Evidence map›Paper›PMID 27689858›Full record

Trial reportPediatric hematology and oncology2016

Long-term effect of chemotherapy-intensity-modulated radiation therapy (chemo-IMRT) on dentofacial development in head and neck rhabdomyosarcoma patients.

Adepitan A Owosho, Paul Brady, Suzanne L Wolden, Leonard H Wexler, Cristina R Antonescu, Joseph M Huryn, Cherry L Estilo

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Pediatric hematology and oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 56 citations in OpenAlex.

  1. Review
  2. JCO precision oncology · 2024
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  9. Observational
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  15. Review
  16. Late Side Effects of Chemotherapy and Radiotherapy in Early Childhood on the Teeth: Two Case Reports.Turkish journal of haematology : official journal of Turkish Society of Haematology · 2018
    Article
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  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Adepitan A Owoshoa Department of Surgery , Memorial Sloan Kettering Cancer Center , New York, New York , USA.
Paul Bradyb Department of Radiation Oncology , Memorial Sloan Kettering Cancer Center , New York, New York , USA.
Suzanne L Woldenb Department of Radiation Oncology , Memorial Sloan Kettering Cancer Center , New York, New York , USA.
Leonard H Wexlerc Department of Pediatrics , Memorial Sloan Kettering Cancer Center , New York, New York , USA.
Cristina R Antonescud Department of Pathology , Memorial Sloan Kettering Cancer Center , New York, New York , USA.
Joseph M Huryna Department of Surgery , Memorial Sloan Kettering Cancer Center , New York, New York , USA.
Cherry L Estiloa Department of Surgery , Memorial Sloan Kettering Cancer Center , New York, New York , USA.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Dentofacial developmental abnormalities have been reported in head and neck rhabdomyosarcoma (HNRMS) patients treated with conventional radiotherapy technique and chemotherapy. This current study investigates dentofacial long-term effects among HNRMS survivors managed with intensity-modulated radiotherapy (IMRT) and chemotherapy. In general, IMRT is a more effective 3D-conformal radiotherapy technique, which delivers high doses of radiation to the tumor target while minimizing doses received by the surrounding normal tissues. The medical records and radiographs of thirteen patients were reviewed to identify the following: 1. Facial asymmetry and jaw hypoplasia. 2. Effects on the dental tissue causing tooth agenesis/hypodontia, root agenesis/stunting/malformation, and/or enamel hypoplasia. 3. Trismus, hyposalivation/xerostomia. Seven patients presented with facial asymmetry and jaw hypoplasia, 9 patients presented with effects on the dental tissue [root agenesis/stunting/malformation (9), tooth agenesis/hypodontia (7) and enamel hypoplasia (3)] and 7 patients developed trismus and /or xerostomia. All patients with facial asymmetry and jaw hypoplasia also developed dental abnormalities. Patients with dentofacial developmental abnormalities were ≤7 years of age at treatment. Our study shows that dentofacial developmental abnormalities are still a burden in the era of IMRT and as prognosis of childhood malignancy improves and more patients survive, these late dentofacial sequelae among childhood cancer survivors will become more common. Dental oncologists should be integral members in the management of children with head and neck cancers.

Indexed as

Facial AsymmetryHead and Neck NeoplasmsJaw AbnormalitiesRhabdomyosarcomaChemoradiotherapyChild, PreschoolDentofacial DeformitiesFemaleHumansInfantMaleTime FactorsChemotherapydentofacial developmental abnormalitieshead and neck rhabdomyosarcomaIMRT

Identifiers

PMID27689858
PMCPMC5175398
OpenAlexW2526688550

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.