A Study on Trismus amongst Carcinoma Oral Cavity Patients Receiving Radiotherapy and Its Impact on Quality Of Life of Such Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Trismus significantly impacts activities of daily living as well as vital oral function; it is associated with speech problems, difficulty in eating or drinking, malnutrition, dehydration, difficulty with oral hygiene,and lower quality of life. This study was aimed at studying the severity of trismus in oral carcinoma patients receiving radiotherapy, its impact on quality of life in such patients and to identify contributing risk factors and their prevention. A prospective study was carried out in Department of Otorhinolaryngology, Silchar Medical College and Hospital, Silchar during a period of one and half year. Patients with newly diagnosed squamous cell carcinoma of oral cavity irrespective of age and sex were included in the study. Baseline Maximal interincisal opening was measured at the time of diagnosis, after completion of radiotherapy, 3 months after radiotherapy and 6 months after radiotherapy. Quality of life was assessed using EORTC- QLQ H&N35 and CTCAEv4.0 was used for grading of trismus. A total of 40 patients were analysed during the study period. Maximal interincisal opening was significantly lower after completion of radiotherapy. Patients starting rehabilitative exercises soon had better Maximal Interincisal Opening than others. Higher grades of trismus lead to poorer Quality of Life among carcinoma oral cavity patients. Hence we concluded that there is significant decrease in mouth opening following teletharapy with Co60 in carcinoma oral cavity patients. Trismus adds significantly to the morbidities of carcinoma oral cavity patients. Rehabilitative measures should be explained and made to follow at earliest to prevent developing higher grades of trismus following radiotherapy.
Authors and Affiliations
Dr. Smrity Rupa Borah Dutta, Dr. Sweta Soni
Keywords
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- EP ID EP370982
- DOI 10.9790/0853-1704106265.
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