Evidence map›Paper›PMID 42666265›Full record

ArticleFrontiers in oncology2026

3D-printed oral stents improve setup stability, geometric morphology, and dosimetric outcomes while reducing functional impairment in radiotherapy for nasopharyngeal carcinoma.

Xiaozhou Zeng, Xuhui Zhang, Zhongfan Liao, Jirui Wang

Abstract read
In one paragraph

Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Xiaozhou ZengDepartment of Tumor Radiotherapy, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Xuhui ZhangDepartment of Tumor Radiotherapy, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Zhongfan LiaoDepartment of Tumor Radiotherapy, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Jirui WangDepartment of Tumor Radiotherapy, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate whether personalized three-dimensional (3D)-printed intraoral stents improve functional outcomes and setup reproducibility in nasopharyngeal carcinoma (NPC) radiotherapy without compromising dosimetric fidelity. Methods: This retrospective study included 99 NPC patients treated with definitive VMAT between January 2023 and December 2024. Patients were divided into stent group (n = 48) who wore 3D-printed intraoral stents during radiotherapy, and control group (n = 51) who received no intraoral device. Radiation-induced toxicities (xerostomia, dysgeusia, dysphagia, hearing loss) were assessed via telephone questionnaire. Interfractional setup reproducibility of organs at risk (OARs) was evaluated using daily cone-beam CT, and dosimetric parameters (D Results: Stent use was significantly associated with reduced incidence and severity of hearing loss, dysgeusia, xerostomia, and dysphagia (all P < 0.05). Interfractional geometric variability of parotids and tongue was significantly reduced in the stent group (P < 0.05), indicating improved geometric stability. Conclusion: Patient-specific 3D-printed intraoral stents confer clinically meaningful benefits in NPC radiotherapy by improving functional preservation and interfractional setup reproducibility. These benefits appear driven by two complementary mechanisms: direct dose sparing of fixed OARs (inner ear) and enhanced geometric stabilization of mobile OARs (tongue, parotids). These findings support integrating such stents into routine practice to reduce toxicity without compromising planned dose delivery.

Indexed as

cone-beam CTgeometric reproducibilityintraoral stentnasopharyngeal carcinomaradiotherapysetup errortoxicity

Identifiers

PMID42666265
PMCPMC13521814

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.