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Characterization of patients with disc displacement without reduction unresponsive to nonsurgical treatment: a preliminary study.

PURPOSE: Arthrocentesis and arthroscopic lysis and lavage have been described as effective treatment modalities for temporomandibular joint (TMJ) disc displacement without reduction (DDw/oR). More commonly, nonsurgical intervention is offered as the desired first-line treatment; however, a certain group of DDw/oR patients receiving nonsurgical treatment may remain unresponsive, thereby prolonging suffering and treatment dissatisfaction. The purpose of this study is to characterize these nonresponders by evaluating the characteristic pretreatment findings peculiar to this group. PATIENTS AND M

Efficacy of Dexamethasone Injection at Different Sites on Postoperative Sequelae After Extracting Mandibular Impacted Third Molars: A Randomized Controlled Trial.

BACKGROUND: Dexamethasone, an efficacious anti-inflammatory agent, is widely used after tooth extraction. However, its optimal injection sit … 1 (n = 24), group 2 (n = 20), and control group (n = 14). On day 3 postoperative, the swelling and trismus were significantly less in group 1 than in the other 2 groups (P < .05), and group 1 had an overall postoperative quality of life compared to other groups (P < .05). Unaffected speech function was present in 73.7% of patients in group 1, while 50% o …

[Analysis of clinical prognosis of endoscopic salvage surgery in patients with rT2 recurrent nasopharyngeal carcinoma].

Objective: To investigate the feasibility of endoscopic salvage surgery for patients with rT2 recurrent nasopharyngeal carcinoma (rNPC) and … 4). Nasopharynx hemorrhage occurred in 4 patients, skull base bone necrosis occurred in 2 patients, trismus occurred in 3 patients, and no obvious brain complications occurred in 7 patients with ICA embolization. Conclusion: Endoscopic salvage surgery for rT2 rNPC is a safe and effective surgical option, but the long-term effect still needs long-term foll …

Impact of mHealth on Postoperative Quality of Life, Self-Management, and Dysfunction in Patients With Oral and Maxillofacial Tumors: Nonrandomized Controlled Trial.

BACKGROUND: With a focus on postoperative dysfunctions that may occur after maxillofacial tumor resection and the difficulties faced during … um test showed that the experimental group showed improvements in shoulder function, dysphagia, and trismus after mHealth intervention; however, the differences were not significant. CONCLUSIONS: The Intelligent Home Rehabilitation Care Platform interventions can effectively enhance patients' self-management efficacy, improving quality of life and facili …

Buccal fat applied to transoral robotic lateral oropharyngectomy defects to lessen radical tonsillectomy pain (BOLT): a single-centre, phase II, parallel, randomised control trial study protocol.

INTRODUCTION: Transoral robotic surgery (TORS) is a minimally invasive technique for surgical removal of tumours of the tonsil and lateral o … pharyngeal lymphadenopathy, bilateral lymphadenopathy, need for bilateral neck dissection, baseline trismus, opioid use or drug addiction, need for open surgery (transcervical lateral oropharyngectomy), free tissue transfer, or alternative regional flap, and pregnancy. All patients are planned for a TORS lateral oropharyngectomy. The intervention group wi …

The Role of Dental Practitioners in the Management of Oncology Patients: The Head and Neck Radiation Oncology Patient and the Medical Oncology Patient.

This narrative review addresses the role of a dentist in the management of oncology patients, highlighting the oral complications that arise in head and neck radiation oncology patients and medical oncology patients. The prevention and management of these complications are discussed.

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… Trismus Trismus is a well-known complication of radiation therapy [ 21 , 22 ] ( Figure 6 ). It is defined as an inability to open the mouth or difficulty with mouth opening secondary to spasm of the muscles of mastication. … Prevention and Management of Trismus Management of trismus is challenging, so practitioners should focus on prevention. …

Psychiatric morbidity among patients with oral submucous fibrosis: a controlled study.

AIM: The study aimed to evaluate the association between oral submucous fibrosis (OSF) and psychiatric morbidity in a controlled manner. METHODS: Matched patients were divided into three groups: Those with areca nut chewing habits with OSF (Group 1; n=50); those with areca nut chewing habits without OSF (Group 2; n=50); those without areca habits and with dental problems other than OSF (Group 3; n=50). The Mini International Neuropsychiatric Interview was used to assess psychiatric morbidity. Dependence to areca products was also assessed. RESULTS: Sixteen (32%) Group 1 patients had psychiat

MR abnormalities of the lateral pterygoid muscle in patients with nonreducing disk displacement of the TMJ.

The aim of this study was to investigate the pathological changes of the lateral pterygoid muscle (LPM) using magnetic resonance imaging (MRI) in patients with anterior disk displacement with nonreduction (ADDnr) of the temporomandibular joint (TMJ) and to compare the abnormal findings of the LPM with the clinical symptoms and other pathological MRI alterations of the TMJ. Bilateral or unilateral ADDnr was demonstrated in 142 patents by MRI (176 TMJs; 106 females; 36 males; range 19 to 72 years; mean 43.9 years). In 123 TMJs, the LPMs were clearly observed in MRIs and analyzed in this study. P

Definitive radiotherapy with interstitial implant boost for squamous cell carcinoma of the tongue base.

BACKGROUND: The purpose of this study was to examine the long-term outcome of a cohort of patients with unresected base of tongue carcinoma … cts, the most frequent being grade 3 osteonecrosis (n = 2), grade 2 swallowing dysfunction (n = 2), trismus (n = 2), and chronic throat pain (n = 1). CONCLUSIONS: In an era of greatly improved dose distributions made possible by three-dimensional treatment planning and intensity-modulated radiation therapy, brachytherapy allows a highly conformal dose to …

Photobiomodulation therapy in management of cancer therapy-induced side effects: WALT position paper 2022.

DISCLAIMER: This article is based on recommendations from the 12th WALT Congress, Nice, October 3-6, 2018, and a follow-up review of the exi … actic and therapeutic use in supportive care for radiodermatitis, dysphagia, xerostomia, dysgeusia, trismus, mucosal and bone necrosis, lymphedema, hand-foot syndrome, alopecia, oral and dermatologic chronic graft-versus-host disease, voice/speech alterations, peripheral neuropathy, and late fibrosis amongst cancer survivors. CONCLUSIONS: There is robust …

Oral complications of cancer and cancer therapy: from cancer treatment to survivorship.

Answer questions and earn CME/CNE Oral complications resulting from cancer and cancer therapies cause acute and late toxicities that may be underreported, underrecognized, and undertreated. Recent advances in cancer treatment have led to changes in the incidence, nature, and severity of oral complications. As the number of survivors increases, it is becoming increasingly recognized that the aggressive management of oral toxicities is needed to ensure optimal long-term oral health and general well-being. Advances in care have had an impact on previously recognized oral complications and are lea

Surgical techniques for the removal of mandibular wisdom teeth.

BACKGROUND: Pathology relating to mandibular wisdom teeth is a frequent presentation to oral and maxillofacial surgeons, and surgical removal of mandibular wisdom teeth is a common operation. The indications for surgical removal of these teeth are alleviation of local pain, swelling and trismus, and also the prevention of spread of infection that may occasionally threaten life. Surgery is commonly associated with short-term postoperative pain, swelling and trismus. Less frequently, infection, dry socket (alveolar osteitis) and trigeminal nerve injuries may occur. This review focuses on the opt…

Quality of life after management of advanced osteoradionecrosis of the mandible.

Osteoradionecrosis (ORN) of the mandible is a severe complication of radiation therapy for head and neck cancer. In this case series, the authors analyzed their treatment and quality of life outcomes over the past 6 years. A retrospective chart review of 42 patients treated surgically for advanced ORN was conducted. A telephone survey was conducted and quality of life (QOL) questionnaires were completed in a subset of patients. 30 patients responded to the telephone survey assessing QOL for speech, swallowing and overall functioning correlated with oral nutrition and performance status. Surger

Accelerated radiotherapy with delayed concomitant boost in locally advanced squamous cell carcinoma of the head and neck.

PURPOSE: To determine the toxicity, maximum tolerated dose (MTD), and clinical effectiveness of a 5-week course of accelerated radiotherapy … as 56%, 76%, and 80%, respectively, at 2 years. Late complications have been limited to 3 patients (trismus, chronic mucosal ulcer, and soft tissue necrosis). CONCLUSION: A 5-week course of accelerated radiotherapy with delayed concomitant boost can deliver 65 Gy with acceptable toxicity, encouraging rates of complete response, and locoregional control, …

Factors Affecting Prolonged Intubation and Difficult Airway After Odontogenic Infection.

BACKGROUND: Odontogenic infections can rapidly become life-threatening as a result of airway obstruction. This is further complicated by severe trismus and postoperative edema. PURPOSE: The purpose of the study was to estimate the frequency and identify risk factors associated with the need for prolonged and advanced airway management preoperatively or postoperatively in patients with severe odontogenic infections. STUDY DESIGN, SETTING, AND SAMPLE: A retrospective cohort study was designed to evaluate risk factors associated with difficult airways in patients with odontogenic infections. In…

Радиотерапия интенсивной активности с использованием радиотерапии &quot; Углерод ион &quot; для ациничной карциномы клеток соляных Гландов.

Цель: сообщать о результатах клинической терапии пациентов с ациничной клеточной карциномой слюнных желез, обработанных рентгенотерапией с изменением интенсивности (ИМРТ) и углеродной ионной радиотерапией (CIRT). Материалы и методы: для целей этого ретроспективного анализа были рассмотрены все пациенты, страдающие ациничной карциномой слюнных желез в Гейдельбергском терапевтическом центре Ион-Беам. Все пациенты получили стимул CIRT с 18-24 Gy радиобиологическая эффективность (RBE), взвешенная доза 3 Взвешенная Gy RBE доза на фракцию, за которой следует IMRT, с 50-54 Входите. 2 Гий на единицу.

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… The predominant morbidity at 6–12 weeks after radiotherapy was xerostomia ( n = 13, 87%), dysgeusia ( n = 11, 73%), and trismus ( n = 10, 67%), whereas facial palsy improved. … Xerostomia, dysgeusia, and trismus were the main reported symptoms after radiotherapy. No radiotherapy-related grade 3–5 morbidity was observed. The main limitations are the retrospective study design and the small patient cohort. …

Maxillectomy through mandibulotomy--a retrospective clinical review.

PURPOSE: To review retrospectively the benefits of using mandibulotomy as an access for tumors involving the maxilla and infratemporal fossa. PATIENTS AND METHODS: Twenty-four consecutive patients with tumors involving the maxilla and infratemporal fossa underwent maxillectomy through mandibular access osteotomy. Patient details and postoperative follow-up were reviewed and recorded. Postoperative complications such as neural morbidity and problems relevant to the procedure were evaluated. Ethical clearance from the medical practices board of the hospital was not required for this study. RES

Oral complications and management strategies for patients undergoing cancer therapy.

With cancer survival rate climbing up over the past three decades, quality of life for cancer patients has become an issue of major concern. Oral health plays an important part in one's overall quality of life. However, oral health status can be severely hampered by side effects of cancer therapies including surgery, chemotherapy, radiotherapy, and hematopoietic stem cell transplantation. Moreover, prevention and treatment of these complications are often overlooked in clinical practice. The present paper aims at drawing health care professionals' attention to oral complications associated wit

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… Note that trismus could be exacerbated by the fibrotic changes due to combination radiotherapy. … According to the literature, about 5% to 38% of the patients develop trismus after receiving radiation therapy for head and neck cancer [ 90 , 91 ]. …

Patterns of presentation and mortality in tetanus: a 10-year retrospective review.

AIMS AND OBJECTIVES: To highlight the indications, problems and prospects of bedside non-surgically inserted jugular and subclavian dual lum … compared with 20.18% that had theirs in the upper limb. 107 (93.86%) of the patients presented with trismus while only 82 (71.93%) had opsthotonus. Only 51 (44.73%) patients survived while 61 (53.5%) died. The mean age (+/- SD) of the survivors was 32.35 (+ 14.45) years while that of those that died was 39.4 (+/- 19.89) years (P = 0.036). Other factors th …