Description

Sonis et al developed the Oral Mucositis Assessment Scale (OMAS) for evaluating oral mucositis following radiation and/or chemotherapy. This can be used to monitor a patient over time and to assess the effectiveness of interventions. The authors are from multiple institutions in the United States, Canada and the Netherlands.


 

Parameters:

(1) ulceration and/or pseudomembrane

(2) erythema

 

Sites assessed:

(1) upper lip

(2) lower lip

(3) right cheek

(4) left cheek

(5) right ventral and lateral tongue

(6) left ventral and lateral tongue

(7) floor of mouth

(8) soft palate and fauces

(9) hard palate

 

Parameter

Finding

Points

ulceration and/or pseudomembrane

none

0

 

< 1 square cm

1

 

1 – 3 square cm

2

 

> 3 square cm

3

erythema

none

0

 

not severe (mild to moderate)

1

 

severe

2

 

score for each site =

= (points for ulceration/pseudomembrane) + (points for erythema)

 

total score for all 9 sites =

= SUM(points for all 9 sites)

 

Interpretation:

• minimum site score: 0

• maximum site score: 5

• minimum total score: 0

• maximum total score: 45

• The higher the scores, the more severe the mucositis.

 


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