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A non-tooth-borne mouth-opening device for postoperative rehabilitation after surgical release of trismus

Identifieur interne : 007798 ( Main/Merge ); précédent : 007797; suivant : 007799

A non-tooth-borne mouth-opening device for postoperative rehabilitation after surgical release of trismus

Auteurs : Frank Heller [Taïwan] ; Fu-Chan Wei ; Yang-Ming Chang ; Chi-Ying Tsai ; Han-Tsung Liao ; Chun-Li Lin ; Yu-Chan Kuo

Source :

RBID : Pascal:06-0039775

Descripteurs français

English descriptors

Abstract

Background: The treatment of severe trismus requires a combination of surgical release and postoperative rehabilitation; the latter is essential for preventing a relapse due to postoperative inactivity and scarring. Mouth-opening devices for this purpose are placed between or fixed to the teeth to keep the dental arches apart; but patients suffering from severe trismus often present with partially or totally edentulous arches, decayed teeth, or periodontitis, which do not allow for the use of such devices. Methods: In this article, a new mouth-opening device is described. It applies force to two iritraoral screws placed in the vestibulum of the maxillary and mandibular bones. It can be used in patients with poor dental conditions and allows rehabilitation to start immediately after trismus release. Result: A case is presented. The interalveolar distance was improved from 5 mm to 45 mm and maintained at 6-month follow-up. Conclusion: Our non-tooth-borne mouth opening device is useful for postoperative rehabilitation after surgical release of trismus.

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Pascal:06-0039775

Le document en format XML

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<name sortKey="Wei, Fu Chan" sort="Wei, Fu Chan" uniqKey="Wei F" first="Fu-Chan" last="Wei">Fu-Chan Wei</name>
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<name sortKey="Chang, Yang Ming" sort="Chang, Yang Ming" uniqKey="Chang Y" first="Yang-Ming" last="Chang">Yang-Ming Chang</name>
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<name sortKey="Tsai, Chi Ying" sort="Tsai, Chi Ying" uniqKey="Tsai C" first="Chi-Ying" last="Tsai">Chi-Ying Tsai</name>
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<name sortKey="Liao, Han Tsung" sort="Liao, Han Tsung" uniqKey="Liao H" first="Han-Tsung" last="Liao">Han-Tsung Liao</name>
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<name sortKey="Lin, Chun Li" sort="Lin, Chun Li" uniqKey="Lin C" first="Chun-Li" last="Lin">Chun-Li Lin</name>
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<name sortKey="Kuo, Yu Chan" sort="Kuo, Yu Chan" uniqKey="Kuo Y" first="Yu-Chan" last="Kuo">Yu-Chan Kuo</name>
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<title level="j" type="main">Plastic and reconstructive surgery : (1963)</title>
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<term>Postoperative</term>
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<term>Rehabilitation</term>
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<term>Homme</term>
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<term>Réhabilitation</term>
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<div type="abstract" xml:lang="en">Background: The treatment of severe trismus requires a combination of surgical release and postoperative rehabilitation; the latter is essential for preventing a relapse due to postoperative inactivity and scarring. Mouth-opening devices for this purpose are placed between or fixed to the teeth to keep the dental arches apart; but patients suffering from severe trismus often present with partially or totally edentulous arches, decayed teeth, or periodontitis, which do not allow for the use of such devices. Methods: In this article, a new mouth-opening device is described. It applies force to two iritraoral screws placed in the vestibulum of the maxillary and mandibular bones. It can be used in patients with poor dental conditions and allows rehabilitation to start immediately after trismus release. Result: A case is presented. The interalveolar distance was improved from 5 mm to 45 mm and maintained at 6-month follow-up. Conclusion: Our non-tooth-borne mouth opening device is useful for postoperative rehabilitation after surgical release of trismus.</div>
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