Coronoidectomy in maxillary swing for reducing the incidence and severity of trismus--a reminder.

J Craniomaxillofac Surg

Department of Otolaryngology-Head and Neck Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel.

Published: February 2004

Purpose: The maxillary swing approach is a proven method for access to the nasopharynx. However, often, trismus is incurred postoperatively, hampering adequate oral care and follow-up and affecting patients' quality of life.

Case Reports: Coronoidectomy was performed in four patients undergoing maxillary swing. Minimal trismus was seen in one patient undergoing repeat irradiation and chemotherapy. After a 1-month period no trismus was observed in the other three patients.

Conclusion: Coronoidectomy, usually performed in maxillectomy for reducing trismus is a useful adjunct in the maxillary swing procedure.

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Source
http://dx.doi.org/10.1016/j.jcms.2003.09.002DOI Listing

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