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间充质干细胞治疗头颈外科患者下颌骨放射性骨坏死——临床结局可期的未来之路

英文原题:Mesenchymal stem cell therapy for treatment of osteoradionecrosis of mandible in head and neck surgery patients - A way forward into the future with promising clinical Outcomes.

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Mesenchymal stem cell therapy for treatment of osteoradionecrosis of mandible in head and neck surgery patients - A way forward into the future with promising clinical Outcomes.

PubMed 2023/02/01(内容时间) J Pak Med Assoc Q3 · IF 0.8(JCR 2025)

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中文摘要

骨放射性坏死的管理是头颈癌患者并发症处理的重要组成部分。尽管其本质上是感染,这种并发症的管理仍给头颈外科医师带来相当负担。已有多种处理措施被讨论,其中干细胞注射疗法是一种潜在管理选择。间充质干细胞疗法可为局部组织提供生长因子和增殖细胞,帮助受照射组织愈合。本文综述该病理的基础,从病理生理和流行病学问题出发,探讨在头颈癌手术后下颌骨放射性坏死中使用间充质干细胞疗法的潜在价值,以及未来再生医学的发展前景。此外,本文考虑了发展中国家的管理选择,解释其操作和财务方面的障碍,并指出干细胞疗法管理骨放射性坏死时仍需解决的潜在问题。

展开英文摘要原文

Managing osteoradionecrosis is an integral part of complication management in head and neck cancer patients. While essentially an infection, the management of this complication has a considerable task for head and neck surgeons. While various measures have been discussed for the management, stem cells injection therapy is a potential management option.

Mesenchymal stem cell therapy provides the local tissue with growth factors and proliferative cells that can aid a radiated tissue in the healing process. The article intends to review the bedrock of the pathology, ranging from pathophysiological and the epidemiological concerns to sparking a potential discussion on the use of mesenchymal stem cell therapy in osteoradionecrosis of mandible in head and neck cancer surgery and thus the ensuing future of the regenerative medicine.

Moreover, the article has considered the management option in a developing nation thus explaining the procedural as well as the financial pitfalls and has highlighted the potential loop holes to be addressed in the management of osteoradionecrosis with stem cell therapy.

论文信息

作者
Mughal A、Aftab M、Shah Vardag AB、Khan Z、Pasha HA、Awan MS
单位
Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.
文献类型
综述
期刊
JPMA. The Journal of the Pakistan Medical Association2023 Feb
原文标识
PubMed 36788395 · DOI 10.47391/JPMA.AKUS-12