放射線治療與牙關緊閉

2024/4/23

因咬合肌肉和顳頷關節接受放射線治療影響，產生纖維化，導致有牙關較緊的情形。病人會有張嘴靈活度降低，張嘴的寬度減少的症狀，影響進食功能。

牙關緊閉與張口困難可在放射線治療中或治療後發生，其程度視接受的劑量及所產生的纖維化程度而定。

處理方法

預防牙關緊閉之方法

參考資料

Ezzat, Y. E., Sharka, R. M., Huzaimi, A. A., Al-Zahrani, K. M., & Abed, H. H. (2020). The role of exercise therapy in managing post-radiotherapy trismus in head and neck cancer. Journal of Taibah University Medical Sciences, 16(1), 127–133. https://doi.org/10.1016/j.jtumed.2020.07.005
Nagaraja, S., Kadam, S. A., Selvaraj, K., Ahmed, I., & Javarappa, R. (2016). Trismus in head and neck cancer patients treated by telecobalt and effect of early rehabilitation measures. Journal of cancer research and therapeutics, 12(2), 685–688. https://doi.org/10.4103/0973-1482.176181
Shao, C. H., Chiang, C. C., & Huang, T. W. (2020). Exercise therapy for cancer treatment-induced trismus in patients with head and neck cancer: A systematic review and meta-analysis of randomized controlled trials. Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 151, 249–255. https://doi.org/10.1016/j.radonc.2020.08.024