Indian Journal of Palliative Care
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Year : 2020  |  Volume : 26  |  Issue : 4  |  Page : 540--543

Holistic care approach for the effective management of severe radiation dermatitis using neem (Azadirachta indica) and honey after head–and-neck radiotherapy

Department of Burn and Plastic Surgery, All India Institute of Medical Science, Jodhpur, Rajasthan, India

Correspondence Address:
Vijay Kumar
Wound and Ostomy Care, AIIMS, Jodhpur - 342 005, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJPC.IJPC_32_20

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Head and neck cancer is the eighth common type among all cancer types around the world. Its treatment comprises surgery, radiation therapy, chemotherapy and /or a combination of restoration therapy and social support Conventional fraction size ranges from 1.8 to 3 Grays (Gy) per fraction over 4–6 weeks. The accumulative dose of radiation for the primary treatment of head and neck cancer treatment is 60 to 70 Gy, depending on the irradiation of the tumor. Ionizing Radiotherapy is used along with concurrent chemotherapy which is the standard treatment in locally advanced head and neck cancers. Radiation treatment is commonly delivered in the form of high energy photons through an external beam. These results in ionization of electrons that cause direct strand breaks of cellular DNA and the release of free radicals, resulting in cellular damage to both normal and tumor cells. Radiation disrupts the normal process of wound healing at various stages.


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Online since 1st October '05
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