Prevention of hypoacusis after radiochemotherapy for head and neck squamous cell carcinoma

Objective

Treatment of head and neck cancers is based on many schemes, and in the case of radiochemotherapy, the main side effect impacting a patient's quality of life is hypoacusis. Its prevention and analysis are consequently essential.

Methods

A total of 118 patients who underwent chemotherapy and/or radiotherapy received follow-up care with audiometric tests. Corticosteroid therapy began during the treatment.

Results

At the end of the radiochemotherapy cycles and after corticosteroid therapy, 58 % of patients recovered 40 dB on average, and 42 % achieved total resolution of hypoacusis.

Conclusion

Prevention of the side effects of anticancer therapies is a major issue, and our study revealed the potential ability of corticosteroids to act as otoprotective drugs.

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