Outcome measures
Pain
ORAL MUCOSITIS
As patients were planned to receive a typical radiation cycle of (5–7) weeks, and as OM clinical signs usually appear by the second or third week of treatment [
Oral mucositis severity, measured using the WHO grading system [Pain and discomfort were reported by each patient using the Visual Analog Scale (VAS) [Symptom burden and QoL were assessed by the translated Arabic version of M. D. Anderson Symptom Inventory–Head and Neck (MDASI-HN) questionnaire [
WHO grading system for Oral mucositis severity