• Home
  • Practice Focus
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
    • How I Do It
    • TRIO Best Practices
  • Business of Medicine
    • Health Policy
    • Legal Matters
    • Practice Management
    • Tech Talk
    • AI
  • Literature Reviews
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Career
    • Medical Education
    • Professional Development
    • Resident Focus
  • ENT Perspectives
    • ENT Expressions
    • Everyday Ethics
    • From TRIO
    • The Great Debate
    • Letter From the Editor
    • Rx: Wellness
    • The Voice
    • Viewpoint
  • TRIO Resources
    • Triological Society
    • The Laryngoscope
    • Laryngoscope Investigative Otolaryngology
    • TRIO Combined Sections Meetings
    • COSM
    • Related Otolaryngology Events
  • Search

Acupuncture May Improve Pain and Xerostomia After Head and Neck Cancer Surgery

by Alice Goodman • September 1, 2008

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
Print-Friendly Version

Head and neck cancer patients suffer the most severe acute and long-term treatment-related toxicities of any cancer, with the exception of stem-cell transplant, she said. Acute toxicities, which are largely due to inflammation, include mucositis and sequelae of pain, dysphagia, and altered voice; radiation-induced dermatitis; and xerostomia and its sequelae. Late toxicities include fibrosis with associated decreased range of motion and swelling in the neck and shoulders (lymphedema). In addition, xerostomia leads to compromised oral health, dental decay, tooth extraction, and osteonecrosis.

You Might Also Like

  • Chemoradiation vs. Surgery: Which is Better for Head and Neck Cancer?
  • Targeted Therapy a Potential Treatment for Head and Neck Cancer
  • New Treatment for Head and Neck Cancer Means Longer-Lasting Toxicity
  • Head and Neck Cancer: Experts Discuss How to Improve Surgery Quality and Value
Explore This Issue
September 2008

Dealing with the toxicities of cancer treatments is as important [for patients] as treating the underlying cancer. We need to pay as much attention to toxicities as to the treatment itself. This study underscores the shift in direction toward paying closer attention to symptom control, Dr. Murphy stated.

Another take-away message from Dr. Pfister’s study is that acupuncture itself can be helpful in alleviating treatment-related toxicities. This study adds to a growing body of literature that would indicate that acupuncture is helpful in head and neck cancer patients, she said.

Robert L. Ferris, MD, PhDIt could be that the neuropathic pain associated with surgery and radiation would benefit from acupuncture, but it is less clear whether edema, fluid collection, and fibrosis after surgery and radiation would be helped by acupuncture.
-Robert L. Ferris, MD, PhD

The mechanism by which acupuncture exerts its effects is not well understood, nor are the exact side effects for which it can be helpful. However, studies to address these issues are ongoing.

Definitive studies in a larger patient population are required in order to advocate acupuncture as standard of care for treatment-related symptoms in cancer patents. These studies could be used to support reimbursement, Dr. Murphy stated.

Success Story

In one sense, the fact that supportive care is becoming an important issue reflects success of therapies, with more patients with head and neck cancer being cured or living longer, said Robert L. Ferris, MD, PhD, who is Associate Professor and Vice-Chair for Clinical Operations, as well as Chief of the Division of Head and Neck Surgery in the Department of Otolaryngology and of Immunology at the University of Pittsburgh Cancer Institute.

Dr. Ferris praised Dr. Pfister for presenting a well-designed study and said that he believes that acupuncture could be helpful for a subset of patients, although it is not clear from this study which patients would derive benefit. It could be that the neuropathic pain associated with surgery and radiation would benefit from acupuncture, but it is less clear whether edema, fluid collection, and fibrosis after surgery and radiation would be helped by acupuncture, he commented.

Pages: 1 2 3 4 | Single Page

Filed Under: Departments, Head and Neck, Medical Education, Practice Focus Tagged With: acupuncture, alternative medicine, cancer, head and neck, pain, research, surgeryIssue: September 2008

You Might Also Like:

  • Chemoradiation vs. Surgery: Which is Better for Head and Neck Cancer?
  • Targeted Therapy a Potential Treatment for Head and Neck Cancer
  • New Treatment for Head and Neck Cancer Means Longer-Lasting Toxicity
  • Head and Neck Cancer: Experts Discuss How to Improve Surgery Quality and Value

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

The Triological SocietyENTtoday is a publication of The Triological Society.

Polls

Do you use AI-powered scribes for documentation?

View Results

Loading ... Loading ...
  • Polls Archive

Top Articles for Residents

  • Applications Open for Resident Members of ENTtoday Edit Board
  • How To Provide Helpful Feedback To Residents
  • Call for Resident Bowl Questions
  • New Standardized Otolaryngology Curriculum Launching July 1 Should Be Valuable Resource For Physicians Around The World
  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Popular this Week
  • Most Popular
  • Most Recent
    • How to: Positioning for Middle Cranial Fossa Repair of Superior Semicircular Canal Dehiscence

    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment

    • Rating Laryngopharyngeal Reflux Severity: How Do Two Common Instruments Compare?

    • Endoscopic Ear Surgery: Advancements and Adoption Challenges 

    • Otolaryngologists Are Still Debating the Effectiveness of Tongue Tie Treatment

    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment

    • Rating Laryngopharyngeal Reflux Severity: How Do Two Common Instruments Compare?

    • Is Middle Ear Pressure Affected by Continuous Positive Airway Pressure Use?

    • Otolaryngologists Are Still Debating the Effectiveness of Tongue Tie Treatment

    • Complications for When Physicians Change a Maiden Name

    • The Importance of Time Away
    • Endoscopic Ear Surgery: Advancements and Adoption Challenges 
    • Reflections from a Past President of the Triological Society
    • ENT Surgeons Explore the Benefits and Challenges of AI-Powered Scribes: Revolutionizing Documentation in Healthcare
    • How To: Open Expansion Laryngoplasty for Combined Glottic and Subglottic Stenosis

Follow Us

  • Contact Us
  • About Us
  • Advertise
  • The Triological Society
  • The Laryngoscope
  • Laryngoscope Investigative Otolaryngology
  • Privacy Policy
  • Terms of Use
  • Cookies

Wiley

Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 1559-4939