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Research Article Open access CC BY 4.0

Impact of Radiation-induced Trismus on Patients’ Life Quality

Efsun Somay, Busra Yilmaz, Ahmet Kucuk, Erkan Topkan

Archives of Current Research International · pp. 12–24 · Published 1 Aug 2022

10.9734/acri/2022/v22i530288

Abstract

Head and neck cancers (HNC) account for 10–15% of all cancers globally. Curative radiation therapy (RT) and concurrent chemoradiotherapy (CCRT) with or without surgery are widely accepted standard treatment modalities for these patients. Radiation-induced fibrosis is one of the side effects of these treatments, and it causes degeneration, inflammation, pain, and atrophy of the masticatory muscle fibers and the temporomandibular joint, resulting in trismus. Trismus, also known as hypomobility of the mouth, is defined as a restricted opening of the mouth. Radiation-induced trismus (RIT) can occur within the first three months of treatment or up to 12–48 months later during the follow-up period. It has a significant negative influence on daily activities and vital oral functions, including speech problems, difficulty eating or drinking, psychological problems, malnutrition, dehydration, and difficulty with oral hygiene, reducing the quality of life (QoL). Given the underappreciated nature of trismus and its negative consequences in HNC patients receiving RT or C-CRT, the purpose of this review was to provide a concise review of the physical, social, and emotional implications of RIT and their impact on QoL measures, as well as the available evaluation methods for physicians in the related medical fields.

Head and neck cancer radiation-induced trismus radiotherapy assessment tools quality of life

Cited by 10

RE: Impact of Cancer Localization on Symptom Burden and Quality of Life in Head and Neck Cancers: A Comparative Study

Erkan Topkan, Efsun Somay, Uğur Selek · Ear, Nose & Throat Journal · 2024

Challenges in the Radiological Diagnosis of Osteoradionecrosis of the Jaw in Head and Neck Cancer Patients

Busra Yilmaz, Efsun Somay, Ahmet Kucuk · Advancements in Cancer Research · 2023

Definitions of Radiation-induced Trismus in Head and Neck Cancer: Current Concepts and Controversies

Efsun Somay, Busra Yilmaz, Erkan Topkan · Advancements in Cancer Research · 2023

Systematic review of adherence to swallow and trismus exercises during radiation therapy for head and neck cancer

Emma Charters, Virginia Ricketts, Ashleigh R. Sharman · Head & Neck · 2024

Radiotherapy‐related trismus after modulated techniques radiotherapy in head and neck tumors

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Reply to Symptom Burden and Quality of Life in Long-Term Survivors With Head and Neck Cancer

Efsun Somay, Erkan Topkan, Ugur Selek · Ear, Nose & Throat Journal · 2025

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