A case of mouth opening limitation and paralysis of mandibular nerve after extirpating trigeminal schwannoma, being effectively treated by physiotherapy

DOI 6 References
  • KOBAYASHI Daisuke
    Department of Dentistry and Oral Surgery, School of Medicine, Keio University Department of Dentistry and Oral Surgery, Tochigi National Hospital
  • MURAOKA Wataru
    Department of Dentistry and Oral Surgery, School of Medicine, Keio University
  • IKEDA Hiroko
    Department of Dentistry and Oral Surgery, School of Medicine, Keio University
  • USUDA Shin
    Department of Dentistry and Oral Surgery, School of Medicine, Keio University
  • NAKAGAWA Taneaki
    Department of Dentistry and Oral Surgery, School of Medicine, Keio University
  • WAJIMA Koichi
    Department of Dentistry and Oral Surgery, School of Medicine, Keio University

Bibliographic Information

Other Title
  • 三叉神経鞘腫摘出術後に生じた開口障害と下顎運動神経麻痺に対して理学療法が有効だった１例

Search this article

Description

A case of treatment by physiotherapy for severe restriction of mouth opening caused by cicatricial contracture of the temporal muscle and jaw paralysis of the right side after extracting a trigeminal schwannoma, is reported. The patient was a 34-year-old male, who underwent a craniotomy to excise trigeminal schwannoma in the Department of Neurosurgery in our hospital in July 2005. Since restriction of mouth opening and jaw paralysis of the right side occurred immediately after surgery, the patient consulted our department for treatment on November 1, 2005. At the first examination, the maximum mouth opening was 11mm with deflection. Clenching on the right side was impossible, and the occlusion showed a posterior open bite of the right side. Further, the areas innervated by all divisions of the right trigeminal nerve were hypoesthesic. Mouth opening exercises using the patient's own fingers were initiated from the first examination to improve the cicatricial contracture of the temporal muscle. One month later, the maximum mouth opening had increased to 21mm. Thereafter, mouth opening exercises were performed using a Tange-type gag to obtain further improvement. Four months after the start of mouth opening exercise, the maximum mouth opening had increased to 35mm. Simultaneously, the patient also received physiotherapy treatment, regarding a disturbance of clenching due to jaw paralysis, through clenching exercises using a hollow rubber tube. These exercises also began from the first examination. After four months, occlusal force was regained in terms of having no obstacle in daily life.

Journal

References(6)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top