Coronoidectomy in maxillary swing for reducing the incidence and severity of trismus--a reminder.
OBJECTIVE
The maxillary swing approach is a proven method for access to the nasopharynx. However, often, trismus is incurred postoperatively, hampering adequate oral care and follow-up and affecting patients' quality of life.


METHODS
Coronoidectomy was performed in four patients undergoing maxillary swing. Minimal trismus was seen in one patient undergoing repeat irradiation and chemotherapy. After a 1-month period no trismus was observed in the other three patients.


CONCLUSIONS
Coronoidectomy, usually performed in maxillectomy for reducing trismus is a useful adjunct in the maxillary swing procedure.
Talmi
Yoav P
YP
Department of Otolaryngology-Head and Neck Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel. yoav.talmi@sheba.health.gov.il
Horowitz
Zeev
Z
Yahalom
Ran
R
Bedrin
Lev
L
D006801:Humans; D008437:Maxilla / Q000601:surgery*; D008441:Maxillary Neoplasms / Q000601:surgery; D009303:Nasopharyngeal Neoplasms / Q000601:surgery; D019647:Oral Surgical Procedures / Q000009:adverse effects* / Q000379:methods*; D013524:Surgical Flaps; D013703:Temporal Muscle / Q000601:surgery; D014313:Trismus / Q000209:etiology / Q000601:surgery*