Hostname: page-component-848d4c4894-sjtt6 Total loading time: 0 Render date: 2024-06-23T12:37:01.311Z Has data issue: false hasContentIssue false
  • English
  • Français

Trismus in patients with malignant tumours in the head and neck

Published online by Cambridge University Press:  29 June 2007

Keitchi Ichimura  and
Toshlyoshi Tanaka
Keitchi Ichimura*
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Tokyo, Japan
Toshlyoshi Tanaka
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Tokyo, Japan
*
Keiichi Ichimura, M. D., Department of Otolaryngology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113, Japan. Fax: 81-3-3814-9486
Get access Rights & Permissions [Opens in a new window]

Abstract

In order to elucidate the causal mechanism of trismus in head and neck cancer, 21 patients manifesting trismus out of 212 patients with malignant tumours in the head and neck (treated in Tokyo University Branch Hospital from 1983 to 1991) were reviewed. Nine patients developed trismus either by infiltration of the muscles of mastication or by reflex spasm. Trismus was considered to have developed as a result of irradiation in five cases and of surgical intervention in seven cases. In some cases of oropharyngeal cancer, CT revealed no evidence of tumour invasion into the infratemporal fossa when trismus occurred, suggesting that trismus was caused either by the reflex spasm of muscles or by microinvasion too small to be seen in CT films. Maxillary sinus tumours were often without tnsmus even when they extended posteriorly to the infratemporal fossa.

Keywords

Trismus, head and neck neoplasmsmasticatory muscles
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 11 , November 1993 , pp. 1017 - 1020
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

This paper was presented at the 93rd Annual Meeting of the Oto-Rhino-Laryngological Society of Japan held in Nagoya, 15–17 May 1992.

References

Bashiri, H., Suen, J. Y. (1989) Dental consideration. In Cancer of the Head and Neck. 2nd Edition. (Myers, E. N., Suen, J. Y., eds.), Churchill-Livingstone Inc., New York, pp 179–186.Google Scholar
Beekhuis, G. J., Harrington, E. B. (1965) Trismus: etiology and management of inability to open the mouth. Laryngoscope 75: 1234–1258.CrossRefGoogle ScholarPubMed
Derksen, A. A. D. (1970) [Afwijkingen van het Kauwstelsel Oosthoek, Utrecht, cited from Ter Haar, B. G. A., van Hoof, R. F. (1974)]. The trismus-pseudocompylodactyly syndrome. Journal of Medical Genetics 11: 41–49.Google Scholar
Hoppe, R. T., Goffinet, D. R., Bagshaw, M. A. (1976) Carcinoma of the nasopharynx. Eighteen years experience with megavoltage radiation therapy. Cancer 37: 2605–2612.3.0.CO;2-W>CrossRefGoogle ScholarPubMed
Johnson, J. T., Myers, E. N., Curtin, H. D. (1989) Tumors of the parapharyngeal space. In Cancer of the Head and Neck. 2nd Edition. (Myers, E. N., Suen, J. Y., eds.), Churchill-Livingstone, New York, pp 669–690.Google Scholar
Kveton, J. F., Pillsbury, H. L. (1980) Breaking trismus to facilitate drainage of peritonsillar abscess. Laryngoscope 70: 1892–1893.CrossRefGoogle Scholar
Mesic, J. B., Fletcher, G. H., Goepfert, H. (1981) Megavoltage irradiation of epithelial tumours of the nasopharynx. International Journal of Radiation, Oncology, Biology, Physics 7: 447–453.CrossRefGoogle ScholarPubMed
O'Leary, M. R. (1990) Trismus: modern pathophysiological correlates. American Journal of Emergency Medicine 8: 220–227.CrossRefGoogle ScholarPubMed
Parsons, J. T. (1984) The effect of radiation on normal tissues of the head and neck. In Management of Head and Neck Cancer: A Multidisciplinary Approach. (Million, R. R., Cassisi, N. J., eds.), I. B. Lippincott, Philadelphia, pp 173–208.Google Scholar
Shidnia, H., Hornback, N. B. (1987) Radiation therapy of tumors of the salivary glands. In Comprehensive Management of Head and Neck Tumors. (Thawley, S. E., Panje, W. R., eds.), Saunders, W. B. Philadelphia, pp 1090–1103.Google Scholar
Steelman, R., Sokol, J. (1986) Quantification of trismus following irradiation of the temporomandibular joint. Missouri Dental Journal 66: 21–22.Google ScholarPubMed