlm:affiliation>World Association for Laser Therapy (WALT) Scientific Secretary, Centre de Haute Energie (CHE), 10 Bd Pasteur, 06000, Nice, France. renejean.bensadoun@che-nice.com.</nlm:affiliation>
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<title level="j">Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</title>
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<term>Drug-Related Side Effects and Adverse Reactions (therapy)</term>
<term>Head and Neck Neoplasms (drug therapy)</term>
<term>Head and Neck Neoplasms (radiotherapy)</term>
<term>Head and Neck Neoplasms (therapy)</term>
<term>Humans</term>
<term>Low-Level Light Therapy (methods)</term>
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<term>Chemoradiotherapy</term>
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<term>Drug-Related Side Effects and Adverse Reactions</term>
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<term>Low-Level Light Therapy</term>
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<term>Head and Neck Neoplasms</term>
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<term>Drug-Related Side Effects and Adverse Reactions</term>
<term>Head and Neck Neoplasms</term>
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<front>
<div type="abstract" xml:lang="en">There is a large body of evidence supporting the efficacy of low-level laser therapy (LLLT), more recently termed photobiomodulation (PBM) for the management of oral mucositis (OM) in patients undergoing radiotherapy for head and neck cancer (HNC). Recent advances in PBM technology, together with a better understanding of mechanisms involved and dosimetric parameters may lead to the management of a broader range of complications associated with HNC treatment. This could enhance patient adherence to cancer therapy, and improve quality of life and treatment outcomes. The mechanisms of action, dosimetric, and safety considerations for PBM have been reviewed in part 1. Part 2 discusses the head and neck treatment side effects for which PBM may prove to be effective. In addition, PBM parameters for each of these complications are suggested and future research directions are discussed.</div>
</front>
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<PMID Version="1">26984249</PMID>
<DateCreated>
<Year>2016</Year>
<Month>04</Month>
<Day>27</Day>
</DateCreated>
<DateCompleted>
<Year>2017</Year>
<Month>05</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>06</Month>
<Day>01</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1433-7339</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>24</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2016</Year>
<Month>06</Month>
</PubDate>
</JournalIssue>
<Title>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</Title>
<ISOAbbreviation>Support Care Cancer</ISOAbbreviation>
</Journal>
<ArticleTitle>Low-level laser therapy/photobiomodulation in the management of side effects of chemoradiation therapy in head and neck cancer: part 2: proposed applications and treatment protocols.</ArticleTitle>
<Pagination>
<MedlinePgn>2793-805</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00520-016-3153-y</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE">There is a large body of evidence supporting the efficacy of low-level laser therapy (LLLT), more recently termed photobiomodulation (PBM) for the management of oral mucositis (OM) in patients undergoing radiotherapy for head and neck cancer (HNC). Recent advances in PBM technology, together with a better understanding of mechanisms involved and dosimetric parameters may lead to the management of a broader range of complications associated with HNC treatment. This could enhance patient adherence to cancer therapy, and improve quality of life and treatment outcomes. The mechanisms of action, dosimetric, and safety considerations for PBM have been reviewed in part 1. Part 2 discusses the head and neck treatment side effects for which PBM may prove to be effective. In addition, PBM parameters for each of these complications are suggested and future research directions are discussed.</AbstractText>
<AbstractText Label="METHODS">Narrative review and presentation of PBM parameters are based on current evidence and expert opinion.</AbstractText>
<AbstractText Label="RESULTS">PBM may have potential applications in the management of a broad range of side effects of (chemo)radiation therapy (CRT) in patients being treated for HNC. For OM management, optimal PBM parameters identified were as follows: wavelength, typically between 633 and 685 nm or 780-830 nm; energy density, laser or light-emitting diode (LED) output between 10 and 150 mW; dose, 2-3 J (J/cm(2)), and no more than 6 J/cm(2) on the tissue surface treated; treatment schedule, two to three times a week up to daily; emission type, pulsed (<100 Hz); and route of delivery, intraorally and/or transcutaneously. To facilitate further studies, we propose potentially effective PBM parameters for prophylactic and therapeutic use in supportive care for dermatitis, dysphagia, dry mouth, dysgeusia, trismus, necrosis, lymphedema, and voice/speech alterations.</AbstractText>
<AbstractText Label="CONCLUSION">PBM may have a role in supportive care for a broad range of complications associated with the treatment of HNC with CRT. The suggested PBM irradiation and dosimetric parameters, which are potentially effective for these complications, are intended to provide guidance for well-designed future studies. It is imperative that such studies include elucidating the effects of PBM on oncology treatment outcomes.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Zecha</LastName>
<ForeName>Judith A E M</ForeName>
<Initials>JA</Initials>
<AffiliationInfo>
<Affiliation>Department of Oral and Maxillofacial Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Raber-Durlacher</LastName>
<ForeName>Judith E</ForeName>
<Initials>JE</Initials>
<AffiliationInfo>
<Affiliation>Department of Oral and Maxillofacial Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Medical Dental Interaction and Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University, P.O. Box 22660 1100 DD, Amsterdam, the Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Nair</LastName>
<ForeName>Raj G</ForeName>
<Initials>RG</Initials>
<AffiliationInfo>
<Affiliation>Oral Medicine Oral Pathology and Human Diseases, Menzies Health Institute Queensland and Oral Medicine Consultant, Department of Haematology and Oncology/Cancer Services, Gold Coast University Hospital, Queensland Health, Queensland, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Epstein</LastName>
<ForeName>Joel B</ForeName>
<Initials>JB</Initials>
<AffiliationInfo>
<Affiliation>Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Division of Otolaryngology and Head and Neck Surgery, City of Hope, Duarte, CA, 91010, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Elad</LastName>
<ForeName>Sharon</ForeName>
<Initials>S</Initials>
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<DescriptorName UI="D028022" MajorTopicYN="N">Low-Level Light Therapy</DescriptorName>
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<Keyword MajorTopicYN="Y">Chemotherapy</Keyword>
<Keyword MajorTopicYN="Y">Head and neck cancer</Keyword>
<Keyword MajorTopicYN="Y">LLLT</Keyword>
<Keyword MajorTopicYN="Y">Low-level laser therapy</Keyword>
<Keyword MajorTopicYN="Y">Low-level light therapy</Keyword>
<Keyword MajorTopicYN="Y">Mucositis</Keyword>
<Keyword MajorTopicYN="Y">Orofacial complications</Keyword>
<Keyword MajorTopicYN="Y">PBM</Keyword>
<Keyword MajorTopicYN="Y">Photobiomodulation</Keyword>
<Keyword MajorTopicYN="Y">Radiation therapy</Keyword>
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