Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/62481
Title: Radiation-induced temporo-mandibular joint disorder in post-radiotherapy nasopharyngeal carcinoma patients : assessment and treatment
Authors: Wu, VWC 
Lam, YN
Keywords: Imaging modalities
Nasopharyngeal carcinoma
Radiation-induced trismus
Radiotherapy
Temporo-mandibular joint
Issue Date: 2016
Publisher: John Wiley & Sons
Source: Journal of medical radiation sciences, 2016, v. 63, no. 2, p. 124-132 How to cite?
Journal: Journal of medical radiation sciences 
Abstract: Nasopharyngeal carcinoma (NPC) is endemic in southern China, and its incidence in Hong Kong is relatively high. Radiotherapy is the mainstay treatment for NPC due to its relatively high radiosensitivity and deep-seated anatomical position, which is not readily accessible by surgery. Although the technique of radiotherapy in NPC has been advancing and offers promising treatment outcome, complications around the irradiation areas are inevitable and the quality of life of the post-radiotherapy patients is often compromised. Trismus, which is defined as the restricted mouth opening or jaw movement due to the disorder of temporo-mandibular joint (TMJ), is one of the possible late complications for radiotherapy of NPC and is found in 5-17% of the post-radiotherapy (post-RT) patients. Trismus at early stage may only affect the speech, but in severe cases nutritional intake and oral hygiene condition may deteriorate seriously. This article reviewed the possible causes of radiation-induced TMJ damage, the various assessments including imaging modalities and possible treatments. The conclusion is that the availability of simple, yet effective examinations for trismus is essential for delaying the progression and restoring TMJ functions. Although there is no absolutely effective treatment for trismus, many supportive, restorative and palliative management are possible under different clinical situations.
URI: http://hdl.handle.net/10397/62481
ISSN: 2051-3895
EISSN: 2051-3909
DOI: 10.1002/jmrs.145
Appears in Collections:Journal/Magazine Article

Access
View full-text via PolyU eLinks SFX Query
Show full item record

SCOPUSTM   
Citations

1
Last Week
0
Last month
Citations as of Sep 11, 2017

WEB OF SCIENCETM
Citations

2
Last Week
0
Last month
Citations as of Sep 21, 2017

Page view(s)

58
Last Week
4
Last month
Checked on Sep 24, 2017

Google ScholarTM

Check

Altmetric



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.