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Criteria for trismus in head and neck oncology

Identifieur interne : 000477 ( PascalFrancis/Corpus ); précédent : 000476; suivant : 000478

Criteria for trismus in head and neck oncology

Auteurs : P. U. Dijkstra ; P. M. Huisman ; J. L. N. Roodenburg

Source :

RBID : Pascal:06-0171427

Descripteurs français

English descriptors

Abstract

The aim of this study was to determine a functional cut-off point for trismus in head and neck oncology. In total, 89 patients (13 dentate, 30 partially dentate and 46 edentulous) treated for cancer of the oral cavity or oropharynx were asked whether they experienced a limited mouth opening. The mandibular function impairment questionnaire (MFIQ) was filled out and mouth opening was measured. The proportion correctly predicted (proportion true positives + proportion true negatives) was calculated. For cut-off points from 25 to 45 mm, differences in MFIQ scores of the restricted and non-restricted groups were analyzed. A receiver operating curve was constructed. The proportion correctly predicted was highest for cut-off point <35 mm (0.81), with a sensitivity of 0.71 and a specificity of 0.98. Differences in perceived mandibular function impairments were significant for all cut-off points of 35 mm or less. For the total group, the area under curve was 0.87. For the subgroups of dentate, partially dentate and edentulous patients, no consistent cut-off points could be found on the basis of the proportion correctly predicted and the significance of the difference in MFIQ scores. A mouth opening of <35 mm is a functional cut-off point for trismus in head and neck oncology patients.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0901-5027
A02 01      @0 IJOSE9
A03   1    @0 Int. j. oral maxillofac. surg.
A05       @2 35
A06       @2 4
A08 01  1  ENG  @1 Criteria for trismus in head and neck oncology
A11 01  1    @1 DIJKSTRA (P. U.)
A11 02  1    @1 HUISMAN (P. M.)
A11 03  1    @1 ROODENBURG (J. L. N.)
A14 01      @1 Department of Oral and Maxillofacial Surgery, Division Oncology, University Medical Centre Groningen, University of Groningen @2 Groningen @3 NLD @Z 1 aut. @Z 3 aut.
A14 02      @1 Center for Rehabilitation, University Medical Center Groningen, University of Groningen @2 Groningen @3 NLD @Z 1 aut.
A14 03      @1 Center for Health Care Research, University of Groningen @2 Groningen @3 NLD @Z 1 aut.
A14 04      @1 Private Practice @2 Amsterdam @3 NLD @Z 2 aut.
A20       @1 337-342
A21       @1 2006
A23 01      @0 ENG
A43 01      @1 INIST @2 16201 @5 354000133079970070
A44       @0 0000 @1 © 2006 INIST-CNRS. All rights reserved.
A45       @0 16 ref.
A47 01  1    @0 06-0171427
A60       @1 P
A61       @0 A
A64 01  1    @0 International journal of oral and maxillofacial surgery
A66 01      @0 DNK
C01 01    ENG  @0 The aim of this study was to determine a functional cut-off point for trismus in head and neck oncology. In total, 89 patients (13 dentate, 30 partially dentate and 46 edentulous) treated for cancer of the oral cavity or oropharynx were asked whether they experienced a limited mouth opening. The mandibular function impairment questionnaire (MFIQ) was filled out and mouth opening was measured. The proportion correctly predicted (proportion true positives + proportion true negatives) was calculated. For cut-off points from 25 to 45 mm, differences in MFIQ scores of the restricted and non-restricted groups were analyzed. A receiver operating curve was constructed. The proportion correctly predicted was highest for cut-off point <35 mm (0.81), with a sensitivity of 0.71 and a specificity of 0.98. Differences in perceived mandibular function impairments were significant for all cut-off points of 35 mm or less. For the total group, the area under curve was 0.87. For the subgroups of dentate, partially dentate and edentulous patients, no consistent cut-off points could be found on the basis of the proportion correctly predicted and the significance of the difference in MFIQ scores. A mouth opening of <35 mm is a functional cut-off point for trismus in head and neck oncology patients.
C02 01  X    @0 002B10
C02 02  X    @0 002B17H
C03 01  X  FRE  @0 Trismus @5 01
C03 01  X  ENG  @0 Trismus @5 01
C03 01  X  SPA  @0 Trismo @5 01
C03 02  X  FRE  @0 Chirurgie @5 04
C03 02  X  ENG  @0 Surgery @5 04
C03 02  X  SPA  @0 Cirugía @5 04
C03 03  X  FRE  @0 Critère @5 07
C03 03  X  ENG  @0 Criterion @5 07
C03 03  X  SPA  @0 Criterio @5 07
C03 04  X  FRE  @0 Tête cou @5 08
C03 04  X  ENG  @0 Head and neck @5 08
C03 04  X  SPA  @0 Cabeza cuello @5 08
C03 05  X  FRE  @0 Cancérologie @5 09
C03 05  X  ENG  @0 Cancerology @5 09
C03 05  X  SPA  @0 Cancerología @5 09
C03 06  X  FRE  @0 ORL @5 10
C03 06  X  ENG  @0 ENT @5 10
C03 06  X  SPA  @0 ORL @5 10
C03 07  X  FRE  @0 Homme @5 11
C03 07  X  ENG  @0 Human @5 11
C03 07  X  SPA  @0 Hombre @5 11
C03 08  X  FRE  @0 Diagnostic @5 13
C03 08  X  ENG  @0 Diagnosis @5 13
C03 08  X  SPA  @0 Diagnóstico @5 13
C03 09  X  FRE  @0 Stomatologie @5 14
C03 09  X  ENG  @0 Stomatology @5 14
C03 09  X  SPA  @0 Estomatología @5 14
C03 10  X  FRE  @0 Muscle masticateur @5 30
C03 10  X  ENG  @0 Masticatory muscle @5 30
C03 10  X  SPA  @0 Músculo masticatorio @5 30
C03 11  X  FRE  @0 Traitement @5 31
C03 11  X  ENG  @0 Treatment @5 31
C03 11  X  SPA  @0 Tratamiento @5 31
C07 01  X  FRE  @0 Muscle strié pathologie @5 37
C07 01  X  ENG  @0 Striated muscle disease @5 37
C07 01  X  SPA  @0 Músculo estriado patología @5 37
N21       @1 107

Format Inist (serveur)

NO : PASCAL 06-0171427 INIST
ET : Criteria for trismus in head and neck oncology
AU : DIJKSTRA (P. U.); HUISMAN (P. M.); ROODENBURG (J. L. N.)
AF : Department of Oral and Maxillofacial Surgery, Division Oncology, University Medical Centre Groningen, University of Groningen/Groningen/Pays-Bas (1 aut., 3 aut.); Center for Rehabilitation, University Medical Center Groningen, University of Groningen/Groningen/Pays-Bas (1 aut.); Center for Health Care Research, University of Groningen/Groningen/Pays-Bas (1 aut.); Private Practice/Amsterdam/Pays-Bas (2 aut.)
DT : Publication en série; Niveau analytique
SO : International journal of oral and maxillofacial surgery; ISSN 0901-5027; Coden IJOSE9; Danemark; Da. 2006; Vol. 35; No. 4; Pp. 337-342; Bibl. 16 ref.
LA : Anglais
EA : The aim of this study was to determine a functional cut-off point for trismus in head and neck oncology. In total, 89 patients (13 dentate, 30 partially dentate and 46 edentulous) treated for cancer of the oral cavity or oropharynx were asked whether they experienced a limited mouth opening. The mandibular function impairment questionnaire (MFIQ) was filled out and mouth opening was measured. The proportion correctly predicted (proportion true positives + proportion true negatives) was calculated. For cut-off points from 25 to 45 mm, differences in MFIQ scores of the restricted and non-restricted groups were analyzed. A receiver operating curve was constructed. The proportion correctly predicted was highest for cut-off point <35 mm (0.81), with a sensitivity of 0.71 and a specificity of 0.98. Differences in perceived mandibular function impairments were significant for all cut-off points of 35 mm or less. For the total group, the area under curve was 0.87. For the subgroups of dentate, partially dentate and edentulous patients, no consistent cut-off points could be found on the basis of the proportion correctly predicted and the significance of the difference in MFIQ scores. A mouth opening of <35 mm is a functional cut-off point for trismus in head and neck oncology patients.
CC : 002B10; 002B17H
FD : Trismus; Chirurgie; Critère; Tête cou; Cancérologie; ORL; Homme; Diagnostic; Stomatologie; Muscle masticateur; Traitement
FG : Muscle strié pathologie
ED : Trismus; Surgery; Criterion; Head and neck; Cancerology; ENT; Human; Diagnosis; Stomatology; Masticatory muscle; Treatment
EG : Striated muscle disease
SD : Trismo; Cirugía; Criterio; Cabeza cuello; Cancerología; ORL; Hombre; Diagnóstico; Estomatología; Músculo masticatorio; Tratamiento
LO : INIST-16201.354000133079970070
ID : 06-0171427

Links to Exploration step

Pascal:06-0171427

Le document en format XML

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<NO>PASCAL 06-0171427 INIST</NO>
<ET>Criteria for trismus in head and neck oncology</ET>
<AU>DIJKSTRA (P. U.); HUISMAN (P. M.); ROODENBURG (J. L. N.)</AU>
<AF>Department of Oral and Maxillofacial Surgery, Division Oncology, University Medical Centre Groningen, University of Groningen/Groningen/Pays-Bas (1 aut., 3 aut.); Center for Rehabilitation, University Medical Center Groningen, University of Groningen/Groningen/Pays-Bas (1 aut.); Center for Health Care Research, University of Groningen/Groningen/Pays-Bas (1 aut.); Private Practice/Amsterdam/Pays-Bas (2 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>International journal of oral and maxillofacial surgery; ISSN 0901-5027; Coden IJOSE9; Danemark; Da. 2006; Vol. 35; No. 4; Pp. 337-342; Bibl. 16 ref.</SO>
<LA>Anglais</LA>
<EA>The aim of this study was to determine a functional cut-off point for trismus in head and neck oncology. In total, 89 patients (13 dentate, 30 partially dentate and 46 edentulous) treated for cancer of the oral cavity or oropharynx were asked whether they experienced a limited mouth opening. The mandibular function impairment questionnaire (MFIQ) was filled out and mouth opening was measured. The proportion correctly predicted (proportion true positives + proportion true negatives) was calculated. For cut-off points from 25 to 45 mm, differences in MFIQ scores of the restricted and non-restricted groups were analyzed. A receiver operating curve was constructed. The proportion correctly predicted was highest for cut-off point <35 mm (0.81), with a sensitivity of 0.71 and a specificity of 0.98. Differences in perceived mandibular function impairments were significant for all cut-off points of 35 mm or less. For the total group, the area under curve was 0.87. For the subgroups of dentate, partially dentate and edentulous patients, no consistent cut-off points could be found on the basis of the proportion correctly predicted and the significance of the difference in MFIQ scores. A mouth opening of <35 mm is a functional cut-off point for trismus in head and neck oncology patients.</EA>
<CC>002B10; 002B17H</CC>
<FD>Trismus; Chirurgie; Critère; Tête cou; Cancérologie; ORL; Homme; Diagnostic; Stomatologie; Muscle masticateur; Traitement</FD>
<FG>Muscle strié pathologie</FG>
<ED>Trismus; Surgery; Criterion; Head and neck; Cancerology; ENT; Human; Diagnosis; Stomatology; Masticatory muscle; Treatment</ED>
<EG>Striated muscle disease</EG>
<SD>Trismo; Cirugía; Criterio; Cabeza cuello; Cancerología; ORL; Hombre; Diagnóstico; Estomatología; Músculo masticatorio; Tratamiento</SD>
<LO>INIST-16201.354000133079970070</LO>
<ID>06-0171427</ID>
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