头颈癌(HNC)是主要来自头颈部组织中的鳞状细胞的恶性肿瘤。治疗涉及手术的多学科方法,放射治疗,和化疗。然而,晚期肿瘤患者的长期预后受到保护,中位生存时间约为24个月。由于治疗的激烈和挑战性,HNC患者的抑郁和焦虑发生率很高,并且在所有癌症中自杀率最高。强调我们集体努力的重要性。康复成功取决于各种因素,包括肿瘤,病人,和治疗相关因素。患者可能需要治疗后的口腔康复措施,包括植入物,闭塞器,和灵活的假牙。这些措施至关重要,但它们往往需要更多的利用。患者在保持口腔卫生和管理粘膜炎方面可能面临挑战。此外,解决其他错综复杂的问题是至关重要的,例如关卡,口干症,味觉功能障碍,神经病,言语障碍,和心理障碍。不幸的是,关于治疗后康复措施的文献很少。尽管它在改善患者生活质量方面发挥了关键作用,与治疗相比,康复治疗往往得不到足够的重视。我们的叙事回顾,涵盖了影响康复的各种因素,包括口腔康复措施和治疗后并发症,预计将为专业人士提供实用的见解,并激发他们在常规实践中的积极变化。
Head and neck cancers (HNCs) are malignant tumors mainly from squamous cells in the head and neck tissues.
Treatment involves a multidisciplinary approach with surgery, radiotherapy, and chemotherapy. However, the long-term prognosis for patients with advanced-stage tumors is guarded, with a median survival time of approximately 24 months. HNC patients have very high rates of depression and anxiety and the highest suicide rate among all cancers due to the intense and challenging nature of the treatment, underscoring the importance of our collective efforts. Rehabilitation success depends on various factors, including tumor, patient, and
treatment-related factors. Patients may require post-
treatment oral rehabilitation measures, including implants, obturators, and flexible dentures. These measures are crucial, but they often need to be more utilized. Patients may face challenges in maintaining oral hygiene and managing mucositis. Additionally, it is essential to address other intricacies such as trismus, xerostomia, gustatory dysfunctions, neuropathy, speech impairments, and psychological disturbances. Unfortunately, there is little literature on post-
treatment rehabilitative measures. Despite its crucial role in improving patients\' quality of life, rehabilitation often receives inadequate attention compared to treatment. Our narrative
review, which covers various factors that affect rehabilitation, including oral rehabilitation measures and post-treatment complications, is anticipated to deliver practical insights to professionals and inspire positive changes in their regular practice.