Evidence map›Paper›PMID 40549226›Full record

Trial reportLasers in medical science2025

Combined extraoral and intraoral photobiomodulation for the prevention and management of oral mucositis and Xerostomia caused by the treatment of head and neck cancers.

Gabriele Borghesi Brunelli, Sérgio Luiz Pinheiro

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Lasers in medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
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

2 authors.

Gabriele Borghesi BrunelliSchool of Life Sciences, Postgraduate Program in Health Sciences, Pontifícia Universidade Católica de Campinas, Campinas, Brazil.
Sérgio Luiz PinheiroSchool of Life Sciences, Postgraduate Program in Health Sciences, Pontifícia Universidade Católica de Campinas, Campinas, Brazil. slpinho@puc-campinas.edu.br.

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior- Brasil (CAPES) Finance Code 001
6 · The paper itself

Abstract

purposeTo evaluate the effectiveness of combined intraoral and extraoral photobiomodulation (PBM) in the management of oral mucositis (OM) and xerostomia in patients undergoing head and neck cancer (HNC) treatment.

methodsSeventy-five patients with HNC were included and randomly assigned to 2 groups: those receiving intraoral PBM and a simulated extraoral PBM application (PBMI-SE group, n = 38); and those receiving combined intraoral and extraoral PBM (PBMIE group, n = 37). Quality of life related to OM and xerostomia, OM symptoms, OM grade, and salivary flow rate were assessed. Results were analyzed using the Kruskal-Wallis test (Student-Newman-Keuls).

resultsCombined intraoral and extraoral PBM led to a significant improvement in quality of life (OHIP-14, PROMS, and XeQOLS scores) compared with intraoral PBM alone (p < 0.001). From the second week onward, the PBMIE group experienced significantly lower OM grades (p < 0.001) than the PBMI-SE group. Additionally, the PBMIE group showed a significant improvement in both resting and stimulated sialometry from the second collection onward compared with the PBMI-SE group (p < 0.001).

conclusionCombined extraoral and intraoral PBM improved the quality of life of patients undergoing HNC treatment, particularly in relation to OM and xerostomia. This combined approach effectively controlled OM severity and improved salivary flow, offering a potential treatment option for these patients. CLINICAL

trial registrationThis study was registered in Brazilian Registry of Clinical Trials (ReBEC) (RBR-5p2xfzd). First Posted: October 03, 2023.

Indexed as

Head and Neck NeoplasmsLow-Level Light TherapyStomatitisXerostomiaAdultAgedFemaleHumansMaleMiddle AgedQuality of LifeCancerCancer treatmentOral mucositisPhotobiomodulationXerostomia

Identifiers

What OpenQuestion holds

Textmetadata
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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.