28 september 2015: zie ook dit artikel:
En bekijk ook deze lijst mocht u een beenmerg- of stamceltransplantatie moeten ondergaan:
A phase III randomized double-blind placebo-controlled clinical trial to determine the efficacy of low level laser therapy for the prevention of oral mucositis in patients undergoing hematopoietic cell transplantation.
Department of Oral Medicine, Seattle Cancer Care Alliance, University of Washington, 825 Eastlake Ave E, Seattle, WA 98109, USA. mschuber@seattlecca.org
INTRODUCTION: Oral mucositis (OM) is a significant early complication of hematopoietic cell transplantation (HCT). This phase III randomized double-blind placebo-controlled study was designed to compare the ability of 2 different low level GaAlAs diode lasers (650 nm and 780 nm) to prevent oral mucositis in HCT patients conditioned with chemotherapy or chemoradiotherapy.
MATERIALS AND METHODS: Seventy patients were enrolled and randomized into 1 of 3 treatment groups: 650 nm laser, 780 nm laser or placebo. All active laser treatment patients received daily direct laser treatment to the lower labial mucosa, right and left buccal mucosa, lateral and ventral surfaces of the tongue, and floor of mouth with energy densities of 2 J/cm2. Study treatment began on the first day of conditioning and continued through day +2 post HCT. Mucositis and oral pain was measured on days 0, 4, 7, 11, 14, 18, and 21 post HCT.
RESULTS: The 650 nm wavelength reduced the severity of oral mucositis and pain scores. Low level laser therapy was well-tolerated and no adverse events were noted.
DISCUSSION: While these results are encouraging, further study is needed to truly establish the efficacy of this mucositis prevention strategy. Future research needs to determine the effects of modification of laser parameters (e.g., wavelength, fluence, repetition rate of energy delivery, etc.) on the effectiveness of LLE laser to prevent OM.
PMID: 17393191 [PubMed - indexed for MEDLINE]
Related Articles
- Low energy Helium-Neon laser in the prevention of oral mucositis in patients undergoing bone marrow transplant: results of a double blind randomized trial. [Int J Radiat Oncol Biol Phys. 1997]
- Low-energy He/Ne laser in the prevention of radiation-induced mucositis. A multicenter phase III randomized study in patients with head and neck cancer. [Support Care Cancer. 1999]
- Phase I/II randomized trial evaluating the safety and clinical effects of repifermin administered to reduce mucositis in patients undergoing autologous hematopoietic stem cell transplantation. [Clin Cancer Res. 2004]
- Low-energy laser therapy for prevention of oral mucositis in hematopoietic stem cell transplantation. [Oral Dis. 2007]
- NASA light-emitting diodes for the prevention of oral mucositis in pediatric bone marrow transplant patients. [J Clin Laser Med Surg. 2002]
Gerelateerde artikelen
- Poeptransplantatie na stamceltransplantatie bij leukemiepatienten voorkomt in veel gevallen afstotingsverschijnselen en kan levensreddende behandeling worden
- Navelstrengbloed werkt bij leukemie goed en soms genezend, als er geen goede donor is voor stamceltransplantatie of beenmergtransplantatie blijkt uit meerdere studies
Plaats een reactie ...
Reageer op "Stamceltransplantaties: PDT - Photo Dynamische Therapy (lichttherapie) zorgt voor significant minder bijwerkingen bij stamceltransplantatie bij kinderen met leukemie."