Trismus caused by scarring from refractory major recurrent aphthous stomatitis
| Autor: | Shiro Shigematsu, Yusuke Matsuzaki, Yukio Watabe |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Odontogenic infection
medicine.medical_specialty medicine.diagnostic_test business.industry Physical examination 030206 dentistry medicine.disease Trismus Recurrent aphthous stomatitis Temporal muscle Pathology and Forensic Medicine Surgery 03 medical and health sciences 0302 clinical medicine Right buccal mucosa stomatognathic system Otorhinolaryngology Refractory 030220 oncology & carcinogenesis medicine Oral Surgery medicine.symptom business Head and neck |
| Zdroj: | Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology. 32:101-103 |
| ISSN: | 2212-5558 |
| Popis: | Trismus can have intra- and extra-articular causes. Extra-articular trismus can be caused by head and neck cancers and associated treatments, oral submucous fibrous, odontogenic infection, trauma and so on. However, scar contracture due to major recurrent aphthous stomatitis (RAS) has not been reported previously as a cause of trismus. We performed Z-plasty for surgical treatment of severe trismus caused by acquired scar contracture from major RAS and achieved good results. A 40-year-old woman was referred to our department for a checkup of major RAS in the right buccal mucosa. Clinical examination revealed that maximum interincisal opening was 15 mm, with no increase under assisted opening and no pain in the temporomandibular joints. Intraoral examination showed major RAS on the right buccal mucosa had already resolved and a dense right retromolar scar band was seen running from the maxillary mucobuccal fold to mandibular mucobuccal fold. The diagnosis was trismus due to scarring from refractory major RAS. The patient underwent Z-plasty scar reorientation and temporal muscle tendolysis. On postoperative day 1, the patient’s mouth was opening to 30 mm and the patients was advised to keep on performing the jaw-opening exercise using a mouth-opening training apparatus. At the 6-month follow-up, mouth opening increased to 42 mm. Trismus without pain can result from scar contracture due to major RAS, and early surgery to increase mouth opening may be necessary for quality of life in these cases. |
| Databáze: | OpenAIRE |
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