Trismus in head and neck oncology: a systematic review

PU Dijkstra*, WWI Kalk, JLN Roodenburg

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

159 Citations (Scopus)
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Abstract

The aim of this review was to identify systematically, criteria for trismus in head and neck cancer, the evidence for risk factors for trismus and the interventions to treat trismus. Three databases were searched (time period 1966 to June 2003) for the text "trismus" or "restricted mouth opening". Included in the review were clinical studies (greater than or equal to 10 patients). Two observers independently assessed the papers identified. In 12 studies nine different criteria for trismus were found without justifying these criteria. Radiotherapy (follow-up: 6-12 months) involving the structures of the temporomandibular joint and or pterygoid muscles reduces mouth opening with 18% (sd: 17%). Exercises using a therabite device or tongue blades increase mouth opening significantly (no follow-up), effect sizes (ES) 2.6 and 1.5 respectively. Microcurrent electrotherapy (follow-up 3 months) and pentoxifylline (no follow-up) increases mouth opening significantly (ES for both: 0.3). (C) 2004 Elsevier Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)879-889
Number of pages11
JournalOral Oncology
Volume40
Issue number9
DOIs
Publication statusPublished - Oct-2004

Keywords

  • trismas
  • head and neck neoplasm
  • systematic review
  • risk factors
  • treatment
  • RECURRENT NASOPHARYNGEAL CARCINOMA
  • RAPID HYPERFRACTIONATED RADIOTHERAPY
  • FIBULA OSTEOSEPTOCUTANEOUS FLAP
  • MAXILLARY SINUS CARCINOMAS
  • SQUAMOUS-CELL CARCINOMA
  • LONG-TERM SURVIVORS
  • QUALITY-OF-LIFE
  • RADIATION-THERAPY
  • LATE COMPLICATIONS
  • POSTOPERATIVE RADIOTHERAPY

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