Here's a good reference:
Pauli N, Fagerberg-Mohlin et al. Exercise Intervention for the treatment of
trismus in Head and Neck CA. Acta Oncologica 53:502-509. 2014.
I concur that you must work very carefully with h/o osteo. Many patients get
hyperbaric oxygen treatment to assist healing of the jaw post radiation.
-----Original Message-----
From: aptaoncology-bounce@xxxxxxxxxxxxx <aptaoncology-bounce@xxxxxxxxxxxxx> On
Behalf Of kim@xxxxxxxxxxxxxxxxxxxxxxxxx
Sent: Wednesday, June 8, 2022 11:50 AM
To: aptaoncology@xxxxxxxxxxxxx
Subject: [External] [aptaoncology] Re: Osteomyelitis of mandible, severe trismus
Hi Alane,
If you think you will need to mobilize the lower jaw or even consider use of a
Therabite, Orastretch, Dynasplint, touch base the oncology dentist on stability
of the lower jaw. Also try to get into the medial pterygoid along the inside
the lower jaw. I think that it is responsible for some the trismus along with
the TMJ capsule.
Kim
Kim Marshall, DPT, CLT
kim@xxxxxxxxxxxxxxxxxxxxxxxxx
Progressive PT and Rehab
12665 Garden Grove Blvd., ste 603
Garden Grove, CA 92843
Ph 714.643-9012
Fax 714.643-9015
-----Original Message-----
From: aptaoncology-bounce@xxxxxxxxxxxxx <aptaoncology-bounce@xxxxxxxxxxxxx>
On Behalf Of alane curry ("acurryil")
Sent: Tuesday, June 7, 2022 11:17 AM
To: Oncology list serv <aptaoncology@xxxxxxxxxxxxx>
Subject: [aptaoncology] Osteomyelitis of mandible, severe trismus
I have a potential referral for pt post-radiation developed osteomyelitis and
severe trismus.
Does anyone have treatment guidelines and ideas that they can share, research
to support if you have it, and precautions.
Thanks so much. I really appreciate your time.
Alane Curry, PT, MPT
PORI- certified Onc Rehab Specialist
UW Health Regional Cancer Center-Rockford
Sent from my iPhone
