trismus/necrosis

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[Dystrophy and necrosis following radiotherapy for maxillary cancer (author's transl)].

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About 10% of patients developed severe sequelae following radiotherapy, which had been associated with surgical treatment, even though they were, or appeared to be cured. Complications affected the skin and soft tissues (causing skin retraction, loss of substance, and sometimes trismus) and bone

Surgical management of radiation-induced temporal lobe necrosis in patients with nasopharyngeal carcinoma: report of 14 cases.

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BACKGROUND Radiation-induced temporal lobe necrosis is a rare and serious late complication in irradiated patients with nasopharyngeal carcinoma (NPC). Treatment of radiation-induced temporal lobe necrosis with surgery has been seldom thoroughly investigated. METHODS We retrospectively analyzed the

Versatility of nasolabial flaps for the management of severe trismus in oral submucous fibrosis.

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BACKGROUND Oral submucous fibrosis (OSMF) is a chronic insidious disease affecting any part of the oral cavity and sometimes the pharynx. It is a collagen-related disorder predominantly associated with tobacco/areca nut chewing habit and characterized by progressive hyalinization of the submucosa.

Stereotactic radiosurgery plus intracavitary irradiation in the salvage of nasopharyngeal carcinoma.

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BACKGROUND We sought to assess the efficacy and complications of linear accelerator-based stereotactic radiosurgery (SRS) plus intracavitary irradiation (ICI) as salvage treatment for local persistent and recurrent nasopharyngeal carcinoma (NPC) after primary external beam radiotherapy

Accelerated radiotherapy with delayed concomitant boost in locally advanced squamous cell carcinoma of the head and neck.

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OBJECTIVE To determine the toxicity, maximum tolerated dose (MTD), and clinical effectiveness of a 5-week course of accelerated radiotherapy with delayed concomitant boost in locally advanced squamous cell carcinoma of the head and neck (SCCHN). METHODS Thirty-five patients with untreated T3T4NM0 or

Facial Artery Musculomucosal Flap for Nasopharyngeal and Oropharyngeal Reconstruction.

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Importance: The facial artery musculomucosal (FAMM) flap is a well vascularized axial flap which has been described for mucosal reconstructions throughout the oral cavity. There are limited data regarding its efficacy in secondary repair of nasopharyngeal stenosis and velopharyngeal

A novel treatment of temporomandibular joint arthritis as a complication in familial Mediterranean fever-literature review and a case report.

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OBJECTIVE Articular involvement in familial Mediterranean fever (FMF) ranges between 40 and 70% of the patients. Involvement of temporomandibular joint (TMJ) in FMF is very rare, and only a few cases have been reported in the literature. There are no specific guidelines for treatment. We hereby

Cervical necrotizing fasciitis: management challenges in poor resource environment.

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Necrotizing fasciitis of the head and neck is a rare and potentially fatal disease. It is a bacterial infection characterized by spreading along fascia planes and subcutaneous tissue resulting in tissue necrosis and likely death. It is commonly of dental or pharyngeal origin. Factors affecting the

Severe temporomandibular dysfunction and joint destruction after intra-articular injection of triamcinolone.

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BACKGROUND Steroid injections into joints are frequently used to control symptomatic pain. Risks associated with intra-articular steroid injections are not well documented. METHODS We report the case of a 29-year-old woman who was referred to a dental surgeon because of a suspected relationship

Respiratory and otolaryngologic manifestations of giant cell arteritis.

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OBJECTIVE The classical presentation of giant cell arteritis (GCA) includes the new onset of headache, scalp tenderness, facial pain or jaw claudication in an older patient. Many patients with GCA have features consistent with the diagnosis of polymyalgia rheumatic (PMR) and nearly all have elevated

Formation of a tracheoesophageal common channel after alkaline injury.

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We describe tracheoesophageal common channel formation in a 40-year-old woman who swallowed alkaline detergent. Necrosis and fistula formation between the posterior tracheal wall and the anterior esophageal wall were visualized by panendoscopy 15 days after the injury. Urgent tracheostomy, tube

Superiorly or inferiorly based "islanded" nasolabial flap for buccal mucosa defects reconstruction.

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OBJECTIVE This article describes the successful use of superiorly and inferiorly based subcutaneous pedicled flaps in the reconstruction of defects of the buccal mucosa by raising the flaps as skin islands, relying on a pedicle of subcutaneous tissue. METHODS Nine procedures were performed on 9

Cervical-thoracic necrotizing fasciitis of odontogenic origin in a diabetic patient: a case report.

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Necrotizing fasciitis (NF) is a severe bacterial infection with rapid and aggressive progression. The infection generally affects individuals with comorbid conditions that lead to immunologic and microvascular deficiencies. It is characterized by necrosis of tissues, mainly in the extremities,

Tornwaldt's cyst formation after concurrent chemoradiotherapy for nasopharyngeal carcinoma.

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The complications of concurrent chemoradiotherapy for nasopharyngeal carcinoma include dryness of mouth, sensorineural hearing loss, dental caries, trismus, pituitary dysfunction, myelitis, paralysis of cranial nerves IX-XII, massive neck fibrosis and pharyngeal wall necrosis. Tornwaldt's cyst

Retreatment of recurrent nasopharyngeal carcinoma.

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Thirty patients with recurrent primary nasopharyngeal carcinoma were reirradiated between 1949 and 1976. Twenty eventually demonstrated recurrence at or near the primary site, involving the nasopharynx in 4 and the central nervous system in 16. Long-term palliation was often achieved, and there were

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