Incidence of Carotid Atheroma in Patients Received Radiotherapy in Neck Field-A Case Series Study

AuthorMaryam Jalili Sadrabaden
AuthorMahtab Kheirkhahien
AuthorSayna Shaghayeghen
AuthorMaryam Samien
AuthorAzra Mohitien
OrcidMaryam Jalili Sadrabad [0000-0002-4937-1676]en
OrcidMahtab Kheirkhahi [0000-0002-7208-5483]en
OrcidSayna Shaghayegh [0000-0002-6838-6240]en
OrcidMaryam Sami [0000-0002-3433-1006]en
OrcidAzra Mohiti [0000-0003-3547-2844]en
Issued Date2025-04-30en
AbstractIntroduction: Atheroma is a condition that affects various blood vessels, primarily forming at junctions of moderate to large vessels, such as the carotid artery, where it is known as carotid atheroma (CA). Atheroma can lead to myocardial infarction or stroke. Previous studies have shown that head and neck radiotherapy can induce CA, even in young patients. Early diagnosis of atheroma in panoramic views can help prevent ischemic attacks in the brain and potentially save lives. Case Presentation: Thirty-six patients were referred to Semnan Dental School for dental screening by a hematologist-oncologist. An oral medicine specialist ordered panoramic radiographs for each patient, and radiopaque lesions were detected in the para-spinal region in four patients. These lesions were diagnosed as Carotid Atheroma by an Oral and Maxillofacial Radiologist, and this case series was reported. Conclusions: Radiotherapy is a component of treatment for head and neck malignancies and can cause atherosclerosis in carotid junctions. Dentists should monitor panoramic views of patients receiving radiotherapy for any signs of suspicious lesions. If carotid atheroma is detected, the patient should be referred to a cardiovascular specialist for further evaluation and treatment.en
DOIhttps://doi.org/10.5812/mejrh-142401en
KeywordCarotid Atheromaen
KeywordAtherosclerosisen
KeywordRadiotherapyen
KeywordCanceren
KeywordDental Careen
PublisherBrieflandsen
TitleIncidence of Carotid Atheroma in Patients Received Radiotherapy in Neck Field-A Case Series Studyen
TypeCase Reporten

Files