Radiation-induced xerostomia in a patient with nasopharyngeal cancer- a case report.

Abstract

OBJECTIVE: This study reports a case of radiation-induced xerstomia in a patient with nasopharyngeal cancer, to emphasize the need for prompt oral care to prevent untoward effects of xerostomia and to improve patients’ quality of life.
CASE REPORT: A 60 year old man diagnosed of radiation-induced xerostomia, after 6 weeks course of radiotherapy for a nasopharyngeal cancer. There was marked improvement in the wetness of the mouth, absence of oral malodour, improved appearance of the tongue and remarkable reduction of the submandibular swelling in this patient, after 3 weeks treatment with sodium-carboxylmethyl cellulose mouth spray 4 times daily, together with vitamin B complex 1 tablet daily, folic acid 5mg once daily, frequent sips of water and Vaseline coating of the lips.
CONCLUSION: This study supports early treatment of oral symptoms associated with radiotherapy for head and neck cancer. Weekly oral check up for the first month and monthly follow up for at least 6 months is recommended for these patients.

Key words: Salivary gland, Radiotherapy, Xerostomia, Sodium-carboxylmethyl cellulose