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Xerostomia

Salivary production decreases within 1

st

week RT

Severity depends on:

– Dose and fractionation of radiation

– No. of glands irradiated (unilateral or bilateral)

– Minor salivary glands assoc with resting saliva production

Glands most affected = Parotid

Loss of Salivary function complete and permanent after doses >35Gy

Significant evidence that IMRT prevents xerostomia