title: Coronoidectomy in maxillary swing for reducing the incidence and severity of trismus--a reminder.
abstract: 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.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel. yoav.talmi@sheba.health.gov.il
authors.forename: Yoav P
authors.initials: YP
authors.lastname: Talmi
authors.forename: Zeev
authors.initials: Z
authors.lastname: Horowitz
authors.forename: Ran
authors.initials: R
authors.lastname: Yahalom
authors.forename: Lev
authors.initials: L
authors.lastname: Bedrin
mesh_terms: 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*