Oral mucositis: a challenging complication of radiotherapy, chemotherapy, and radiochemotherapy: part 1, pathogenesis and prophylaxis of mucositis

Head Neck. 2003 Dec;25(12):1057-70. doi: 10.1002/hed.10318.

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 cancer treatment-limiting toxicity. Mucositis also affects survival because of the risk of infection and has a significant impact on the quality of life and cost of care.

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

Conclusions: Of the current available products, ice chips and benzydamine have the strongest scientific evidence of support for prophylaxis of mucositis.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / adverse effects*
  • Combined Modality Therapy / adverse effects
  • Humans
  • Mouth Mucosa / drug effects
  • Mouth Mucosa / pathology
  • Mouth Mucosa / radiation effects
  • Radiotherapy / adverse effects*
  • Stomatitis / etiology*
  • Stomatitis / pathology
  • Stomatitis / prevention & control*

Substances

  • Antineoplastic Agents