SlideShare a Scribd company logo

Radiation Induced Xerostomia & Pilocarpine

•Download as PPT, PDF•
•
Kidwai Memorial Institute of Oncology, Bangalore
Kidwai Memorial Institute of Oncology, Bangalore
Health & Medicine
1 of 55
RADIATION INDUCED XEROSTOMIA & ORAL PILOCARPINE Dr. V. Lokesh M.D Radiation Oncologist Kidwai memorial Institute of Oncology, Bangalore, India.
Physiology of Salivary Secreation ,[object Object],[object Object],[object Object]
 
 
[object Object],[object Object],[object Object],[object Object]
 
Mechanism of Stimulus ,[object Object],[object Object]
 
Functions of Saliva ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RADIATION INDUCED XEROSTOMIA ,[object Object],[object Object],[object Object],[object Object]
XEROSTOMIA DURING RADIATION THERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Samuel Dreizen 38: 273-278, 1976
Salivary Electrolytes in Radiation Xerostomia
 
 
 
 
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Abraham Kuten Int Jr Rad Oncol Biol Phys Vol:12,401-405,1985
 
Feeling of Dryness of Mouth
Salivary flow rates during RT
Na + concentration during RT
Deterioration in Taste acuity
Dysphagia during RT
Candida during RT
1000-2000cGy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
XEROSTOMIA RELATED MORBIDITY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Most effective intervention for Xerostomia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ORAL PILOCARPINE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ferguon et al , 1890. Recognised use of pilocarpine for Xerostomia
Oral Pilocarpine in Salivary Dysfunction Stimulated & Unstimulated : Significant Increase in Secreation
POST RT - XEROSTOMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Jona T. Johnson, The NEJM Aug 05, 1993
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effect of Oral Pilocarpine on Symptom of Post RT Xerostomia
Improvement in salivary function
Effect of Oral Pilocarpine production of whole saliva and unstimulated Parotid Saliva
Incidence of Adverse events
[object Object],[object Object],[object Object],[object Object],[object Object]
French Co-operative Study ,[object Object],[object Object],[object Object],[object Object],[object Object],J.C.Horiot . Radiotherapy and Oncology, 55 , 233-239, 2000
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
 
 
CONCURRENT AND ADJUVANT ORAL PILOCARPINE Ingrid H. Valdez, Cancer Medicine, 1993, Vol 71, No:5
Double Blind, Placebo controlled ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Retospective Analysis ,[object Object],[object Object],[object Object],Robert P. Zimmerman, Int Jr Rad Oncolo, Bio Phy, Vol 37, No:3, 1996
 
 
 
Randomised, Double Blind, Placebo Controlled Trial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pieman Haddad, Radiotherapy & Oncology, 64, (2002)
Use of Pilocarpine During RT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maximun Tolerance Dose TD 50/5 ,[object Object],Mossman Int J Rad Oncol Biol & Phy Vol:8,991-997,1982
CONCLUSIONS ,[object Object],[object Object],[object Object]
THANK YOU

Recommended

BRACHYTHERAPY IN ORAL CAVITY
BRACHYTHERAPY IN ORAL CAVITYBRACHYTHERAPY IN ORAL CAVITY
BRACHYTHERAPY IN ORAL CAVITYIsha Jaiswal
 
radiotherapy planning of CA maxilla
radiotherapy planning of CA maxillaradiotherapy planning of CA maxilla
radiotherapy planning of CA maxillaAnil Gupta
 
Radiation for head and neck cancer video
Radiation for head and neck cancer videoRadiation for head and neck cancer video
Radiation for head and neck cancer videoRobert J Miller MD
 
Complications from radiation therapy to the head and neck by D. Fliss
Complications from radiation therapy to the head and neck by D. FlissComplications from radiation therapy to the head and neck by D. Fliss
Complications from radiation therapy to the head and neck by D. FlissEurasian Federation of Oncology
 
Radiation therapy of oral cancers
Radiation therapy of oral cancersRadiation therapy of oral cancers
Radiation therapy of oral cancersKidwai Memorial Institute of Oncology, Bangalore
 
Radiation in oral cancers
Radiation in oral cancersRadiation in oral cancers
Radiation in oral cancersDr.Ram Madhavan
 
Role of radiotherapy and chemotherapy in oral cavity cancer
Role of radiotherapy and chemotherapy in oral cavity cancerRole of radiotherapy and chemotherapy in oral cavity cancer
Role of radiotherapy and chemotherapy in oral cavity cancerDr.Rashmi Yadav
 
March meta analysis updated result
March meta analysis updated resultMarch meta analysis updated result
March meta analysis updated resultParag Roy
 

Recommended

BRACHYTHERAPY IN ORAL CAVITY
BRACHYTHERAPY IN ORAL CAVITYBRACHYTHERAPY IN ORAL CAVITY
BRACHYTHERAPY IN ORAL CAVITYIsha Jaiswal
 
radiotherapy planning of CA maxilla
radiotherapy planning of CA maxillaradiotherapy planning of CA maxilla
radiotherapy planning of CA maxillaAnil Gupta
 
Radiation for head and neck cancer video
Radiation for head and neck cancer videoRadiation for head and neck cancer video
Radiation for head and neck cancer videoRobert J Miller MD
 
Complications from radiation therapy to the head and neck by D. Fliss
Complications from radiation therapy to the head and neck by D. FlissComplications from radiation therapy to the head and neck by D. Fliss
Complications from radiation therapy to the head and neck by D. FlissEurasian Federation of Oncology
 
Radiation therapy of oral cancers
Radiation therapy of oral cancersRadiation therapy of oral cancers
Radiation therapy of oral cancersKidwai Memorial Institute of Oncology, Bangalore
 
Radiation in oral cancers
Radiation in oral cancersRadiation in oral cancers
Radiation in oral cancersDr.Ram Madhavan
 
Role of radiotherapy and chemotherapy in oral cavity cancer
Role of radiotherapy and chemotherapy in oral cavity cancerRole of radiotherapy and chemotherapy in oral cavity cancer
Role of radiotherapy and chemotherapy in oral cavity cancerDr.Rashmi Yadav
 
March meta analysis updated result
March meta analysis updated resultMarch meta analysis updated result
March meta analysis updated resultParag Roy
 
Radiotherapy in leukemias kiran
Radiotherapy in leukemias kiranRadiotherapy in leukemias kiran
Radiotherapy in leukemias kiranKiran Ramakrishna
 
Radiation therapy for head and neck cancer by Brian O'Sullivan
Radiation therapy for head and neck cancer by Brian O'SullivanRadiation therapy for head and neck cancer by Brian O'Sullivan
Radiation therapy for head and neck cancer by Brian O'SullivanEurasian Federation of Oncology
 
IMRT in Head & Neck Cancer
IMRT in Head & Neck CancerIMRT in Head & Neck Cancer
IMRT in Head & Neck CancerJyotirup Goswami
 
Radiotherapy in nasopharynx
Radiotherapy in nasopharynxRadiotherapy in nasopharynx
Radiotherapy in nasopharynxDr pallavi kalbande
 
Post op radiotherapy in oral cavity cancers
Post op radiotherapy in oral cavity cancersPost op radiotherapy in oral cavity cancers
Post op radiotherapy in oral cavity cancersDr. Prashant Surkar
 
Medulloblastoma
MedulloblastomaMedulloblastoma
MedulloblastomaSavioJames4
 
Role of Post-op Radiotherapy in Head and Neck Cancers
Role of Post-op Radiotherapy in Head and Neck CancersRole of Post-op Radiotherapy in Head and Neck Cancers
Role of Post-op Radiotherapy in Head and Neck CancersAshutosh Mukherji
 
Radiation Therapy in Oral Cancer 2018
Radiation Therapy in Oral Cancer 2018Radiation Therapy in Oral Cancer 2018
Radiation Therapy in Oral Cancer 2018Kidwai Memorial Institute of Oncology, Bangalore
 
Lip brachytherapy
Lip brachytherapyLip brachytherapy
Lip brachytherapyVibhay Pareek
 
Altered Fractionation Radiotherapy in Head-Neck Cancer
Altered Fractionation Radiotherapy in Head-Neck CancerAltered Fractionation Radiotherapy in Head-Neck Cancer
Altered Fractionation Radiotherapy in Head-Neck CancerJyotirup Goswami
 
How Radiation Therapy is Used to Treat Soft Tissue Sarcoma
How Radiation Therapy is Used to Treat Soft Tissue SarcomaHow Radiation Therapy is Used to Treat Soft Tissue Sarcoma
How Radiation Therapy is Used to Treat Soft Tissue SarcomaDana-Farber Cancer Institute
 
Post Mastectomy Radiotherapy
Post Mastectomy RadiotherapyPost Mastectomy Radiotherapy
Post Mastectomy Radiotherapyfondas vakalis
 
TSET
TSETTSET
TSETHanuman Doke
 
Summary of embrace protocol
Summary of embrace protocolSummary of embrace protocol
Summary of embrace protocolDr. Ankita Pandey
 
Embrace ii protocol
Embrace ii protocolEmbrace ii protocol
Embrace ii protocolGloribelBolvar1
 
PARTICLE BEAM RADIOTHERAPY
PARTICLE BEAM RADIOTHERAPYPARTICLE BEAM RADIOTHERAPY
PARTICLE BEAM RADIOTHERAPYKanhu Charan
 
Dnb radiotherapy questions
Dnb radiotherapy questionsDnb radiotherapy questions
Dnb radiotherapy questionsHarihar Nath Tiwari
 
Radiotherapy lymphoma
Radiotherapy lymphoma Radiotherapy lymphoma
Radiotherapy lymphoma vrinda singla
 
RE-IRRADIATION IN HEAD AND NECK CANCER
RE-IRRADIATION IN HEAD AND NECK CANCERRE-IRRADIATION IN HEAD AND NECK CANCER
RE-IRRADIATION IN HEAD AND NECK CANCERMUNEER khalam
 
Intensity-modulated Radiotherapy
Intensity-modulated RadiotherapyIntensity-modulated Radiotherapy
Intensity-modulated RadiotherapyDr Vijay Raturi
 
Xerostomia- Dryness of mouth
Xerostomia- Dryness of mouthXerostomia- Dryness of mouth
Xerostomia- Dryness of mouthSatyaki Verma
 
Xerostomia
XerostomiaXerostomia
Xerostomiaaleq2393
 

More Related Content

What's hot

Radiotherapy in leukemias kiran
Radiotherapy in leukemias kiranRadiotherapy in leukemias kiran
Radiotherapy in leukemias kiranKiran Ramakrishna
 
Radiation therapy for head and neck cancer by Brian O'Sullivan
Radiation therapy for head and neck cancer by Brian O'SullivanRadiation therapy for head and neck cancer by Brian O'Sullivan
Radiation therapy for head and neck cancer by Brian O'SullivanEurasian Federation of Oncology
 
IMRT in Head & Neck Cancer
IMRT in Head & Neck CancerIMRT in Head & Neck Cancer
IMRT in Head & Neck CancerJyotirup Goswami
 
Post op radiotherapy in oral cavity cancers
Post op radiotherapy in oral cavity cancersPost op radiotherapy in oral cavity cancers
Post op radiotherapy in oral cavity cancersDr. Prashant Surkar
 
Role of Post-op Radiotherapy in Head and Neck Cancers
Role of Post-op Radiotherapy in Head and Neck CancersRole of Post-op Radiotherapy in Head and Neck Cancers
Role of Post-op Radiotherapy in Head and Neck CancersAshutosh Mukherji
 
Altered Fractionation Radiotherapy in Head-Neck Cancer
Altered Fractionation Radiotherapy in Head-Neck CancerAltered Fractionation Radiotherapy in Head-Neck Cancer
Altered Fractionation Radiotherapy in Head-Neck CancerJyotirup Goswami
 
How Radiation Therapy is Used to Treat Soft Tissue Sarcoma
How Radiation Therapy is Used to Treat Soft Tissue SarcomaHow Radiation Therapy is Used to Treat Soft Tissue Sarcoma
How Radiation Therapy is Used to Treat Soft Tissue SarcomaDana-Farber Cancer Institute
 
Post Mastectomy Radiotherapy
Post Mastectomy RadiotherapyPost Mastectomy Radiotherapy
Post Mastectomy Radiotherapyfondas vakalis
 
PARTICLE BEAM RADIOTHERAPY
PARTICLE BEAM RADIOTHERAPYPARTICLE BEAM RADIOTHERAPY
PARTICLE BEAM RADIOTHERAPYKanhu Charan
 
Radiotherapy lymphoma
Radiotherapy lymphoma Radiotherapy lymphoma
Radiotherapy lymphoma vrinda singla
 
RE-IRRADIATION IN HEAD AND NECK CANCER
RE-IRRADIATION IN HEAD AND NECK CANCERRE-IRRADIATION IN HEAD AND NECK CANCER
RE-IRRADIATION IN HEAD AND NECK CANCERMUNEER khalam
 
Intensity-modulated Radiotherapy
Intensity-modulated RadiotherapyIntensity-modulated Radiotherapy
Intensity-modulated RadiotherapyDr Vijay Raturi
 

What's hot (20)

Radiotherapy in leukemias kiran
Radiotherapy in leukemias kiranRadiotherapy in leukemias kiran
Radiotherapy in leukemias kiran
 
Radiation therapy for head and neck cancer by Brian O'Sullivan
Radiation therapy for head and neck cancer by Brian O'SullivanRadiation therapy for head and neck cancer by Brian O'Sullivan
Radiation therapy for head and neck cancer by Brian O'Sullivan
 
IMRT in Head & Neck Cancer
IMRT in Head & Neck CancerIMRT in Head & Neck Cancer
IMRT in Head & Neck Cancer
 
Radiotherapy in nasopharynx
Radiotherapy in nasopharynxRadiotherapy in nasopharynx
Radiotherapy in nasopharynx
 
Post op radiotherapy in oral cavity cancers
Post op radiotherapy in oral cavity cancersPost op radiotherapy in oral cavity cancers
Post op radiotherapy in oral cavity cancers
 
Medulloblastoma
MedulloblastomaMedulloblastoma
Medulloblastoma
 
Role of Post-op Radiotherapy in Head and Neck Cancers
Role of Post-op Radiotherapy in Head and Neck CancersRole of Post-op Radiotherapy in Head and Neck Cancers
Role of Post-op Radiotherapy in Head and Neck Cancers
 
Radiation Therapy in Oral Cancer 2018
Radiation Therapy in Oral Cancer 2018Radiation Therapy in Oral Cancer 2018
Radiation Therapy in Oral Cancer 2018
 
Lip brachytherapy
Lip brachytherapyLip brachytherapy
Lip brachytherapy
 
Altered Fractionation Radiotherapy in Head-Neck Cancer
Altered Fractionation Radiotherapy in Head-Neck CancerAltered Fractionation Radiotherapy in Head-Neck Cancer
Altered Fractionation Radiotherapy in Head-Neck Cancer
 
How Radiation Therapy is Used to Treat Soft Tissue Sarcoma
How Radiation Therapy is Used to Treat Soft Tissue SarcomaHow Radiation Therapy is Used to Treat Soft Tissue Sarcoma
How Radiation Therapy is Used to Treat Soft Tissue Sarcoma
 
Post Mastectomy Radiotherapy
Post Mastectomy RadiotherapyPost Mastectomy Radiotherapy
Post Mastectomy Radiotherapy
 
TSET
TSETTSET
TSET
 
Summary of embrace protocol
Summary of embrace protocolSummary of embrace protocol
Summary of embrace protocol
 
Embrace ii protocol
Embrace ii protocolEmbrace ii protocol
Embrace ii protocol
 
PARTICLE BEAM RADIOTHERAPY
PARTICLE BEAM RADIOTHERAPYPARTICLE BEAM RADIOTHERAPY
PARTICLE BEAM RADIOTHERAPY
 
Dnb radiotherapy questions
Dnb radiotherapy questionsDnb radiotherapy questions
Dnb radiotherapy questions
 
Radiotherapy lymphoma
Radiotherapy lymphoma Radiotherapy lymphoma
Radiotherapy lymphoma
 
RE-IRRADIATION IN HEAD AND NECK CANCER
RE-IRRADIATION IN HEAD AND NECK CANCERRE-IRRADIATION IN HEAD AND NECK CANCER
RE-IRRADIATION IN HEAD AND NECK CANCER
 
Intensity-modulated Radiotherapy
Intensity-modulated RadiotherapyIntensity-modulated Radiotherapy
Intensity-modulated Radiotherapy
 

Viewers also liked

Xerostomia- Dryness of mouth
Xerostomia- Dryness of mouthXerostomia- Dryness of mouth
Xerostomia- Dryness of mouthSatyaki Verma
 
Xerostomia
XerostomiaXerostomia
Xerostomiaaleq2393
 
What is Xerostomia?
What is Xerostomia?What is Xerostomia?
What is Xerostomia?Dentaid
 
The Art of Practice Management Dental Pearls - December 2015
The Art of Practice Management Dental Pearls - December 2015The Art of Practice Management Dental Pearls - December 2015
The Art of Practice Management Dental Pearls - December 2015Marianne Harper
 
Western Blotting and BrdU Staining
Western Blotting and BrdU StainingWestern Blotting and BrdU Staining
Western Blotting and BrdU StainingChristian Lapitan
 
Radiosensitivity and cell age in the mitotic cycle
Radiosensitivity and cell age in the mitotic cycleRadiosensitivity and cell age in the mitotic cycle
Radiosensitivity and cell age in the mitotic cycleSneha George
 
Alveolar osteitis /certified fixed orthodontic courses by Indian dental academy
Alveolar osteitis /certified fixed orthodontic courses by Indian dental academy Alveolar osteitis /certified fixed orthodontic courses by Indian dental academy
Alveolar osteitis /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
diabetus mellitus in complete denture wearers/ oral surgery courses  
diabetus mellitus in complete denture wearers/ oral surgery courses  diabetus mellitus in complete denture wearers/ oral surgery courses  
diabetus mellitus in complete denture wearers/ oral surgery courses  Indian dental academy
 
Radiosensitivity and the Cell Cycle - Chapter 4 jtl
Radiosensitivity and the Cell Cycle - Chapter 4 jtlRadiosensitivity and the Cell Cycle - Chapter 4 jtl
Radiosensitivity and the Cell Cycle - Chapter 4 jtlJohn Lucas
 
Dry socket, alveolar ostitis
Dry socket, alveolar ostitisDry socket, alveolar ostitis
Dry socket, alveolar ostitisEliud Ebei
 
6 things that you should kwow about Xerostomia
6 things that you should kwow about Xerostomia 6 things that you should kwow about Xerostomia
6 things that you should kwow about Xerostomia Dentaid
 
Stem cell therapy for xerostomia
Stem cell therapy for xerostomiaStem cell therapy for xerostomia
Stem cell therapy for xerostomiaSrijaChillamcherla
 
Oral manifestations of systemic diseases
Oral manifestations of systemic diseasesOral manifestations of systemic diseases
Oral manifestations of systemic diseasesTarek Sheta
 

Viewers also liked (20)

Xerostomia- Dryness of mouth
Xerostomia- Dryness of mouthXerostomia- Dryness of mouth
Xerostomia- Dryness of mouth
 
Xerostomia
XerostomiaXerostomia
Xerostomia
 
What is Xerostomia?
What is Xerostomia?What is Xerostomia?
What is Xerostomia?
 
Xerostomia & Sjogrens syndrome
Xerostomia & Sjogrens syndromeXerostomia & Sjogrens syndrome
Xerostomia & Sjogrens syndrome
 
Xerostomia
XerostomiaXerostomia
Xerostomia
 
The Art of Practice Management Dental Pearls - December 2015
The Art of Practice Management Dental Pearls - December 2015The Art of Practice Management Dental Pearls - December 2015
The Art of Practice Management Dental Pearls - December 2015
 
Western Blotting and BrdU Staining
Western Blotting and BrdU StainingWestern Blotting and BrdU Staining
Western Blotting and BrdU Staining
 
Implants in pedodontics
Implants in pedodonticsImplants in pedodontics
Implants in pedodontics
 
Radiosensitivity and cell age in the mitotic cycle
Radiosensitivity and cell age in the mitotic cycleRadiosensitivity and cell age in the mitotic cycle
Radiosensitivity and cell age in the mitotic cycle
 
Alveolar osteitis /certified fixed orthodontic courses by Indian dental academy
Alveolar osteitis /certified fixed orthodontic courses by Indian dental academy Alveolar osteitis /certified fixed orthodontic courses by Indian dental academy
Alveolar osteitis /certified fixed orthodontic courses by Indian dental academy
 
Radiosensitizers
RadiosensitizersRadiosensitizers
Radiosensitizers
 
diabetus mellitus in complete denture wearers/ oral surgery courses  
diabetus mellitus in complete denture wearers/ oral surgery courses  diabetus mellitus in complete denture wearers/ oral surgery courses  
diabetus mellitus in complete denture wearers/ oral surgery courses  
 
Radiosensitivity and the Cell Cycle - Chapter 4 jtl
Radiosensitivity and the Cell Cycle - Chapter 4 jtlRadiosensitivity and the Cell Cycle - Chapter 4 jtl
Radiosensitivity and the Cell Cycle - Chapter 4 jtl
 
Oncogenes
OncogenesOncogenes
Oncogenes
 
Dry socket, alveolar ostitis
Dry socket, alveolar ostitisDry socket, alveolar ostitis
Dry socket, alveolar ostitis
 
6 things that you should kwow about Xerostomia
6 things that you should kwow about Xerostomia 6 things that you should kwow about Xerostomia
6 things that you should kwow about Xerostomia
 
Stem cell therapy for xerostomia
Stem cell therapy for xerostomiaStem cell therapy for xerostomia
Stem cell therapy for xerostomia
 
Introduction to hearing implairment & cochlear implantation]
Introduction to hearing implairment & cochlear implantation]Introduction to hearing implairment & cochlear implantation]
Introduction to hearing implairment & cochlear implantation]
 
Dry socket
Dry socketDry socket
Dry socket
 
Oral manifestations of systemic diseases
Oral manifestations of systemic diseasesOral manifestations of systemic diseases
Oral manifestations of systemic diseases
 

Similar to Radiation Induced Xerostomia & Pilocarpine

Oral Mucositis In Cancer Care
Oral Mucositis In Cancer CareOral Mucositis In Cancer Care
Oral Mucositis In Cancer Carefondas vakalis
 
Oral Mucositis In Cancer Care Is The End In Sight
Oral Mucositis In Cancer Care Is The End In SightOral Mucositis In Cancer Care Is The End In Sight
Oral Mucositis In Cancer Care Is The End In Sightfondas vakalis
 
Oral Radiation Toxicity.pptx
Oral Radiation Toxicity.pptxOral Radiation Toxicity.pptx
Oral Radiation Toxicity.pptxDebarshi Lahiri
 
pancreatic neuroendocrine tumors
pancreatic neuroendocrine tumorspancreatic neuroendocrine tumors
pancreatic neuroendocrine tumorsShankar Zanwar
 
FSGS-Sparsentan.pptx
FSGS-Sparsentan.pptxFSGS-Sparsentan.pptx
FSGS-Sparsentan.pptxssuseree565d
 
Use of iohexol clearance in dogs as a diagnostic test
Use of iohexol clearance in dogs as a diagnostic testUse of iohexol clearance in dogs as a diagnostic test
Use of iohexol clearance in dogs as a diagnostic testDr.hema hassan
 
Cystic Fibrosis "Overview of Gastrointestinal Diseases"
Cystic Fibrosis "Overview of Gastrointestinal Diseases"Cystic Fibrosis "Overview of Gastrointestinal Diseases"
Cystic Fibrosis "Overview of Gastrointestinal Diseases"Mahmoud Alaaeldin Hashim, MD.
 
Radiation Therapy: Nutritional Strategies to Improve Outcomes
Radiation Therapy: Nutritional Strategies to Improve OutcomesRadiation Therapy: Nutritional Strategies to Improve Outcomes
Radiation Therapy: Nutritional Strategies to Improve OutcomesJeanne M Wallace PhD
 
Estado actual de terapia sistémica en cáncer renal metastásico
Estado actual de terapia sistémica en cáncer renal metastásicoEstado actual de terapia sistémica en cáncer renal metastásico
Estado actual de terapia sistémica en cáncer renal metastásicoMauricio Lema
 
Systems Nutrition of the Gut-Liver Axis and the Role of the Microbiome
Systems Nutrition of the Gut-Liver Axis and the Role of the MicrobiomeSystems Nutrition of the Gut-Liver Axis and the Role of the Microbiome
Systems Nutrition of the Gut-Liver Axis and the Role of the MicrobiomeNorwich Research Park
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer diseaseSamir Haffar
 
Management of acute diarrhea in children
Management of acute diarrhea in childrenManagement of acute diarrhea in children
Management of acute diarrhea in childrengfalakha
 
Barretts Brief Version For Upload
Barretts Brief Version For UploadBarretts Brief Version For Upload
Barretts Brief Version For UploadShivakumar Vignesh
 
Bulletproof conf 2014 dominic d agostino ketones final
Bulletproof conf 2014 dominic d agostino ketones finalBulletproof conf 2014 dominic d agostino ketones final
Bulletproof conf 2014 dominic d agostino ketones finalDominic D'Agostino
 

Similar to Radiation Induced Xerostomia & Pilocarpine (20)

PUD.pptx
PUD.pptxPUD.pptx
PUD.pptx
 
11 Peritoneal Dialysis
11 Peritoneal Dialysis11 Peritoneal Dialysis
11 Peritoneal Dialysis
 
Gastroparesis CSGNA 2016
Gastroparesis CSGNA 2016Gastroparesis CSGNA 2016
Gastroparesis CSGNA 2016
 
LCT10001280
LCT10001280LCT10001280
LCT10001280
 
Oral Mucositis In Cancer Care
Oral Mucositis In Cancer CareOral Mucositis In Cancer Care
Oral Mucositis In Cancer Care
 
Oral Mucositis In Cancer Care Is The End In Sight
Oral Mucositis In Cancer Care Is The End In SightOral Mucositis In Cancer Care Is The End In Sight
Oral Mucositis In Cancer Care Is The End In Sight
 
Nets 2008 Carlos F Pinto
Nets 2008 Carlos F PintoNets 2008 Carlos F Pinto
Nets 2008 Carlos F Pinto
 
Oral Radiation Toxicity.pptx
Oral Radiation Toxicity.pptxOral Radiation Toxicity.pptx
Oral Radiation Toxicity.pptx
 
pancreatic neuroendocrine tumors
pancreatic neuroendocrine tumorspancreatic neuroendocrine tumors
pancreatic neuroendocrine tumors
 
FSGS-Sparsentan.pptx
FSGS-Sparsentan.pptxFSGS-Sparsentan.pptx
FSGS-Sparsentan.pptx
 
Use of iohexol clearance in dogs as a diagnostic test
Use of iohexol clearance in dogs as a diagnostic testUse of iohexol clearance in dogs as a diagnostic test
Use of iohexol clearance in dogs as a diagnostic test
 
Cystic Fibrosis "Overview of Gastrointestinal Diseases"
Cystic Fibrosis "Overview of Gastrointestinal Diseases"Cystic Fibrosis "Overview of Gastrointestinal Diseases"
Cystic Fibrosis "Overview of Gastrointestinal Diseases"
 
Radiation Therapy: Nutritional Strategies to Improve Outcomes
Radiation Therapy: Nutritional Strategies to Improve OutcomesRadiation Therapy: Nutritional Strategies to Improve Outcomes
Radiation Therapy: Nutritional Strategies to Improve Outcomes
 
Estado actual de terapia sistémica en cáncer renal metastásico
Estado actual de terapia sistémica en cáncer renal metastásicoEstado actual de terapia sistémica en cáncer renal metastásico
Estado actual de terapia sistémica en cáncer renal metastásico
 
Systems Nutrition of the Gut-Liver Axis and the Role of the Microbiome
Systems Nutrition of the Gut-Liver Axis and the Role of the MicrobiomeSystems Nutrition of the Gut-Liver Axis and the Role of the Microbiome
Systems Nutrition of the Gut-Liver Axis and the Role of the Microbiome
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
 
Management of acute diarrhea in children
Management of acute diarrhea in childrenManagement of acute diarrhea in children
Management of acute diarrhea in children
 
Barretts Brief Version For Upload
Barretts Brief Version For UploadBarretts Brief Version For Upload
Barretts Brief Version For Upload
 
Liver fibrosis
Liver fibrosisLiver fibrosis
Liver fibrosis
 
Bulletproof conf 2014 dominic d agostino ketones final
Bulletproof conf 2014 dominic d agostino ketones finalBulletproof conf 2014 dominic d agostino ketones final
Bulletproof conf 2014 dominic d agostino ketones final
 

More from Kidwai Memorial Institute of Oncology, Bangalore

More from Kidwai Memorial Institute of Oncology, Bangalore (20)

AI & Recent Advances in Radiation Oncology 2024
AI & Recent Advances in Radiation Oncology 2024AI & Recent Advances in Radiation Oncology 2024
AI & Recent Advances in Radiation Oncology 2024
 
Road map to eliminate Cervical Cancer in the Indian subcontinent 2023 Dr V ...
Road map to eliminate Cervical Cancer in the Indian subcontinent 2023 Dr V ...Road map to eliminate Cervical Cancer in the Indian subcontinent 2023 Dr V ...
Road map to eliminate Cervical Cancer in the Indian subcontinent 2023 Dr V ...
 
Permanent implant Brachytherapy
Permanent implant BrachytherapyPermanent implant Brachytherapy
Permanent implant Brachytherapy
 
Research in India Bangalore Tech Expo 2018
Research in India Bangalore Tech Expo 2018Research in India Bangalore Tech Expo 2018
Research in India Bangalore Tech Expo 2018
 
Motion management in Radiation Oncology - 2020
Motion management in Radiation Oncology - 2020Motion management in Radiation Oncology - 2020
Motion management in Radiation Oncology - 2020
 
Nutrition in cancer patients dr lokesh 2021 introduction
Nutrition in cancer patients dr lokesh 2021 introductionNutrition in cancer patients dr lokesh 2021 introduction
Nutrition in cancer patients dr lokesh 2021 introduction
 
Future Technological needs in Oncology
Future Technological needs in Oncology Future Technological needs in Oncology
Future Technological needs in Oncology
 
Radiation Therapy in Colon and Rectal Cancer - Multidisciplinary seminar 1993
Radiation Therapy in Colon and Rectal Cancer - Multidisciplinary seminar 1993Radiation Therapy in Colon and Rectal Cancer - Multidisciplinary seminar 1993
Radiation Therapy in Colon and Rectal Cancer - Multidisciplinary seminar 1993
 
Radiotherapy in Cancer Oesophagus 1993
Radiotherapy in Cancer Oesophagus 1993Radiotherapy in Cancer Oesophagus 1993
Radiotherapy in Cancer Oesophagus 1993
 
Radiotherapy in Carcinoma of the Urinary Bladder 1993
Radiotherapy in Carcinoma of the Urinary Bladder 1993Radiotherapy in Carcinoma of the Urinary Bladder 1993
Radiotherapy in Carcinoma of the Urinary Bladder 1993
 
Breast Cancer Radiation Therapy: RT Plan evaluation & Recent Advances - 4DCT ...
Breast Cancer Radiation Therapy: RT Plan evaluation & Recent Advances - 4DCT ...Breast Cancer Radiation Therapy: RT Plan evaluation & Recent Advances - 4DCT ...
Breast Cancer Radiation Therapy: RT Plan evaluation & Recent Advances - 4DCT ...
 
Radiotherapy and Skin reaction
Radiotherapy and Skin reaction Radiotherapy and Skin reaction
Radiotherapy and Skin reaction
 
Radiotherapy : Past Present Future KMIO 2015
Radiotherapy : Past Present Future KMIO 2015Radiotherapy : Past Present Future KMIO 2015
Radiotherapy : Past Present Future KMIO 2015
 
Radiation therapy in Cancer Oesophagus
Radiation therapy in Cancer Oesophagus Radiation therapy in Cancer Oesophagus
Radiation therapy in Cancer Oesophagus
 
EGFR in cervical cancer
EGFR in cervical cancerEGFR in cervical cancer
EGFR in cervical cancer
 
Radiation therapy in prostate cancer
Radiation therapy in prostate cancer Radiation therapy in prostate cancer
Radiation therapy in prostate cancer
 
ABRAXANE in Radiation Therapy
ABRAXANE in Radiation TherapyABRAXANE in Radiation Therapy
ABRAXANE in Radiation Therapy
 
IMPROVISED RADIOTHERAPY TECHNIQUES IN TELE COBALT WITHOUT MLC
IMPROVISED RADIOTHERAPY TECHNIQUES IN TELE COBALT WITHOUT MLCIMPROVISED RADIOTHERAPY TECHNIQUES IN TELE COBALT WITHOUT MLC
IMPROVISED RADIOTHERAPY TECHNIQUES IN TELE COBALT WITHOUT MLC
 
Temozolomide As A Radiosensitizer Clinical Experience At Kmio
Temozolomide As A Radiosensitizer Clinical Experience At KmioTemozolomide As A Radiosensitizer Clinical Experience At Kmio
Temozolomide As A Radiosensitizer Clinical Experience At Kmio
 
Radiation Therapy In India
Radiation Therapy In IndiaRadiation Therapy In India
Radiation Therapy In India
 

Recently uploaded

Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 

Recently uploaded (20)

Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 

Radiation Induced Xerostomia & Pilocarpine