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Acupuncture Therapy in Post-Radiation Head-and-Neck Cancer with Dysgeusia.
Med Acupunct. 2020 Jun 01; 32(3):157-162.MA

Abstract

Background:

Radiation therapy for head-and-neck cancer can cause side-effects, including pain, nausea, vomiting, sensory disorders such as anosmia and dysgeusia, dysphagia, xerostomia, hot flashes, fatigue, sleep disorders, and even anxiety and depression disorders. Therapies using acupuncture are now being adopted at cancer therapy centers. Acupuncture has been clinically proven to reduce the side-effects of cancer therapies, thus, resulting in better quality of life. Case: A 65-year-old man was diagnosed with stage I laryngeal squamous-cell carcinoma (SCC), and had missing taste and pain on swallowing (visual analogue scale [VAS]: 4) after undergoing 30 sessions of radiation therapy for head-and-neck cancer with a total radiation dose of 60 Gy. He received acupuncture at: body points (LI 4 Hegu, LR 3 Taichong, ST 36 Zusanli, SP 6 Sanyinjiao, and ST 40 Fenglong); the Battlefield Acupuncture points of the ear (Cingulate Gyrus, Thalamus, Zero Point, Shen Men, and Omega 2); and on the wrist area (according to a balance method). Acupuncture therapy was given 2 times a week, for 45-minute sessions.

Results:

After 12 acupuncture sessions, he had improvement in taste function and pain reduction from VAS 4 to VAS 1. This improvement likely occurred due to acupuncture's anti-inflammatory effects through anti-inflammatory mediator secretion, an antipain effect through β-endorphin secretion, and nerve-cell regeneration through neurotropic factors' secretion.

Conclusions:

Routine acupuncture therapy can reduce dysgeusia and pain in postradiated patients with head-and-neck cancer. Acupuncture can be a therapeutic choice for patients with post-radiation head-and-neck cancer toxicity.

Authors+Show Affiliations

Universitas Negeri Jakarta, East Jakarta, Jakarta, Indonesia. Department of Medical Acupuncture, Faculty of Medicine, Universitas Indonesia/RSUPN Dr. Cipto Mangunkusumo, Central Jakarta, Jakarta, Indonesia.Department of Medical Acupuncture, Faculty of Medicine, Universitas Indonesia/RSUPN Dr. Cipto Mangunkusumo, Central Jakarta, Jakarta, Indonesia.Department of Medical Acupuncture, Faculty of Medicine, Universitas Indonesia/RSUPN Dr. Cipto Mangunkusumo, Central Jakarta, Jakarta, Indonesia.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32595823

Citation

Djaali, Wahyuningsih, et al. "Acupuncture Therapy in Post-Radiation Head-and-Neck Cancer With Dysgeusia." Medical Acupuncture, vol. 32, no. 3, 2020, pp. 157-162.
Djaali W, Simadibrata CL, Nareswari I. Acupuncture Therapy in Post-Radiation Head-and-Neck Cancer with Dysgeusia. Med Acupunct. 2020;32(3):157-162.
Djaali, W., Simadibrata, C. L., & Nareswari, I. (2020). Acupuncture Therapy in Post-Radiation Head-and-Neck Cancer with Dysgeusia. Medical Acupuncture, 32(3), 157-162. https://doi.org/10.1089/acu.2020.1410
Djaali W, Simadibrata CL, Nareswari I. Acupuncture Therapy in Post-Radiation Head-and-Neck Cancer With Dysgeusia. Med Acupunct. 2020 Jun 1;32(3):157-162. PubMed PMID: 32595823.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acupuncture Therapy in Post-Radiation Head-and-Neck Cancer with Dysgeusia. AU - Djaali,Wahyuningsih, AU - Simadibrata,Christina Lanny, AU - Nareswari,Irma, Y1 - 2020/06/16/ PY - 2021/06/01/pmc-release PY - 2020/6/30/entrez KW - acupuncture KW - dysgeusia KW - head-and-neck cancer KW - radiation therapy SP - 157 EP - 162 JF - Medical acupuncture JO - Med Acupunct VL - 32 IS - 3 N2 - Background: Radiation therapy for head-and-neck cancer can cause side-effects, including pain, nausea, vomiting, sensory disorders such as anosmia and dysgeusia, dysphagia, xerostomia, hot flashes, fatigue, sleep disorders, and even anxiety and depression disorders. Therapies using acupuncture are now being adopted at cancer therapy centers. Acupuncture has been clinically proven to reduce the side-effects of cancer therapies, thus, resulting in better quality of life. Case: A 65-year-old man was diagnosed with stage I laryngeal squamous-cell carcinoma (SCC), and had missing taste and pain on swallowing (visual analogue scale [VAS]: 4) after undergoing 30 sessions of radiation therapy for head-and-neck cancer with a total radiation dose of 60 Gy. He received acupuncture at: body points (LI 4 Hegu, LR 3 Taichong, ST 36 Zusanli, SP 6 Sanyinjiao, and ST 40 Fenglong); the Battlefield Acupuncture points of the ear (Cingulate Gyrus, Thalamus, Zero Point, Shen Men, and Omega 2); and on the wrist area (according to a balance method). Acupuncture therapy was given 2 times a week, for 45-minute sessions. Results: After 12 acupuncture sessions, he had improvement in taste function and pain reduction from VAS 4 to VAS 1. This improvement likely occurred due to acupuncture's anti-inflammatory effects through anti-inflammatory mediator secretion, an antipain effect through β-endorphin secretion, and nerve-cell regeneration through neurotropic factors' secretion. Conclusions: Routine acupuncture therapy can reduce dysgeusia and pain in postradiated patients with head-and-neck cancer. Acupuncture can be a therapeutic choice for patients with post-radiation head-and-neck cancer toxicity. SN - 1933-6586 UR - https://www.unboundmedicine.com/medline/citation/32595823/Acupuncture_Therapy_in_Post-Radiation_Head-and-Neck_Cancer_with_Dysgeusia DB - PRIME DP - Unbound Medicine ER -
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