Table of Contents  
COMMENTARY
Year : 2014  |  Volume : 7  |  Issue : 2  |  Page : 238-239  

Masseter muscle myotomy as an effective surgical method for managing trismus


Department of Oral and Maxillofacial Surgery, AME'S Dental College Hospital and Research Centre, Raichur-584 103, Karnataka, India

Date of Web Publication4-Feb-2014

Correspondence Address:
Yadavalli Guruprasad
Department of Oral and Maxillofacial Surgery, AME'S Dental College Hospital and Research Centre, Raichur-584103, Karnataka
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

How to cite this article:
Guruprasad Y. Masseter muscle myotomy as an effective surgical method for managing trismus. Med J DY Patil Univ 2014;7:238-9

How to cite this URL:
Guruprasad Y. Masseter muscle myotomy as an effective surgical method for managing trismus. Med J DY Patil Univ [serial online] 2014 [cited 2024 Mar 28];7:238-9. Available from: https://journals.lww.com/mjdy/pages/default.aspx/text.asp?2014/7/2/238/126367

The publishing of the article "Management of trismus by masseter myotomy" brings into focus several factors like proper diagnosis and management which result from primary surgical procedures in the orofacial region. Trismus is a pathological condition involving the muscles of mastication, and commonly affects the patients undergoing dental procedures, facio-maxillary surgery, and radiation therapy for managing head and neck tumours. Trismus is a result of sustained contraction of one or more of the muscles of mastication: the masseter, temporalis, or pterygoid muscles which can yield contracture of the connective tissue resulting in restriction of mouth opening. [1],[2]

Surgery and radiation therapy can injure the tissues involved in opening the mouth. Fibrosis (scarring) can occur at the tissues which begin to heal after surgery. Muscles and other fibers shorten and tighten, which makes it harder to open the mouth. [3] Most of the time, trismus can be managed conservatively unless absolutely indicated for surgery. Trismus resulting secondary to pathology involving the maxillofacial region can be better managed by surgery using masseter muscle myotomy [4] to achieve better mouth opening, followed by both active and passive stretching exercises. Thus, it can be concluded that masseter muscle myotomy is an effective procedure for managing trismus resulting from any existing pathology or as a result of post-surgical complication.

 
  References Top

1.Luky N, Sternberg C. Aetiology and diagnosis of clinically evident jaw trismus. Aust Dent J 1990;35:523-9.  Back to cited text no. 1
    
2.Marien M. Trismus: causes, differential diagnosis and treatment. Gen Dent 1997;45:350-5.  Back to cited text no. 2
    
3.Shulman DH, Shipman B, Willis FB. Treating trismus with dynamic splinting: a case report. J Oral Sci 2009;51:141-4.  Back to cited text no. 3
    
4.Nishimura T, Okabe Y, Furukawa M. A chronic organized masseter abscess causing trismus resolved by hemi-masseter myotomy. Auris Nasus Larynx 1996;23:140-2.  Back to cited text no. 4
    




 

Top
   
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
References

 Article Access Statistics
    Viewed2657    
    Printed142    
    Emailed0    
    PDF Downloaded294    
    Comments [Add]    

Recommend this journal