13 Citations (Scopus)

Abstract

The aim of this systematic review was to identify operations that are used to improve mouth opening in patients with extra-articular trismus (caused by cancer and its treatment, oral submucous fibrosis, or noma) and to find out if they work. We searched the electronic databases PubMed, Embase, Cinahl, and the Cochrane collaboration, and then systematically selected papers before we assessed their quality, extracted the data, and did a meta-analysis. We analysed 32 studies that included 651 patients, the median (IQR) size of which was 11 (7-26). The quality of the methods used and of reporting were relatively low. Median (IQR) duration of follow-up was 12 (8-22) months. Operations resulted in a weighted mean (SD) increase in mouth opening of 19.3 (6.3) mm None of the operations was better than the others for the improvement of mouth opening. We conclude that operations can improve mouth opening in extra-articular trismus, but the evidence is of moderate quality and there is a need for further research. (C) 2015 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)253-259
Number of pages7
JournalBritish Journal of Oral and Maxilofacial Surgery
Volume54
Issue number3
DOIs
Publication statusPublished - Apr-2016

Keywords

  • Trismus
  • Head and neck cancer
  • Oral submucous fibrosis
  • Noma
  • Reconstructive surgical procedures
  • Oral surgical procedures
  • Surgical flaps
  • Treatment outcome
  • ORAL SUBMUCOUS FIBROSIS
  • BUCCAL FAT PAD
  • RADIATION-INDUCED TRISMUS
  • ANTEROLATERAL THIGH FLAP
  • NECK-CANCER PATIENTS
  • SURGICAL-TREATMENT
  • INTRAORAL DEFECTS
  • TUMOR RESECTION
  • NASOLABIAL FLAP
  • FOREARM FLAP

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