Adaptation of vacuum-assisted mouthpiece head immobilization system for precision infant brain radiation therapy
- Resource Type
- Authors
- Arthur J. Olch; Kenneth Wong; Justine Cheng; Kristine Bowlin
- Source
- Practical radiation oncology. 6(6)
- Subject
- medicine.medical_specialty
Vacuum
Vacuum assisted
medicine.medical_treatment
Dentistry
Oral cavity
Neurosurgical Procedures
Patient Positioning
03 medical and health sciences
Brain radiation
Immobilization
0302 clinical medicine
Antineoplastic Combined Chemotherapy Protocols
Medicine
Humans
Radiology, Nuclear Medicine and imaging
Mouthpiece
Rhabdoid Tumor
Peripheral Blood Stem Cell Transplantation
business.industry
Brain Neoplasms
Teratoma
Infant
030206 dentistry
Equipment Design
Surgery
Radiation therapy
Oncology
030220 oncology & carcinogenesis
Mouth Protectors
Female
Radiotherapy, Adjuvant
business
- Language
- ISSN
- 1879-8519
Purpose Our purpose was to describe an adaptation of a commercially available mouthpiece for vacuum-assisted mouthpiece immobilization for radiation therapy in infants. Methods and materials An infant diagnosed with a brain tumor required radiation therapy. After reviewing dental literature about obturators, we designed a modification for the smallest commercially available mouthpiece tray. Results The patient was simulated with the adapted mouthpiece tray. We achieved excellent immobilization and had small daily image guided treatment position shifts. Our patient tolerated treatment well without injury to oral cavity or mucosa. Conclusions Head immobilization with a vacuum-assisted modified mouthpiece has not been described in infants. Our modification is a novel and safe and permits effective and accurate immobilization for infants for radiation therapy. New manufacturing technologies may allow creation of individualized mouthpieces.