Temporomandibular disorders in head and neck cancers: Overview of specific mechanisms and management

Nicot, Romain; Raoul, G.; Ferri, Joël; Schlund, Matthias

doi:10.1016/j.jormas.2020.01.007

Cited by 3 publications

(2 citation statements)

References 88 publications

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“…Jaw dysfunction including limited movement and pain may accompany HNC therapy but has been the subject of limited study. Physical therapy, analgesics, muscle relaxants, oral appliances, and attention to psychosocial factors are addressed [39 ▪ ]. Trismus is an important concern in the management of TMDs in HNC patients because of postsurgical changes and postradiation effects.…”

Section: Management Of Oral Pain In Cancer Patientsmentioning

confidence: 99%

Oral pain in the cancer patient

Samim

Epstein

Osagie

2022

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of reviewOral pain is a common complaint in patients with cancer. This review aims to summarize the knowledge on the causes and approach to management of oral pain garnered over the past 2 years.Recent findingsA systematic review and meta-analysis included in the review, assessed cannabinoid versus placebo and showed only a small effect on pain, physical function, and sleep quality. Another review showed that chemical neurolysis as an adjunctive therapy, is effective in patients with pain of shorter chronicity and refractory head and neck cancer-related pain.SummaryPatients with cancer frequently experience oral pain because of a variety of factors. Factors inherent in the type and location of the malignancy, the modality of cancer treatment, and a holistic approach to management together contribute to their overall pain experience. Basic oral care should be implemented wherever possible, before, during, and after cancer treatment.

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Section: Management Of Oral Pain In Cancer Patientsmentioning

confidence: 99%

Oral pain in the cancer patient

Samim

Epstein

Osagie

2022

Current Opinion in Supportive &Amp; Palliative Care

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“…Dentro de estas alteraciones se ha documentado las secuelas que deja la radiación sobre los tejidos relacionados a la articulación temporomandibular (ATM) y la musculatura masticatoria asociada, siendo la limitación de la apertura oral (trismus para la literatura en general) el desorden más extensamente registrado producto de la fibrosis de los tejidos a nivel articular y muscular, ocurriendo al cabo de 3 a 6 meses posterior al término de la radioterapia (Buglione et al; van der Geer et al), sin embargo también cursan con dolor orofacial inespecífico, mialgias (Romero-Reyes et al, 2015), disfunción oral (Chen) y necrosis de los tejidos blandos (Wu & Lam, 2016). Los mecanismos biológicos conducentes a trastornos temporomandibulares (TTMs) en el contexto de un paciente oncológico irradiado en cabeza y/o cuello, ya sea de forma directa o indirecta, son de diagnóstico complejo, ya sea por la neoplasia propiamente tal como por el tratamiento (Nicot et al, 2020).…”

Section: Introductionunclassified

Diagnósticos de Trastornos Temporomandibulares en Pacientes Tratados con Radioterapia por Neoplasias Malignas de Cabeza y Cuello: Una Revisión Sistemática Exploratoria de la Literatura

Villegas-Salinas

Morales-Espinosa

2021

Int. J. Odontostomat.

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Medium-Term Effect of Treatment with Intra-Articular Injection of Sodium Hyaluronate, Betamethasone and Platelet-Rich Plasma in Patients with Temporomandibular Arthralgia: A Retrospective Cohort Study

Sousa

López-Valverde

Caramelo

et al. 2022

Life

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Temporomandibular joint disorders are associated with pain and reduced jaw mobility. The aim of this study was to compare the long-term effect on pain of intra-articular TMJ injections of betamethasone, sodium hyaluronate and platelet-rich plasma. The sample was made up of 114 patients, who were randomly distributed into three groups at least three years ago and who achieved a total remission of pain after treatment. We found that the median number of months without pain was, according to each group, as follows: platelet-rich plasma: 33; sodium hyaluronate: 28; betamethasone: 19. Both platelet-rich plasma and sodium hyaluronate lead to significant pain-free time after treatment; when we compare bethametasone with the two other substances, it proved to be very ineffective.

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Temporomandibular disorders in head and neck cancers: Overview of specific mechanisms and management

Cited by 3 publications

References 88 publications

Oral pain in the cancer patient

Oral pain in the cancer patient

Diagnósticos de Trastornos Temporomandibulares en Pacientes Tratados con Radioterapia por Neoplasias Malignas de Cabeza y Cuello: Una Revisión Sistemática Exploratoria de la Literatura

Medium-Term Effect of Treatment with Intra-Articular Injection of Sodium Hyaluronate, Betamethasone and Platelet-Rich Plasma in Patients with Temporomandibular Arthralgia: A Retrospective Cohort Study

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