Maximum mouth opening and trismus in 143 patients treated for oral cancer: A 1-year prospective study
Background Patients with oral cancer can develop restricted mouth opening (trismus) because of the oncologic treatment. Methods Maximum mouth opening (MMO) was measured in 143 patients shortly before treatment and 0, 6, and 12 months posttreatment, and the results were analyzed using a linear mixed‐...
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| Veröffentlicht in: | Head & neck 2014-12, Vol.36 (12), p.1754-1762 |
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| creator | Wetzels, Jan-Willem G. H. Merkx, Matthias A. W. de Haan, Anton F. J. Koole, Ron Speksnijder, Caroline M. |
| description | Background
Patients with oral cancer can develop restricted mouth opening (trismus) because of the oncologic treatment.
Methods
Maximum mouth opening (MMO) was measured in 143 patients shortly before treatment and 0, 6, and 12 months posttreatment, and the results were analyzed using a linear mixed‐effects model.
Results
In every patient, MMO decreased after treatment. The patients who underwent surgery, recovered partially by 6 and 12 months after treatment, whereas the patients who received both surgery and radiotherapy or primary radiotherapy did not recover. Tumor location, tumor size, and alcohol consumption had independent effects on MMO. Having trismus (MMO |
| doi_str_mv | 10.1002/hed.23534 |
| format | Article |
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Patients with oral cancer can develop restricted mouth opening (trismus) because of the oncologic treatment.
Methods
Maximum mouth opening (MMO) was measured in 143 patients shortly before treatment and 0, 6, and 12 months posttreatment, and the results were analyzed using a linear mixed‐effects model.
Results
In every patient, MMO decreased after treatment. The patients who underwent surgery, recovered partially by 6 and 12 months after treatment, whereas the patients who received both surgery and radiotherapy or primary radiotherapy did not recover. Tumor location, tumor size, and alcohol consumption had independent effects on MMO. Having trismus (MMO <35 mm) 1 year after treatment was associated most strongly with pretreatment MMO, receiving both surgery and radiotherapy, and maxillary or mandibular tumor involvement.
Conclusion
Postoperative radiotherapy and maxillary or mandibular tumor involvement are the highest contributing risk factors to decreasing MMO and the subsequent development of trismus after oral cancer treatment. © 2014 Wiley Periodicals, Inc. Head Neck 36: 1754–1762, 2014</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.23534</identifier><identifier>PMID: 24478217</identifier><identifier>CODEN: HEANEE</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Aged ; Aged, 80 and over ; Carcinoma - complications ; Carcinoma - radiotherapy ; Carcinoma - surgery ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; mouth neoplasms ; Mouth Neoplasms - complications ; Mouth Neoplasms - radiotherapy ; Mouth Neoplasms - surgery ; mouth opening ; Prospective Studies ; radiotherapy ; Risk Factors ; Time Factors ; Treatment Outcome ; trismus ; Trismus - epidemiology</subject><ispartof>Head & neck, 2014-12, Vol.36 (12), p.1754-1762</ispartof><rights>2014 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4614-4278c986f3966e2c94e8dbcf239cf42cfa84d733173023b9c72d5e0b4bd5c1393</citedby><cites>FETCH-LOGICAL-c4614-4278c986f3966e2c94e8dbcf239cf42cfa84d733173023b9c72d5e0b4bd5c1393</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.23534$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.23534$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24478217$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wetzels, Jan-Willem G. H.</creatorcontrib><creatorcontrib>Merkx, Matthias A. W.</creatorcontrib><creatorcontrib>de Haan, Anton F. J.</creatorcontrib><creatorcontrib>Koole, Ron</creatorcontrib><creatorcontrib>Speksnijder, Caroline M.</creatorcontrib><title>Maximum mouth opening and trismus in 143 patients treated for oral cancer: A 1-year prospective study</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background
Patients with oral cancer can develop restricted mouth opening (trismus) because of the oncologic treatment.
Methods
Maximum mouth opening (MMO) was measured in 143 patients shortly before treatment and 0, 6, and 12 months posttreatment, and the results were analyzed using a linear mixed‐effects model.
Results
In every patient, MMO decreased after treatment. The patients who underwent surgery, recovered partially by 6 and 12 months after treatment, whereas the patients who received both surgery and radiotherapy or primary radiotherapy did not recover. Tumor location, tumor size, and alcohol consumption had independent effects on MMO. Having trismus (MMO <35 mm) 1 year after treatment was associated most strongly with pretreatment MMO, receiving both surgery and radiotherapy, and maxillary or mandibular tumor involvement.
Conclusion
Postoperative radiotherapy and maxillary or mandibular tumor involvement are the highest contributing risk factors to decreasing MMO and the subsequent development of trismus after oral cancer treatment. © 2014 Wiley Periodicals, Inc. Head Neck 36: 1754–1762, 2014</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Carcinoma - complications</subject><subject>Carcinoma - radiotherapy</subject><subject>Carcinoma - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>mouth neoplasms</subject><subject>Mouth Neoplasms - complications</subject><subject>Mouth Neoplasms - radiotherapy</subject><subject>Mouth Neoplasms - surgery</subject><subject>mouth opening</subject><subject>Prospective Studies</subject><subject>radiotherapy</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>trismus</subject><subject>Trismus - epidemiology</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtvFDEQhC1ERELCgT-ALHGBwyS22x6PuYUlLymQS4Cj5fH0EId5Yc9A9t_jZbMckDh1q_VVqboIecnZMWdMnNxhcyxAgXxCDjgzumAg9dPNLqEApuU-eZ7SPWMMSimekX0hpa4E1wcEP7qH0C897cdlvqPjhEMYvlE3NHSOIfVLomGgXAKd3BxwmFO-o5uxoe0Y6RhdR70bPMZ39JTyYo0u0imOaUI_h59I07w06yOy17ou4YvHeUg-n5_dri6L65uLq9XpdeFlyWUhha68qcoWTFmi8EZi1dS-FWB8K4VvXSUbDcA1MAG18Vo0Clkt60Z5DgYOyZutb07wY8E02z4kj13nBhyXZHkppAGlpM7o63_Q-3GJQ063oYTSpuQqU2-3lM8vpYitnWLoXVxbzuyme5u7t3-6z-yrR8el7vN1R-7KzsDJFvgVOlz_38lenn3YWRZbRUgzPvxVuPjdlhq0sl8_XVglb9-vvlTndgW_Add4mv4</recordid><startdate>201412</startdate><enddate>201412</enddate><creator>Wetzels, Jan-Willem G. H.</creator><creator>Merkx, Matthias A. W.</creator><creator>de Haan, Anton F. J.</creator><creator>Koole, Ron</creator><creator>Speksnijder, Caroline M.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201412</creationdate><title>Maximum mouth opening and trismus in 143 patients treated for oral cancer: A 1-year prospective study</title><author>Wetzels, Jan-Willem G. H. ; Merkx, Matthias A. W. ; de Haan, Anton F. J. ; Koole, Ron ; Speksnijder, Caroline M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4614-4278c986f3966e2c94e8dbcf239cf42cfa84d733173023b9c72d5e0b4bd5c1393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Carcinoma - complications</topic><topic>Carcinoma - radiotherapy</topic><topic>Carcinoma - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>mouth neoplasms</topic><topic>Mouth Neoplasms - complications</topic><topic>Mouth Neoplasms - radiotherapy</topic><topic>Mouth Neoplasms - surgery</topic><topic>mouth opening</topic><topic>Prospective Studies</topic><topic>radiotherapy</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>trismus</topic><topic>Trismus - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wetzels, Jan-Willem G. H.</creatorcontrib><creatorcontrib>Merkx, Matthias A. W.</creatorcontrib><creatorcontrib>de Haan, Anton F. J.</creatorcontrib><creatorcontrib>Koole, Ron</creatorcontrib><creatorcontrib>Speksnijder, Caroline M.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wetzels, Jan-Willem G. H.</au><au>Merkx, Matthias A. W.</au><au>de Haan, Anton F. J.</au><au>Koole, Ron</au><au>Speksnijder, Caroline M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maximum mouth opening and trismus in 143 patients treated for oral cancer: A 1-year prospective study</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2014-12</date><risdate>2014</risdate><volume>36</volume><issue>12</issue><spage>1754</spage><epage>1762</epage><pages>1754-1762</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><coden>HEANEE</coden><abstract>Background
Patients with oral cancer can develop restricted mouth opening (trismus) because of the oncologic treatment.
Methods
Maximum mouth opening (MMO) was measured in 143 patients shortly before treatment and 0, 6, and 12 months posttreatment, and the results were analyzed using a linear mixed‐effects model.
Results
In every patient, MMO decreased after treatment. The patients who underwent surgery, recovered partially by 6 and 12 months after treatment, whereas the patients who received both surgery and radiotherapy or primary radiotherapy did not recover. Tumor location, tumor size, and alcohol consumption had independent effects on MMO. Having trismus (MMO <35 mm) 1 year after treatment was associated most strongly with pretreatment MMO, receiving both surgery and radiotherapy, and maxillary or mandibular tumor involvement.
Conclusion
Postoperative radiotherapy and maxillary or mandibular tumor involvement are the highest contributing risk factors to decreasing MMO and the subsequent development of trismus after oral cancer treatment. © 2014 Wiley Periodicals, Inc. Head Neck 36: 1754–1762, 2014</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>24478217</pmid><doi>10.1002/hed.23534</doi><tpages>9</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Carcinoma - complications Carcinoma - radiotherapy Carcinoma - surgery Female Follow-Up Studies Humans Male Middle Aged mouth neoplasms Mouth Neoplasms - complications Mouth Neoplasms - radiotherapy Mouth Neoplasms - surgery mouth opening Prospective Studies radiotherapy Risk Factors Time Factors Treatment Outcome trismus Trismus - epidemiology |
| title | Maximum mouth opening and trismus in 143 patients treated for oral cancer: A 1-year prospective study |
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