Authors: Freihofer HP
Abstract: Restricted opening of the mouth with an extra-articular cause (ROMEC) can have very different aetiologies. A series of 6 children, who have been operated on under 4 different diagnoses, are presented. Excluded are common problems such as recent trauma and posttraumatic scarring, craniomandibular dysfunction or elongated coronoid process, and also tumours. Problems of establishing the diagnosis, surgical treatment, postoperative physiotherapy and timing are discussed. It is shown that none of the cases is a perfect result, some outcomes are even very disappointing. It is therefore concluded that absolute trismus should be treated independently of age. The result expected will be mediocre. For final correction it is suggested that the operator should wait preferably until the second growth spurt has passed. The same goes for children presenting primarily with a mouth opening greater than 20 mm.
Keywords: Child; Child, Preschool; Facial Bones/*pathology; Humans; Infant, Newborn; Mandible/abnormalities/*physiopathology; Mandibular Diseases/complications; Masticatory Muscles/*pathology/radiation effects; Maxilla/abnormalities; Maxillary Diseases/complications; Muscular Diseases/complications/surgery; Osteotomy/methods; Radiotherapy/adverse effects; Recurrence; Synostosis/*complications/surgery; Temporal Bone/pathology; Trismus/*etiology; Zygoma/pathology|
Journal: Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery Volume: 19 Issue: 7 Pages: 289-98 Date: Oct. 1, 1991 PMID: 1752968 |
Freihofer HP (1991) Restricted opening of the mouth with an extra-articular cause in children. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery 19: 289-98.
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