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[Dysphagia] Trismus?
- Subject: [Dysphagia] Trismus?
- From: scott-dailey at uiowa.edu (Dailey, Scott)
- Date: Wed Jun 14 09:16:40 2006
I would recommend that her TMJ be evaluated by an oral surgeon to ensure
that the joint has not become "fixed." Does her mouth open or is it
"looser" when she is sounds asleep, if not, then I would highly suspect
that it is a joint problem (bone, tendon, ligament or even muscle
fibrosis). Did the patient receive any radiation.
Scott Dailey, MA, CCC-SLP
Speech-Language Pathologist
University of Iowa Hospitals and Clinics
-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
Behalf Of Staci Otto
Sent: Wednesday, June 14, 2006 8:58 AM
To: dysphagia@b9.com; eripley@yahoo.com
Subject: [Dysphagia] Trismus?
19 month old female now s/p her 2nd resection of a posterior fossa mass.
S/p trach, G-J tube. Considerable deficits. Bilateral vocal cord
paralysis. Damage to CN's II, III, VI, VIII, IX, X. Complications from
both resections include hydrocephalus, infections, and an arrest-
of immediate concern her jaw is tightly shut, yet there is no
constriction of the muscles involved in jaw closure- ?? She has NO
swallow. Does not open her jaw when she has emesis. Cannot get in to
do oral hygiene. I work to get back to the tmj to get some release,
better in prone, but is extremely difficult to get any movement and I
dont want to force.
Any suggestions? Cautions?
I know, your probably wondering- I'm not sure of her prognosis. The
docs say "reasonable"- definitely not incurable status. That is, if she
doesnt get pneumonia first.
Staci Otto MS CCC-SLP
Children's Hospital of Philadelphia
215-590-7636
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