Radiation therapy and hearing loss Journal Article


Authors: Bhandare, N.; Jackson, A.; Eisbruch, A.; Pan, C. C.; Flickinger, J. C.; Antonelli, P.; Mendenhall, W. M.
Article Title: Radiation therapy and hearing loss
Abstract: A review of literature on the development of sensorineural hearing loss after high-dose radiation therapy for head-and-neck tumors and stereotactic radiosurgery or fractionated stereotactic radiotherapy for the treatment of vestibular schwannoma is presented. Because of the small volume of the cochlea a dose-volume analysis is not feasible. Instead, the current literature on the effect of the mean dose received by the cochlea and other treatment- and patient-related factors on outcome are evaluated. Based on the data, a specific threshold dose to cochlea for sensorineural hearing loss cannot be determined; therefore, dose-prescription limits are suggested. A standard for evaluating radiation therapy-associated ototoxicity as well as a detailed approach for scoring toxicity is presented. © 2010 Elsevier Inc. All rights reserved.
Keywords: treatment outcome; cisplatin; cancer radiotherapy; radiation dose; outcome assessment; antineoplastic agent; models, biological; tumor volume; radiotherapy dosage; radiotherapy; radiation injury; mathematical model; head and neck cancer; head and neck neoplasms; radiation dose fractionation; radiosurgery; scoring system; radiation therapy; ear; stereotactic radiosurgery; organ size; hearing loss; neurilemoma; ototoxicity; vestibular schwannoma; neuroma, acoustic; auditory; quantec; sensorineural hearing loss; dose-volume analysis; fractionated stereotactic radiotherapy; head-and-neck tumor; high dose; mean dose; threshold dose; audition; audiometry; auditory threshold; bone conduction; cochlea; otitis media; perception deafness; hearing loss, sensorineural
Journal Title: International Journal of Radiation Oncology, Biology, Physics
Volume: 76
Issue: 3 Suppl.
ISSN: 0360-3016
Publisher: Elsevier Inc.  
Date Published: 2010-03-01
Start Page: S50
End Page: S57
Language: English
DOI: 10.1016/j.ijrobp.2009.04.096
PUBMED: 20171518
PROVIDER: scopus
PMCID: PMC3319461
DOI/URL:
Notes: --- - "Cited By (since 1996): 1" - "Export Date: 20 April 2011" - "CODEN: IOBPD" - "Source: Scopus"
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