title: Recurrent trismus: twenty-year follow-up result.
abstract: The authors encountered an unusual case of recurrent trismus in a patient who had oral synechia, cleft lip and palate, digital anomalies, and external genital anomaly. Mandibular movement was severely restricted by congenital soft-tissue adhesion in the retromolar region. Despite aggressive surgical efforts and postoperative manipulations, limitation of mouth opening recurred soon after each operation. Furthermore, congenital and postoperative soft-tissue adhesion resulted in severe subsequent jaw deformities, which needed combined maxillary and mandibular advancement.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Nagasaki University School of Medicine, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Hirano
authors.forename: Y
authors.initials: Y
authors.lastname: Iio
authors.forename: R
authors.initials: R
authors.lastname: Murakami
authors.forename: T
authors.initials: T
authors.lastname: Fujii
mesh_terms: D000015:Abnormalities, Multiple; D000328:Adult; D002971:Cleft Lip / Q000601:surgery; D002972:Cleft Palate / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007571:Jaw Diseases / Q000601:surgery; D008406:Masseter Muscle / Q000503:physiopathology; D009056:Mouth Abnormalities / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D013576:Syndactyly / Q000601:surgery; D000267:Tissue Adhesions / Q000151:congenital / Q000601:surgery; D014034:Toes / Q000002:abnormalities; D014313:Trismus / Q000151:congenital* / Q000601:surgery*