Prevalence and prediction of trismus in patients with head and neck cancer: A cross‐sectional study

Geer, Sarah J. van der; Rijn, Phillip V. van; Kamstra, Jolanda I.; Langendijk, Johannes A.; Laan, Bernard F. A. M. van der; Roodenburg, Jan; Dijkstra, Pieter U.

doi:10.1002/hed.25369

Cited by 43 publications

(44 citation statements)

References 27 publications

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“…We measured MMO with the help of a sliding digital Vanier calliper. Normal maximum mouth opening, measured as the distance between the maxillary and mandibular incisor surfaces in healthy adults is reported to be 46 ± 7 mm (SteelmanandSokol, 1986), and 53.8 ± 6.5 mm for male and 50.4 ± 5.9 mm for female (Derksen, 1970) [3]. In this study, we found that out of 89 patients, 72 were having less than or equal to 35 mm of jaw opening [1].…”

Section: Discussionmentioning

confidence: 49%

“…Radiation and surgery can damage tissues and structures that are critical for jaw range of motion, such as the temporal mandibular joint, muscles of mastication, and the mucosa of the oropharyngeal cavity [10]. A wide variety in the prevalence of trismus is ranging from 5% to 65% [3].Trismus is one of the most frequent complications in HNF cancer patients undergoing radiotherapy [1]. Trismus is a restricted mouth opening in HNF cancer patients, which previously has not been paid much attention [1].…”

mentioning

confidence: 99%

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Prevalence of trismus in HNF Cancer patients undergoing radiation therapy: A cross-sectional study

Naykodi

Anap²,

Kharde³

et al. 2020

IJCBR

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Background: Trismus is a restricted mouth opening due to the tonic contraction of muscles of mastication. It may occur mostly in HNF cancer patients undergoing radiation therapy treatment. This study was undertaken with the purpose of finding out the prevalence of trismus in patients undergoing radiation therapy. Method: 89 patients with HNF cancer patients receiving radiation therapy were included in the study. Inter incisal distance was measured using sliding digital vernier calliper. Patients with ≥ 35mm mouth opening were considered as trismus cases. Result: Out of 89 patients included 72 were diagnosed as trismus; hence the prevalence was 81%. Conclusion: Prevalence of Trismus is very high ( 81 %) in patients undergoing radiotherapy secondary to HNF cancer. Early diagnosis of trismus in these patients can help in time management and also planning of preventive strategies.Keywords: Trismus; Prevalence; HNF cancer; Radiation therapy

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Section: Discussionmentioning

confidence: 49%

mentioning

confidence: 99%

Prevalence of trismus in HNF Cancer patients undergoing radiation therapy: A cross-sectional study

Naykodi

Anap²,

Kharde³

et al. 2020

IJCBR

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“…MMO was measured (mm) once as the inter-incisor distance (with the patient sitting) using a sliding caliper [17,18].…”

Section: Maximum Mouth Openingmentioning

confidence: 99%

“…MMO was found to be lower in patients compared to healthy controls. Trismus (restricted mouth opening) is a common complaint after treatment for HNC [31], appearing in about a quarter of all [17]. Indeed, mouth opening decreases by some 20% after treatment, especially with RT [13]-the consequence of damage and tissue fibrosis [32], possibly induced by apoptosis in response to radical-mediated DNA damage [33].…”

Section: Survivors Of Head and Neck Cancer Compared To Healthy Controlsmentioning

confidence: 99%

Upper body motor function and swallowing impairments and its association in survivors of head and neck cancer: A cross-sectional study

Ortiz-Comino¹,

Fernández-Lao²,

Speksnijder³

et al. 2020

PLoS ONE

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Background Upper body motor function and swallowing may be affected after curative treatment for head and neck cancer. The aims of this study are to compare maximum mouth opening (MMO), temporomandibular dysfunction (TMD), cervical and shoulder active range of motion (AROM) and strength, and swallowing difficulty between survivors of head and neck cancer (sHNC) and healthy matched controls (HMC) and to examine the correlations between these outcomes in sHNC. Methods Thirty-two sHNC and 32 HMC participated on the study. MMO, TMD, cervical and shoulder AROM, cervical and shoulder strength, the SPADI shoulder pain and disability indices, the Eating Assessment Tool (EAT-10) score, swallowing difficulty as determined using a visual analogue scale (VAS), and the location of disturbances in swallowing, were recorded. Results MMO and cervical and shoulder AROM and strength were significantly lower in sHNC, whereas FAI, SPADI score, EAT-10 and VAS were higher. The MMO, TMD, cervical and shoulder AROM, and cervical shoulder strength values showed significant correlations (some direct, others inverse) with one another. Swallowing difficulty was inversely associated with the MMO, cervical AROM and shoulder strength.

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“…[4] The severity of trismus is influenced by various factors including extent of preoperative oral submucous fibrosis (OSMF), fibrosis associated with surgical healing and post-operative radiation. [5,6] Posttreatment trismus is rapidly progressive and refractory to conventional treatment modalities, and warranting additional surgical procedures like coronoidectomy, condylotomy and in severe case even to the extent of mandibulectomy to improve the quality of life.…”

Section: Introductionmentioning

confidence: 99%

Role of Prophylactic Coronoidectomy in Oral Cancer Treatment: a Retrospective Cohort Study

G¹,

Chandrasekar²

2020

Indian J Surg Oncol

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To evaluate the effectiveness of coronoidectomy to prevent trismus in patients undergoing primary surgery for oral cancer. Patients who underwent primary surgery for oral gingivo-buccal cancers were analysed. Group 1 (G1) consists of patients who underwent coronoidectomy during the primary ablative procedure and group 2 (G2) who underwent standard ablative surgery without coronoidectomy. Post-treatment maximum interincisor opening was compared between the two groups. Sixty-four patients were included, 31 in G1 and 33 patients in G2. Overall, 81% had reduction in mouth opening at the time of evaluation. The post-treatment mean mouth opening was 28.81 ± 8.2 and 22.30 ± 10.9 (p = .01) in G1 and G2, respectively. Amongst factors predisposing to trismus, patients with oral submucous fibrosis (p = .008) had reconstruction with microvascular free flap (p = .007), without post-operative radiotherapy (p = .01) and good patient compliance (p = .003) had significant benefit with simultaneous coronoidectomy. In the sub-group analysis in patients without OSMF and PORT, the mean reduction in mouth opening was significantly better in G1 (p = .04). Prophylactic coronoidectomy done at the time of primary surgery showed significant reduction in post-surgical trismus.

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Prevalence and prediction of trismus in patients with head and neck cancer: A cross‐sectional study

Cited by 43 publications

References 27 publications

Prevalence of trismus in HNF Cancer patients undergoing radiation therapy: A cross-sectional study

Prevalence of trismus in HNF Cancer patients undergoing radiation therapy: A cross-sectional study

Upper body motor function and swallowing impairments and its association in survivors of head and neck cancer: A cross-sectional study

Role of Prophylactic Coronoidectomy in Oral Cancer Treatment: a Retrospective Cohort Study

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