PMID: 9540095Apr 16, 1998Paper

The role of panoramic radiography in determining an increased risk of cervical atheromas in patients treated with therapeutic irradiation

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
A H Friedlander, M August

Abstract

Therapeutic irradiation of the neck is a common component of treatment for those with carcinoma of the oral cavity, pharynx, and larynx. Such irradiation, however, has been implicated as the cause of accelerated atherosclerosis of the cervical carotid artery and subsequent stroke. Panoramic radiography, previously shown to be capable of identifying carotid artery atherosclerosis in non-irradiated individuals, was used to assess the carotid vasculature of patients who had been treated for cancer with therapeutic irradiation. The panoramic radiographs of 33 male subjects who had received therapeutic irradiation (> or = 50 Gy) to the neck 30 or more months previously were assessed for the presence of calcified carotid artery atherosclerotic lesions. Age-matched controls, similarly liable for oropharyngeal malignancy and atherosclerosis by virtue of their medical and habitual risk factors (hypertension, smoking, obesity) were assessed in a like manner. The panoramic radiographs of the irradiation-treated subjects (age range, 32 to 84 years; mean age, 66.1 years) showed that 21% (7 of 33 subjects) had calcified atherosclerotic lesions. The mean age of these seven subjects was 64.6 years; four had unilateral lesions and three had bil...Continue Reading

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Citations

Jun 27, 2006·Dento Maxillo Facial Radiology·B BayramA Aydinalp
Mar 11, 2008·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Asmaa Tahseen Uthman, Asmaa Basheer Al-Saffar
Dec 6, 2006·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Brice W BeckstromAllan G Farman
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Jul 23, 2014·Journal of Investigative and Clinical Dentistry·Supak NgamsomBoonchoo Sureephong
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Sep 19, 2012·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·David MacDonaldWilliam C Scarfe
Jun 15, 2011·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Elif Tarim Ertas, Yildiray Sisman
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Jul 18, 2020·VASA. Zeitschrift für Gefässkrankheiten·Marie-Luise ValentinNils Kucher
Aug 2, 2003·Journal of Veterinary Internal Medicine·Rebecka S HessThomas J Van Winkle
Jul 29, 1998·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·A H Friedlander
Nov 19, 2003·The Journal of the American Dental Association·Arthur H Friedlander, Earl G Freymiller

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