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J Craniomaxillofac Surg · Feb 2004
Coronoidectomy in maxillary swing for reducing the incidence and severity of trismus--a reminder.
- Yoav P Talmi, Zeev Horowitz, Ran Yahalom, and Lev Bedrin.
- Department of Otolaryngology-Head and Neck Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel. yoav.talmi@sheba.health.gov.il
- J Craniomaxillofac Surg. 2004 Feb 1; 32 (1): 19-20.
PurposeThe 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 ReportsCoronoidectomy 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.ConclusionCoronoidectomy, usually performed in maxillectomy for reducing trismus is a useful adjunct in the maxillary swing procedure.
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