Unusual causes of reduced mouth opening and it′s suitable surgical management: Our experience

Gupta, Sunil; Rana, Ankur Singh; Gupta, Deepak; Jain, Gaurav; Kalra, Puneet

doi:10.4103/0975-5950.69150

Cited by 13 publications

(6 citation statements)

References 4 publications

(7 reference statements)

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“…From our results, the flap width was between 5 and 9 cm with a mean width of (30). The average mouth opening in this study was 36.18±10.12 mm which is similar to the results of a study of Weber et al, 2010 (31) and higher than that found by another study by Scott et al, 2008 (32) where the average mouth opening was 32 mm.…”

Section: Discussionsupporting

confidence: 90%

Reconstruction of Maxillofacial Cancer Defects by Supraclavicular Flaps

Zaitoun,

Fata,

ElShafei

et al. 2024

Alexandria Dental Journal

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INTRODUCTION:Rebuilding head and neck defects is a chief challenge to the maxillofacial surgeons especially after cancer resection, trauma, infection and craniofacial deformities. Earlier, the use of obturators for many years has been a successful treatment plan. However, recently several surgical modalities are available for the restoration of such defects as locoregional or microvascular free flaps. Objectives: To evaluate the reliability of the supraclavicular flap in the reconstruction of the maxillofacial defects. METHODOLOGY: Eleven patients were included in the study who required reconstruction of the maxillofacial defects due to squamous cell or mucoepidermoid carcinoma through harvesting of the supraclavicular flap (SCF). The patients were followed-up for at least 6 months. The mean harvesting time, length/width of the flap, range of mouth opening, general complications after the surgery and the complications related to the flap were assessed. Results: The mean harvesting time of the flap was 45.45±4.16 minutes. The flap mean length was 22.64±1.12 cm, whereas the mean width was 6.14±1.14 cm. The flap survived in 9 patients while two patients had complete flap loss. Conclusion: The pedicled SCF represents a safe and feasible option that can be used to reconstruct a wide array of maxillofacial oncologic defects.

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Section: Discussionsupporting

confidence: 90%

Reconstruction of Maxillofacial Cancer Defects by Supraclavicular Flaps

Zaitoun,

Fata,

ElShafei

et al. 2024

Alexandria Dental Journal

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“…Oral submucosal fibrosis (OSMF) is a chronic and complex debilitating disease of the oral cavity, that extends to the oropharynx, progressively increasing fibrosis, epithelial dysplasia [1] and higher incidence of leukoplakia [1,2]. In the later stages of the disease, trismus (limited mouth opening) and severe scarring are the norm [3]. While OSMF was earlier confined to Indian subcontinent and nearly 5 million cases have been reported [4][5][6], it has now spread to Asian population of the UK, the USA and other developed countries and is a global health problem.…”

Section: Introductionmentioning

confidence: 99%

Buccal Mucosal Epithelial Cells Downregulate CTGF Expression in Buccal Submucosal Fibrosis Fibroblasts

Gottipamula¹,

Sundarrajan²,

Moorthy³

et al. 2017

J. Maxillofac. Oral Surg.

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“…Limited mouth opening makes reaching posterior regions difficult or impossible. Restricted mouth opening can occur due to a variety of underlying conditions which may involve complex medical and psychological factors (26). Trismus is defined as an inability to open the mouth due to masticator muscle spasm or fibrosis (27).…”

Section: Limited Accessmentioning

confidence: 99%

Anesthetic-, irrigation- and pain-free dentistry? The case for a femtosecond laser enabled intraoral robotic device

et al. 2022

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By leveraging ultrashort pulse laser and micro-electromechanical systems (MEMS) technologies, we are developing a miniaturized intraoral dental robotic device that clamps onto teeth, is remotely controlled, and equipped with a focusing and scanning system to perform efficient, fast, and ultra-precise laser treatments of teeth and dental restorative materials. The device will be supported by a real-time monitoring system for visualization and diagnostic analysis with appropriate digital controls. It will liberate dentists from repetitive manual operations, physical strain and proximity to the patient's oro-pharyngal area that potentially contains infectious agents. The technology will provide patients with high-accuracy, minimally invasive and pain-free treatment. Unlike conventional lasers, femtosecond lasers can ablate all materials without generating heat, thus negating the need for water irrigation, allowing for a clear field of view, and lowering cross-infection hazards. Additionally, dentists can check, analyze, and perform precise cutting of tooth structure with automatic correction, reducing human error. Performing early-stage diagnosis and intervention remotely will be possible through units installed at schools, rural health centers and aged care facilities. Not only can the combination of femtosecond lasers, robotics and MEMS provide practical solutions to dentistry's enduring issues by allowing more precise, efficient, and predictable treatment, but it will also lead to improving the overall access to oral healthcare for communities at large.

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Unusual causes of reduced mouth opening and it′s suitable surgical management: Our experience

Cited by 13 publications

References 4 publications

Reconstruction of Maxillofacial Cancer Defects by Supraclavicular Flaps

Reconstruction of Maxillofacial Cancer Defects by Supraclavicular Flaps

Buccal Mucosal Epithelial Cells Downregulate CTGF Expression in Buccal Submucosal Fibrosis Fibroblasts

Anesthetic-, irrigation- and pain-free dentistry? The case for a femtosecond laser enabled intraoral robotic device

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