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"headline": "Diagnostic sur Trismus",
"description": "Comment diagnostique-t-on le trismus ?\nQuels tests peuvent être effectués ?\nLe trismus est-il toujours lié à des problèmes dentaires ?\nQuels signes accompagnent souvent le trismus ?\nLe trismus peut-il être confondu avec d'autres conditions ?",
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"description": "Quels sont les symptômes principaux du trismus ?\nLe trismus provoque-t-il des difficultés à parler ?\nPeut-on ressentir des douleurs irradiantes ?\nLe trismus peut-il affecter la déglutition ?\nY a-t-il des signes visibles du trismus ?",
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"description": "Comment prévenir le trismus ?\nLes visites régulières chez le dentiste sont-elles importantes ?\nLe stress peut-il contribuer au trismus ?\nLes blessures à la mâchoire peuvent-elles être évitées ?\nUne alimentation équilibrée aide-t-elle ?",
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"description": "Quelles complications peuvent survenir avec le trismus ?\nLe trismus peut-il entraîner des problèmes nutritionnels ?\nY a-t-il un risque de déshydratation ?\nLe trismus peut-il affecter la qualité de vie ?\nDes troubles psychologiques peuvent-ils en résulter ?",
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"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Trismus",
"description": "Quels sont les facteurs de risque du trismus ?\nLes personnes âgées sont-elles plus à risque ?\nLe bruxisme est-il un facteur de risque ?\nLes maladies systémiques augmentent-elles le risque ?\nLes traitements orthodontiques peuvent-ils être un facteur ?",
"url": "https://questionsmedicales.fr/mesh/D014313?mesh_terms=Lymph+Node+Excision&page=5#section-facteurs de risque"
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"@type": "Question",
"name": "Comment diagnostique-t-on le trismus ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diagnostic repose sur l'examen clinique et l'évaluation de l'amplitude d'ouverture buccale."
}
},
{
"@type": "Question",
"name": "Quels tests peuvent être effectués ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des radiographies dentaires ou des IRM peuvent être réalisées pour identifier des causes sous-jacentes."
}
},
{
"@type": "Question",
"name": "Le trismus est-il toujours lié à des problèmes dentaires ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, il peut aussi être causé par des infections, des traumatismes ou des troubles neurologiques."
}
},
{
"@type": "Question",
"name": "Quels signes accompagnent souvent le trismus ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs à la mâchoire, des difficultés à mastiquer et des tensions musculaires peuvent être présents."
}
},
{
"@type": "Question",
"name": "Le trismus peut-il être confondu avec d'autres conditions ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, il peut être confondu avec des troubles de l'articulation temporo-mandibulaire."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes principaux du trismus ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent une ouverture buccale limitée, des douleurs et des spasmes musculaires."
}
},
{
"@type": "Question",
"name": "Le trismus provoque-t-il des difficultés à parler ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la limitation de l'ouverture buccale peut rendre la parole difficile."
}
},
{
"@type": "Question",
"name": "Peut-on ressentir des douleurs irradiantes ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la douleur peut irradier vers l'oreille ou le cou en raison de la tension musculaire."
}
},
{
"@type": "Question",
"name": "Le trismus peut-il affecter la déglutition ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une ouverture buccale limitée peut rendre la déglutition difficile."
}
},
{
"@type": "Question",
"name": "Y a-t-il des signes visibles du trismus ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes visibles incluent une posture de la mâchoire anormale et des muscles de la mâchoire tendus."
}
},
{
"@type": "Question",
"name": "Comment prévenir le trismus ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir une bonne hygiène bucco-dentaire et traiter rapidement les infections dentaires peut aider."
}
},
{
"@type": "Question",
"name": "Les visites régulières chez le dentiste sont-elles importantes ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des contrôles réguliers permettent de détecter et traiter les problèmes dentaires précocement."
}
},
{
"@type": "Question",
"name": "Le stress peut-il contribuer au trismus ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le stress peut provoquer des tensions musculaires et aggraver le trismus."
}
},
{
"@type": "Question",
"name": "Les blessures à la mâchoire peuvent-elles être évitées ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, éviter les sports de contact sans protection peut réduire le risque de blessures à la mâchoire."
}
},
{
"@type": "Question",
"name": "Une alimentation équilibrée aide-t-elle ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une alimentation équilibrée favorise la santé dentaire et peut prévenir certaines conditions."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour le trismus ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent des exercices de rééducation, des médicaments anti-inflammatoires et des thérapies physiques."
}
},
{
"@type": "Question",
"name": "Les antibiotiques sont-ils utiles pour le trismus ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, si le trismus est causé par une infection, des antibiotiques peuvent être prescrits."
}
},
{
"@type": "Question",
"name": "La chirurgie est-elle nécessaire pour traiter le trismus ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "La chirurgie est rare et généralement réservée aux cas graves ou aux anomalies structurelles."
}
},
{
"@type": "Question",
"name": "Les exercices de la mâchoire aident-ils ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des exercices spécifiques peuvent aider à améliorer l'amplitude de mouvement de la mâchoire."
}
},
{
"@type": "Question",
"name": "Les traitements alternatifs sont-ils efficaces ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines thérapies alternatives, comme l'acupuncture, peuvent soulager les symptômes chez certains patients."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec le trismus ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des complications incluent des infections, des douleurs chroniques et des difficultés à s'alimenter."
}
},
{
"@type": "Question",
"name": "Le trismus peut-il entraîner des problèmes nutritionnels ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une ouverture buccale limitée peut rendre l'alimentation difficile, entraînant des carences."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque de déshydratation ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des difficultés à boire peuvent augmenter le risque de déshydratation chez les patients."
}
},
{
"@type": "Question",
"name": "Le trismus peut-il affecter la qualité de vie ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la douleur et les limitations fonctionnelles peuvent significativement impacter la qualité de vie."
}
},
{
"@type": "Question",
"name": "Des troubles psychologiques peuvent-ils en résulter ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la douleur chronique et les limitations peuvent entraîner de l'anxiété ou de la dépression."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque du trismus ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent des infections dentaires, des traumatismes, et des interventions chirurgicales."
}
},
{
"@type": "Question",
"name": "Les personnes âgées sont-elles plus à risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes âgées peuvent être plus susceptibles en raison de problèmes dentaires fréquents."
}
},
{
"@type": "Question",
"name": "Le bruxisme est-il un facteur de risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le bruxisme peut provoquer des tensions musculaires et contribuer au trismus."
}
},
{
"@type": "Question",
"name": "Les maladies systémiques augmentent-elles le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines maladies systémiques, comme le diabète, peuvent augmenter le risque de trismus."
}
},
{
"@type": "Question",
"name": "Les traitements orthodontiques peuvent-ils être un facteur ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des traitements orthodontiques mal adaptés peuvent entraîner des problèmes de mâchoire."
}
}
]
}
]
}
When a positive sentinel lymph node (SLN) is identified after neoadjuvant chemotherapy (NAC), completion axillary lymph node dissection (cALND) is generally recommended. We sought to evaluate the rate...
We identified all patients at our hospital between 2006 and 2021 with a positive SLN (> 0.2 mm) following NAC who underwent cALND. Rates of positive non-SLN (NSLN) on cALND were compared by nodal stat...
Overall, 229 cases (177 cN+, 52 cN0 prior to NAC) with positive SLN(s) after NAC underwent cALND. Additional NSLN involvement was found in 129/229 (56.3%) patients, including 24/52 (46.2%) cN0 and 105...
Rates of nodal positivity on cALND in the setting of positive SLN after NAC are high, supporting the current standard of routine cALND. In cN+ disease, NSLN positivity varies by tumor biology, multice...
We suspect that morbidity from both sentinel lymph node biopsy (SLNB) and axillary lymph node dissection (ALND) has been inadequately evaluated to date. Current methodologies are subjective and suscep...
A prospective, single center, observational study was conducted from February 2020 to May 2022. Consecutive patients undergoing breast and/or reconstructive surgery and axillary surgeries were identif...
Patients who underwent ALND experienced significantly worse PA compared with those who underwent SLNB in week 2 (median 66.4% versus 72.7%, p = 0.015). Subgroup analysis revealed significantly lower P...
Compared with SLNB, ALND results in a lower PA level in week 2. The findings also indicate that SLNB has a protracted effect on PA levels, which extend to 2 weeks postoperatively. Monitoring recovery ...
To assess the negative predictive value of PSMA PET scan for lymph node staging in patients undergoing robotic radical prostatectomy and pelvic lymph node dissection....
A retrospective analysis of patients who underwent robotic-assisted radical prostatectomy with pelvic lymph node dissection and had a preoperative negative PSMA PET scan for metastasis was performed. ...
The overall negative predictive value of PSMA PET scan was 71.6%. Further sub-classification according to risk stratification demonstrated a NPV of 58.02%, 92.7% and 90% for high, intermediate and low...
Pelvic lymph node dissection cannot be excluded based on a negative preop PSMA PET/CT scan....
To compare the diagnostic performance of the Node-RADS scoring system and lymph node (LN) size in preoperative LN assessment for rectal cancer (RC), and to investigate whether the selection of size as...
Preoperative CT data of 146 RC patients treated with radical resection surgery were retrospectively analyzed. The Node-RADS score and short-axis diameter of size-prioritized LNs and the morphology-pri...
Node-RADS score showed significant correlation with pN stage, LNM number and LNR (Node-RADS of size-prioritized LN: r = 0.600, 0.592, and 0.606; Node-RADS of morphology-prioritized LN: r = 0.547, 0.53...
The Node-RADS scoring system outperforms the short-axis diameter in predicting lymph node metastasis in RC. Size-prioritized LN demonstrates superior predictive efficacy compared to morphology-priorit...
In select colorectal cancer patients with metastatic retroperitoneal lymph node disease, surgical resection can be performed. We discuss our robotic technique....
We aimed to assess the prognostic impact of tumor- and patient-related parameters in patients with stage I-III small intestinal neuroendocrine tumors (SI-NETs), who underwent locoregional resective su...
The population in Western countries differs significantly from that in Eastern countries, and the prevalence of lateral pelvic lymph node (LPLN) involvement in Western populations remains largely unkn...
This retrospective single center study was designed to elaborate the LPLNP score, which was further tested on a prospective cohort of patients. Clinical and MRI factors associated with LPLN involvemen...
In the retrospective series, 120 patients underwent lateral pelvic lymph node dissection. After stepwise logistic regression, five parameters were ultimately included in the LPLNP score. When tested o...
The LPLNP score was developed based on the largest group of Western patients with locally advanced rectal cancer. This scoring system demonstrated high sensitivity and specificity during validation on...
Lymph node metastases often occur in advanced gastric cancer, with some patients presenting with metastases in the para-aortic lymph nodes. There are persistent Controversies about the benefit of para...
To retrospectively analyze the clinical data of 86 gastric cancer patients (40 in the D2 + PAND group and 46 in the D2 group) who attended the abdominal surgery department of Zhejiang Cancer Hospital ...
In the D2 + PAND group (40 cases), the average number of lymph nodes cleared per case was 4.3 in group 16 (16a2, 16b1), and the postoperative pathology confirmed lymph node positivity in 16 cases, wit...
For patients with gastric cancer whose imaging suggests metastasis in the para-aortic lymph nodes, preoperative chemotherapy combined with PAND is an effective and safe treatment that may benefit pati...
Findings from randomized clinical trials have shown that survival in patients with sentinel lymph node (SLN)-negative breast cancer is noninferior with SLN biopsy (SLNB) alone versus further axillary ...
We included patients diagnosed with pathologically staged T1-2N0M0 breast cancer between 2000 and 2015 in surveillance, epidemiology, and end results 18-registry database. Patients were considered to ...
We included 309,430 patients (253,501 SLNB and 55,929 ALND). In the weighted cohort, ALND was associated with significantly lower OS (hazard ratio [HR] 1.13; 95% confidence interval [CI] 1.10-1.16) an...
We found statistically significant differences in OS and BCSS between SLNB and ALND, though the magnitude of these differences was small. Our findings further support that SLNB alone should be the sta...
Lymph node (LN) status is an essential prognostic factor in breast cancer (BC) patients, with an important role in the surgical and therapeutic plan. Recently, we have been developed a novel system fo...