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@ARTICLE{Bulut:136944,
author = {O. C. Bulut and S. Haufe and R. Hohenberger and M. Hein and
C. Kratochwil and H. Rathke and P. K. Plinkert and I.
Baumann and T. Holland-Letz$^*$ and U. Haberkorn and P.
Flechsig},
title = {{I}mpact of sialendoscopy on improving health related
quality of life in patients suffering from
radioiodineinduced xerostomia.},
journal = {Nuklearmedizin},
volume = {57},
number = {4},
issn = {0029-5566},
address = {Stuttgart},
publisher = {Schattauer},
reportid = {DKFZ-2018-01373},
pages = {160-167},
year = {2018},
abstract = {Xerostomia following radioiodine therapy (RIT) in patients
suffering from differentiated thyroid cancer is a common
side effect in 2 $\%$ to 67 $\%$ of patients treated with
radioiodine (I-131). In order to evaluate the impact of
sialendoscopy on health related quality of life (HRQOL) in
patients suffering from therapy induced sialadenitis and
xerostomia, we analyzed findings from two dedicated
questionnaires (Xerostomy Questionnaire XQ and Xerostomy
Inventory XI) in patients before and three months after
sialendoscopy.In total, 12 patients suffering from
differentiated thyroid carcinoma (10 women and 2 men) were
evaluated. All patients had experienced conservative
management. Patients were offered a sialendoscopy procedure
if no major contradictions were present. Patients who denied
the procedure formed the control group. Pre- and (three
months) postoperative HRQOL was measured with the Patient
Reported Outcome Measures (PROM) Xerostomia Questionnaire
(XQ) and the Xerostomia Inventory (XI), as well as by a pre-
and post-interventional salivary gland scintigram. Patients
were graded according to their sialendoscopical
findings.Interventional group presented with significant
improvements in HRQOL measurements regarding XQ and
XI-scores three months postoperatively. Control group showed
no significant changes in the XQ or the XI scores. Number of
RIT and cumulative activity of I-131 did not correlate with
higher disease grade in regards to sialendoscopical findings
nor did it correlate with higher XQand XI scores. Pre- and
post-interventional salivary gland scintigram stated that
parotid glands are more severely damaged than submandibular
glands (SMG), but no significant scintigraphically changes
could be detected after sialendoscopy.Sialendoscopy in
patients suffering from therapy induced sialadenitis and
xerostomia seems to be beneficial when evaluating the impact
on HRQOL. Functional parameters measured by salivary gland
scintigram did not show significant changes in
post-interventional scintigrams.},
cin = {C060},
ddc = {610},
cid = {I:(DE-He78)C060-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30125928},
url = {https://inrepo02.dkfz.de/record/136944},
}