Les symptômes incluent une ouverture buccale limitée, des douleurs et des spasmes musculaires.
Spasme musculaireDouleur
#2
Le trismus provoque-t-il des difficultés à parler ?
Oui, la limitation de l'ouverture buccale peut rendre la parole difficile.
Difficulté à parlerTrismus
#3
Peut-on ressentir des douleurs irradiantes ?
Oui, la douleur peut irradier vers l'oreille ou le cou en raison de la tension musculaire.
Douleur irradiéeTension musculaire
#4
Le trismus peut-il affecter la déglutition ?
Oui, une ouverture buccale limitée peut rendre la déglutition difficile.
DéglutitionTrismus
#5
Y a-t-il des signes visibles du trismus ?
Des signes visibles incluent une posture de la mâchoire anormale et des muscles de la mâchoire tendus.
PostureMuscles de la mâchoire
Prévention
5
#1
Comment prévenir le trismus ?
Maintenir une bonne hygiène bucco-dentaire et traiter rapidement les infections dentaires peut aider.
Hygiène bucco-dentaireInfections dentaires
#2
Les visites régulières chez le dentiste sont-elles importantes ?
Oui, des contrôles réguliers permettent de détecter et traiter les problèmes dentaires précocement.
Visites dentairesPrévention
#3
Le stress peut-il contribuer au trismus ?
Oui, le stress peut provoquer des tensions musculaires et aggraver le trismus.
StressTension musculaire
#4
Les blessures à la mâchoire peuvent-elles être évitées ?
Oui, éviter les sports de contact sans protection peut réduire le risque de blessures à la mâchoire.
Prévention des blessuresSports de contact
#5
Une alimentation équilibrée aide-t-elle ?
Oui, une alimentation équilibrée favorise la santé dentaire et peut prévenir certaines conditions.
Alimentation équilibréeSanté dentaire
Traitements
5
#1
Quels traitements sont disponibles pour le trismus ?
Les traitements incluent des exercices de rééducation, des médicaments anti-inflammatoires et des thérapies physiques.
RééducationMédicaments anti-inflammatoires
#2
Les antibiotiques sont-ils utiles pour le trismus ?
Oui, si le trismus est causé par une infection, des antibiotiques peuvent être prescrits.
AntibiotiquesInfection
#3
La chirurgie est-elle nécessaire pour traiter le trismus ?
La chirurgie est rare et généralement réservée aux cas graves ou aux anomalies structurelles.
ChirurgieAnomalies structurelles
#4
Les exercices de la mâchoire aident-ils ?
Oui, des exercices spécifiques peuvent aider à améliorer l'amplitude de mouvement de la mâchoire.
ExercicesAmplitude de mouvement
#5
Les traitements alternatifs sont-ils efficaces ?
Certaines thérapies alternatives, comme l'acupuncture, peuvent soulager les symptômes chez certains patients.
AcupunctureThérapies alternatives
Complications
5
#1
Quelles complications peuvent survenir avec le trismus ?
Des complications incluent des infections, des douleurs chroniques et des difficultés à s'alimenter.
InfectionsDouleurs chroniques
#2
Le trismus peut-il entraîner des problèmes nutritionnels ?
Oui, une ouverture buccale limitée peut rendre l'alimentation difficile, entraînant des carences.
Problèmes nutritionnelsCarences alimentaires
#3
Y a-t-il un risque de déshydratation ?
Oui, des difficultés à boire peuvent augmenter le risque de déshydratation chez les patients.
DéshydratationDifficultés à boire
#4
Le trismus peut-il affecter la qualité de vie ?
Oui, la douleur et les limitations fonctionnelles peuvent significativement impacter la qualité de vie.
Qualité de vieLimitations fonctionnelles
#5
Des troubles psychologiques peuvent-ils en résulter ?
Oui, la douleur chronique et les limitations peuvent entraîner de l'anxiété ou de la dépression.
Troubles psychologiquesAnxiété
Facteurs de risque
5
#1
Quels sont les facteurs de risque du trismus ?
Les facteurs incluent des infections dentaires, des traumatismes, et des interventions chirurgicales.
Infections dentairesTraumatismes
#2
Les personnes âgées sont-elles plus à risque ?
Oui, les personnes âgées peuvent être plus susceptibles en raison de problèmes dentaires fréquents.
Personnes âgéesProblèmes dentaires
#3
Le bruxisme est-il un facteur de risque ?
Oui, le bruxisme peut provoquer des tensions musculaires et contribuer au trismus.
BruxismeTensions musculaires
#4
Les maladies systémiques augmentent-elles le risque ?
Certaines maladies systémiques, comme le diabète, peuvent augmenter le risque de trismus.
Maladies systémiquesDiabète
#5
Les traitements orthodontiques peuvent-ils être un facteur ?
Oui, des traitements orthodontiques mal adaptés peuvent entraîner des problèmes de mâchoire.
Traitements orthodontiquesProblèmes de mâchoire
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Department of Otorhinolaryngology, Head and Neck Surgery, Region Västra GötalandSahlgrenska University Hospital, Gothenburg, Sweden.
Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands. s.j.van.der.geer@umcg.nl.
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.
Department of Rehabilitation, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.
Department of Otorhinolaryngology, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden.
Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.
Department of Otorhinolaryngology, Head and Neck Surgery, Sahlgrenska University Hospital, Institute of Medicine, Gothenburg University, Gothenburg, Sweden.
Total joint arthroplasty studies have identified that surgeries that take place later in the week have a longer length of stay compared with those earlier in the week. This has not been demonstrated i...
All instrumented spine surgeries in 2019 at a single academic tertiary center were retrospectively reviewed. Patients were categorized for surgical day and discharge disposition to home or a rehabilit...
Seven hundred six patients were included in the analysis. Excluding Saturday, there were no differences in length of stay based on the day of surgery. Age older than 75 years, female, American Society...
Day of surgery does not affect length of stay in instrumented spine surgeries. Discharge to a rehabilitation facility, however, did increase the length of stay as did age older than 75 years, higher A...
The trend in postoperative care for free flap patients is to deescalate from routine ICU admission into a specialty recovery unit. This study aims to investigate the predictive parameters in a routine...
All patients who underwent ablative surgery for OSCC with free flap reconstruction and were managed in the ICU were included in this study. The primary outcome was ICU-length of stay. Perioperative, o...
The study included 136 homogeneous patients, with a mean ICU length of stay of 4.5 (± 4.43 day). Patients with pre-operative positive renal dysfunction (P = 0.004), peripheral vascular disease (P < 0....
Patients with perioperative severe renal dysfunction, peripheral vascular disease, postoperative complication or high NYHA class are prone to have a significantly longer ICU length of stay. Several fa...
A hip fracture causes high morbidity and mortality. Frailty is associated with adverse outcomes and increased costs. Frailty measured using the Hospital Frailty Risk Score (HFRS) is associated with hi...
Hip fractures account for an increasing number of hospital admissions around the world and are associated with high rates of morbidity and mortality. Frailty is increasingly recognized to be associate...
A retrospective analysis was performed on 1014 patients ≥ 60 years who presented with a hip fracture between January 2016 to June 2020. Each patient was classified into HFRS low, intermediate or high ...
Median total hospitalization costs were significantly higher in the highest HFRS (SGD$22,432) patients as compared to intermediate (SGD$18,759) and low HFRS (SGD$15,671) patients. The difference betwe...
Frailty is associated with a marked increase in total costs in hip fracture patients. HFRS proved useful in estimating LOS and outcomes for older patients with hip fractures....
Prolonged length of stay (LOS) has been associated with increased morbidity and resource utilization in various surgical procedures. We aim to determine factors associated with increased hospital stay...
The 2012-2018 National Surgical Quality Improvement Program (NSQIP) database was queried for patients undergoing tracheoplasty. Patient LOS was the primary clinical outcome. A LOS >75th percentile was...
A total of 252 patients were queried. The majority of patients were female (67.5%), white (82.4%), and over the age of 65 (77.0%). Patients had a median LOS of 7 days with the 75th percentile cutoff b...
This study elucidates factors associated with prolonged LOS in patients undergoing tracheoplasty. Patients with COPD and chronic steroid use were significantly associated with prolonged LOS....
4 Laryngoscope, 133:1938-1942, 2023....
We evaluated changes in genetic testing for neonatal-onset epilepsy and associated short-term outcomes over an 8-year period among a cohort of patients in the neonatal intensive care unit (NICU) at a ...
Our primary outcome was a change in length of stay (LOS) after 2018. We also ascertained severity of illness with the Neonatal Sequential Organ Failure Assessment (nSOFA), type and result of genetic t...
Fifty-three infants with genetic testing were included; 20 infants were tested after 2018. A total of 4160 infants in the NICU without genetic testing were used as reference. In the genetic testing gr...
In this cohort, changes in genetic testing for neonatal-onset epilepsy were associated with shorter LOS that was not explained by changes in severity of illness, birth weight, or the average LOS in th...
There are several factors that influence the length of hospital stay (LoHS) in patients with community-acquired pneumonia (CAP). There is currently no study in the literature that correlates laborator...
To find the association of laboratory parameters with the LoHS in patients with community-acquired pneumonia....
An observational, prospective, longitudinal, and controlled study was conducted in the emergency room of a secondary level hospital....
The mean time of LoHS in patients with CAP was 6.6 ± 3.0 days. The parameters of laboratory of monocytes, basophils and segmented neutrophils presented a correlation (Spearman rho) of 0.363, 0.364 and...
LoHS in patients with CAP is related to the counting of monocytes, basophils, and neutrophils at the time of the hospital admittance and it was increased in patients with SAH and patients with COPD....
Emergency general surgery patients undergoing laparoscopic surgery are at reduced risk of mortality and may require reduced length of critical care stay. This study investigated the effect of laparosc...
Data were retrieved for all patients entered into the NELA database between 2013 and 2018. Only high-risk surgical patients (P-POSSUM predicted mortality risk of ≥ 5%) were included. Patients undergoi...
A total of 66,517 high-risk patients received emergency major abdominal surgery. A laparoscopic procedure was attempted in 6998 (10.5%); of these, the procedure was competed laparoscopically in 3492 (...
The results of this study suggest that in patients at high risk of post-operative mortality, laparoscopic emergency bowel surgery leads to a reduced length of critical care stay, overall length of sta...
The Center for Medicaid and Medicare Services predicts the length of stay for pediatric burn patients based on several variables. However, many patients exceed their anticipated length. This study loo...
We conducted a retrospective chart review of 535 pediatric burn patients admitted to our academic hospital from January 2018 to December 2020. 405 patients met inclusion criteria. Data were collected ...
Average patient age was 3.36 years. 72.3% were treated for scald burns. Average length of stay was 13.5 days. 20.5% (n = 83) of patients exceeded their predicted length of stay. In comparing patients ...
Twenty percent of pediatric burn patients had a longer length of stay than predicted by the Center for Medicaid and Medicare Services. Many factors were strongly associated with a longer-than-predicte...
Length of stay (LOS) and readmissions are common measures to evaluate quality of health care. The objective of this study was to evaluate factors related to hospital LOS and readmission within 90 days...
Using a single institution database, patients who underwent CEA for carotid stenosis between 2014 and 2019 were identified. Asymptomatic carotid stenosis (no history of any stroke or transient ischemi...
There were 125 patients identified who underwent CEA for 133 carotid stenosis, and 8 patients had bilateral CEA; of which 36.8% were asymptomatic carotid stenosis with the remaining being operated on ...
More than half of patients undergoing CEA for carotid stenosis were discharged after postoperative day 1. Interventions on modifiable clinical risk factors, such as morning CEA scheduling and manageme...
Extended venous thromboembolism prophylaxis (eVTEp) is recommended for select patients who have undergone major abdominopelvic surgery to prevent postdischarge venous thromboembolism (pdVTE). Criteria...
A retrospective cohort study of patients undergoing abdominopelvic surgery from January 2016 to February 2020 was performed using data from the Michigan Surgical Quality Collaborative. pdVTE was the m...
A total of 45,637 patients underwent abdominopelvic surgery. Of which, 3063 (6.71%) were prescribed eVTEp. Two hundred eighty-five (0.62%) had pdVTE. Of the 285, 59 (21%) patients received eVTEp, whil...
pdVTE was associated with increasing LOS but not with other VTE risk factors after propensity score matching. Current guidelines for eVTEp do not include LOS. Our findings suggest that LOS >5 d should...
