Management of microstomia in adult burn patients revisited

Zweifel, C.; Guggenheim, Merlin; Jandali, Abdul Rahman; Altintas, M.A.; Künzi, W.; Giovanoli, Pietro

doi:10.1016/j.bjps.2009.10.026

Cited by 36 publications

(28 citation statements)

References 18 publications

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“…It is difficult to determine factors contributing to the need for contracture release as all patients demonstrated a high degree of compliance with intervention and all required similar surgical procedures to achieve wound closure. As described by Zweifel et al [8] and Fraulin et al [36], scar contracture around the mouth can be very aggressive and early behavioural interventions may prove to be insufficient to prevent the need for surgery. It may be postulated that the need for surgical intervention in the current study was due to not one, but multiple individual issues.…”

Section: Discussionmentioning

confidence: 99%

“…Full thickness injury of the orofacial region is well accepted in the literature to be a complex area to treat. Despite intervention, this region is prone to persistent b u r n s x x x ( 2 0 1 5 ) x x x -x x x scarring and contractures that manifest in many functional and aesthetic sequelae [1,2] such as poor oral opening and closure for the purposes of oral intake, oral/dental hygiene, intubation, as well as deficits in communicative ability characterised by impairments in articulation and facial expression [3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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Full thickness facial burns: Outcomes following orofacial rehabilitation

Clayton

Ward

Maitz

2015

Burns

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Full thickness facial burns: Outcomes following orofacial rehabilitation

Clayton

Ward

Maitz

2015

Burns

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“…Surgical reconstruction of the oral commissures is a complex procedure because of the functional and aesthetic aspects involved in the oral cavity 33 .…”

Section: Surgical Treatment Of Microstomiamentioning

confidence: 99%

“…However, microstomia poses problems for intubation, consequently the support of an expert team becomes necessary 42 . People with microstomia may have difficulty with nasotracheal intubation 33 . Patients with the Freeman-Sheldon syndrome may have problems to ventilate their airways and be at a high risk of developing pulmonary complications 26 .…”

Section: Therapeutic Adaptations In Patients With Microstomiamentioning

confidence: 99%

Dental management of patients with microstomia. A review of the literature and update on the treatment.

Silvestre‐Rangil¹,

Martínez-Herrera²,

Silvestre³

2015

J Oral Res

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Difficulty in dental management is one of the factors that characterize the patient that requires special care in dentistry. One of the clinical conditions that make dental treatment particularly complex is microstomia. Microstomia is defined as a small and insufficient oral aperture that will hinder diagnosis and dental treatment. Although there have been reports of patients with diseases and syndromes that cause microstomia, the available literature offers only a limited number of reviews on this topic. The aim of this paper is to present a review of the etiology, clinical characteristics, diagnosis and treatment of microstomia. In addition, to describe the therapeutic adaptations to be applied in dental procedures in patients with microstomia, emphasizing the importance of a preventive approach in this group of patients.

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“…[ In burns patients in particular various reconstructive and surgical techniques have been used to increase mouth opening [8,9].…”

Section: Phase 5: Teeth Arrangement and Try In [Table/fig-7]mentioning

confidence: 99%