Ayşegül M. TÜZÜNER ÖNCÜL, Zehra FIRTINA, Seda Deniz GÜNER, Duygu YAZICIOĞLU, Reha KİŞNİŞÇİ

Radyoterapiye bağlı gelişen trismusun koronoidotomi ile tedavisi: bir olgu sunumu

Trismus; çiğneme kaslarının tonik kontraksiyonu olarak tanımlanan yaşam kalitesini negatifyönde etkileyen bir semptomdur.Baş ve boyunkanserli hastalarda tümörün kas içine yayılmasıylameydana geldiği gibi tedavi amaçlı uygulananradyoterapiye bağlı olarak da meydana gelebilmektedir. Yapılan çalışmalarda radyoterapi sonrası trismus oluşumu oranı % 5-38 olarak bildirilmektedir. Bu vakalarda trismusa bağlı sınırlı ağız açıklığınayönelik tedavi seçenekleri koronoidektomi, koronoidotomi ve yoğun fizyoterapi seçeneklerinden biriya da kombine kullanımlarını içermektedir

Anahtar Kelimeler:

Radyoterapi, Koronoidotomi, Trismus.

Intraoral Coronoidotomy Treatment for Trismus due to Radiotherapy: A Case Report

Trismus is defined as the tonic contraction ofthe muscles of mastication that can dramaticallyaffect quality of life in a variety of ways. Trismusoccurs in head and neck cancer patients as a resultof tumours in or around the region of masticatorymuscles or after radiotherapy treatment. It has beenknown that it occurs after radiotherapy treatmentin the ratio of %5-38. Treatment modalities for limited mouth opening include coronoidectomy,coronoidotomy and aggressive physical therapy alone orcombined.In this case report, intraoral coronoidotomytreatment of a patient with limited mouth openingdue to radiotherapy treatment for nasopharynxcancer is presented

Keywords:

Radiotherapy, Coronoidotomy, Trismus.,

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