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Reducing mandibular height to increase mouth opening in unreleasable trismus.

Identifieur interne : 001905 ( PubMed/Curation ); précédent : 001904; suivant : 001906

Reducing mandibular height to increase mouth opening in unreleasable trismus.

Auteurs : Chi-Ying Tsai [Taïwan] ; Rozina S. Ali ; Fu-Chan Wei ; Yang-Min Chang

Source :

RBID : pubmed:20417016

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English descriptors

Abstract

We submit an alternative treatment for unreleasable trismus to increase the interincisal distance and allow adequate oral nutrition and masticatory function.

DOI: 10.1016/j.joms.2008.08.045
PubMed: 20417016

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pubmed:20417016

Le document en format XML

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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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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Chang Gung Memorial Hospital at Linkou, Linkou, Taiwan.</nlm:affiliation>
<country xml:lang="fr">Taïwan</country>
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<name sortKey="Ali, Rozina S" sort="Ali, Rozina S" uniqKey="Ali R" first="Rozina S" last="Ali">Rozina S. Ali</name>
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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 Min" sort="Chang, Yang Min" uniqKey="Chang Y" first="Yang-Min" last="Chang">Yang-Min Chang</name>
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<term>Contracture (etiology)</term>
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<term>Male</term>
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<term>Postoperative Complications (surgery)</term>
<term>Radiotherapy (adverse effects)</term>
<term>Reconstructive Surgical Procedures (methods)</term>
<term>Temporomandibular Joint Disorders (etiology)</term>
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<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Carcinomes ()</term>
<term>Carcinomes (radiothérapie)</term>
<term>Complications postopératoires ()</term>
<term>Contracture ()</term>
<term>Contracture (étiologie)</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Latéralité fonctionnelle</term>
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<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Processus alvéolaire ()</term>
<term>Procédures de chirurgie reconstructive ()</term>
<term>Prothèse partielle conjointe</term>
<term>Radiothérapie (effets indésirables)</term>
<term>Résultat thérapeutique</term>
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<term>Troubles de l'articulation temporomandibulaire ()</term>
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<term>Tumeurs de la bouche ()</term>
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<term>Carcinoma</term>
<term>Mouth Neoplasms</term>
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<term>Carcinomes</term>
<term>Tumeurs de la bouche</term>
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<term>Jaw, Edentulous</term>
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<term>Mâchoire édentée</term>
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<term>Alveolar Process</term>
<term>Carcinoma</term>
<term>Contracture</term>
<term>Mandible</term>
<term>Mouth Neoplasms</term>
<term>Postoperative Complications</term>
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<term>Trismus</term>
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<term>Contracture</term>
<term>Trismus</term>
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<term>Denture, Partial</term>
<term>Functional Laterality</term>
<term>Humans</term>
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<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Carcinomes</term>
<term>Complications postopératoires</term>
<term>Contracture</term>
<term>Humains</term>
<term>Implants dentaires</term>
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<term>Procédures de chirurgie reconstructive</term>
<term>Prothèse partielle conjointe</term>
<term>Résultat thérapeutique</term>
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<div type="abstract" xml:lang="en">We submit an alternative treatment for unreleasable trismus to increase the interincisal distance and allow adequate oral nutrition and masticatory function.</div>
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<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">We submit an alternative treatment for unreleasable trismus to increase the interincisal distance and allow adequate oral nutrition and masticatory function.</AbstractText>
<AbstractText Label="PATIENT AND METHODS" NlmCategory="METHODS">The patient presented with severe trismus after receiving postoperation radiotherapy for oral carcinoma. We undertook radical release of the left-sided trismus, and covered the resultant soft tissue defect with an anterolateral thigh free flap, but the patient was only able to open his mouth an interincisal distance of 8 mm. The right mandible was accessed and the functionless residual teeth were extracted. Marginal mandibulectomy of the native mandible was performed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Dental implants (POI, Kyocera, Japan) were inserted into the leveled right mandible. A bridge dental prosthesis was inserted and resulted in a final functional interincisal distance of 19 mm.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">We offer that leveling the native mandible to match the reconstructed side is a simple procedure that can be reasonably used as an alternative measure in a selected group of patients.</AbstractText>
<CopyrightInformation>Copyright 2010 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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