Trismus: Causes & Reasons

Possible Causes for Trismus

Two groups were compared based on time to oral intake, grade of trismus, pain severity and duration of hospitalization. [ncbi.nlm.nih.gov]

We present a case of a 30 year old male patient with severe throat pain and trismus. [ncbi.nlm.nih.gov]

The specific signs of peritonsillar abscess in our patient included trismus, decreased phonation, and a muffled voice. [ncbi.nlm.nih.gov]

Zygomatic Fracture

Presentation Arch fractures may result in trismus, flattening of the midface, asymmetry of the malar regions, or a reduction in oral aperture. [oralmaxillo-facialsurgery.blogspot.com]

/ unable to open mouth Aspiration risk May discharge if: Simple fracture only No associated injuries No trismus / trouble opening mouth Soft diet Warn pt to return to ED [fprmed.com]

Additionally, the fracture components may result in impingement of the temporalis muscle, trismus (difficulty with mastication) and may compromise the infraorbital foramen [radiopaedia.org]

Parapharyngeal Abscess

There is minimal trismus or tonsillar prolapse. [earnosethroatclinic.blogspot.com]

Trismus is minimal. [msdmanuals.com]

If the trismus is marked, preoperative tracheostomy becomes mandatory. Abscess is drained by a horizontal incision, made 2-3 cm below the angle of mandible. [earnosethroatclinic.blogspot.com]

Retropharyngeal Abscess

Retropharyngeal vs Peritonsillar R: < 6 yo, P: Teens R: fever, sore throat, neck stiffness P: fever, sore throat, trismus R: purulence of retropharyngeal LN P: purulence in [johnsarm.net]

The presenting symptoms, for all patients, were fever, odynophagia, torticollis, and trismus, and the clinical examination showed bulging of the posterior wall of the oropharynx [ncbi.nlm.nih.gov]

Trismus is minimal. [merckmanuals.com]

Strychnine Poisoning

BACKGROUND: In 1933 in Leon, Nicaragua, a 22-year-old woman died after an acute convulsive illness in which she experienced trismus, opisthotonos, and hyperpyrexia. [ncbi.nlm.nih.gov]

She then developed trismus and abdominal cramping, after which a family member said the bottle contained a compound called "slang nut." [ncbi.nlm.nih.gov]

Classic signs include opisthotonus, facial trismus, and risus sardonicus. [umem.org]

Tetanus

Furthermore, main symptoms, such as trismus, are often associated with several confounding factors: these may lead the physician to send patients towards an incorrect diagnostic [ncbi.nlm.nih.gov]

When a patient presents with trismus and paralysis of one or more cranial nerves, cephalic tetanus should be included in the differential diagnosis. [doi.org]

The patient reported trismus and dysphagia as his main complaints. [ncbi.nlm.nih.gov]

Temporomandibular Joint Disorder

The second case was a 68-year-old female having trismus and left-TMJ pain, which was diagnosed as TMJD at another hospital. [ncbi.nlm.nih.gov]

[…] sensation in the joint and often by pain in or about the ears, tinnitus, tiredness and slight soreness of the jaw muscles upon waking, and stiffness of the jaw or actual trismus [medical-dictionary.thefreedictionary.com]

Mechanism of trismus and its occurrence in mandibular joint dysfunction. Ann Otol Rhinol Laryngol 1939 ; 48: 499 – 514. Google Scholar | SAGE Journals 14. [doi.org]

Tetanus Neonatorum

Trismus, tonic contraction of jaw muscles, is usually absent. tetanic 1. [wordinfo.info]

[…] volume 43, page 246 (1998)Cite this article 688 Accesses 3 Altmetric Metrics details Tetanus Neonatorum or neonatal tetanus is also known in Western medicine by the terms trismus [nature.com]

[…] tetanus neonatorum is 3 to 10 days, but most newborns develop it at the end of their first week of life, when they present with irritability, feeding difficulties due to trismus [symptoma.com]

Fibrodysplasia Ossificans Progressiva

However, there are very few reports of trismus due to fibrodysplasia ossificans progressiva (FOP) following third molar surgery. [ncbi.nlm.nih.gov]

A patient attended a maxillofacial surgery outpatient clinic with severe trismus and mouth opening limited to 2mm. [ncbi.nlm.nih.gov]

Severe trismus and contraindicated exodontia in a patient with fibrodysplasia ossificans progressiva: case report. [ijp.mums.ac.ir]

Periapical Abscess

[…] and on biting, intense, throbbing pain which disturbs sleep sensitivity to food and drink that is very hot or very cold, fever difficulty in opening your mouth (known as trismus [ndcs.com.sg]

Increased mobility (mostly periapical abscess) Pressure or percussion tenderness (mostly periapical abscess) Extrusion Regional lymph node involvement More severe infection Trismus [emedicine.medscape.com]

[…] tooth, leads to swelling of the flap, pain, tenderness, and a bad taste caused by pus oozing from beneath the flap. 7 Regional lymphadenopathy is common, and cellulitis and trismus [aafp.org]

Temporomandibular Joint Ankylosis

[…] and Inflammatory -Rheumatoid Arthritis -Septic arthritis -Otitis media -Mastoditis -Parotitis -Osteoarthritis Others -Malignancies -Post radiology -Post surgery -Prolonged trismus [slideshare.net]

History dated back to birth of the boy when patient had difficulty in opening his mouth which gradually reduced to near total trismus after one episode of convulsion at the [ispub.com]

The patient called on our hospital suffering from severe trismus and facial asymmetry. [ci.nii.ac.jp]

Gaucher Disease Type 2

Type 2 is the infantile neuronopathic form, which is characterized by trismus, strabismus, ocular motor apraxia, opisthotonus and death by about two years. [collections.lib.utah.edu]

Psychomotor retardation 0025356 Recurrent aspiration pneumonia 0002100 Rigidity Muscle rigidity 0002063 Seizures Seizure 0001250 Thrombocytopenia Low platelet count 0001873 Trismus [rarediseases.info.nih.gov]

Symptoms include: difficulties opening the mouth (trismus), a squint (strabismus), severe hyperextension and arching of the head, neck and spine and other symptoms and abnormal [socialstyrelsen.se]

Paranasal Sinus Cancer

Malocclusion or loose teeth .Advanced : Trismus .Orbital :Periorbital swelling, proptosis .Epiphora, impaired occular mobilityUncommon : Neck mass 25. [slideshare.net]

[…] persistently blocked nose or bleeding per nose (epistaxis) Oral: loose teeth or dentures, bleeding from upper teeth sockets, swelling in the roof of the mouth, oral pain, or trismus [skullbaseinstitute.com]

Rhabdomyosarcoma• Liposarcoma• Leiomyosarcoma• Fibrosarcoma• Chondrosarcoma• Osteosarcoma• Plasmacytoma• Metastases 23. symptomsEarly : asymptomatic .Oral symptoms: 25-35%, Toothache, trismus [slideshare.net]

Cervicofacial Actinomycosis

Actinomycosis around the jaw can cause trismus (prolonged spasm of the jaw muscles). [dermnetnz.org]

[…] situated at the angle of the jaw, multiple abscesses and sinuses that open onto the cheek, sulfur granules in the exudates, typical absence of lymphadenopathy, with or without trismus [jiaomr.in]

Tenderness, trismus and expansive hardness of the surrounding tissues were noted. There were no palpable lymph nodes. [bmcinfectdis.biomedcentral.com]

Squamous Cell Carcinoma of the Head and Neck

Mucosal ulcerations, leukoplakia, nerve palsies, trismus, halithosis, otalgia and pain, depending on the site and location of the tumor may be encountered. [symptoma.com]

Later, 5 patients developed grade 3 trismus and 1 a grade 3 noninfectious sialadenitis. Relapse has a poor prognosis. [karger.com]

Erythroplakia and leukoplakia, as well as painful mucosal ulcerations may be seen in tumors of the oral cavity, while otalgia, paresthesias, nerve palsies, trismus and halitosis [symptoma.com]

Gaucher Disease

This case was a girl diagnosed with type 2 Gaucher disease at 12months of age who presented with poor weight gain from infancy, stridor, hypertonia, hepatosplenomegaly, trismus [ncbi.nlm.nih.gov]

Bovine Actinomycosis

Trismus may be prominent early in the patient's course; however, cervical lymphadenopathy is uncommon. [antimicrobe.org]

Joint Dislocation

The dorsal approach to the treatment of complex metacarpophalangeal joint dislocations of the fingers may offer the critical advantage of decreased risk of neurovascular injury, as well as the ability to manage associated osteochondral fractures. Complex metacarpophalangeal (MP) joint dislocations were classically[…] [healio.com]

Tonsillar Abscess

Drainage under general anesthesia may be needed for Severe trismus Young, uncooperative patients Impending airway compromise, enlarging masses Steroids Solu-Medrol 125mg IV [fprmed.com]

Trismus- Use the submandibular approach for visualization and drainage in mild to moderate trismus. Anxious patient- Talk about the procedure with the patient. [emdocs.net]

The patient is febrile (102°F), has a muffled (hot potato) voice, and extreme difficulty opening his mouth (trismus). [smartypance.com]

Ludwig's Angina

When severe, the floor of mouth swelling can also cause trismus, odynophagia and dysphagia. [radiopaedia.org]

The dentist noted bilateral submandibular swelling, an altered voice, trismus, and a raised floor of mouth. [cda-adc.ca]

Physical examination revealed right-sided facial swelling, trismus, tongue elevation (Fig. 1 ), submandibular and sublingual swelling, and tenderness with adenopathy. [link.springer.com]

Osteoradionecrosis of the Jaw

I also have a worsening trismus of the jaw to the point where I can hardly open my mouth wide enough to get a grape in. [cancercompass.com]

It is believed that the reparative capacity of radiation-injured bone is exceeded Clinical presentation: pain, swelling, trismus, exposed bone, pathologic fracture, malocclusion [en.wikibooks.org]

[…] preliminary response to this question: With the numerous comorbidities associated with head and neck radiation (oral mucositis, radiodermatitis, dysgeusia, dysphagia/odynophagia, trismus [oasisdiscussions.ca]

Maxillary Fracture

Additionally, the fracture components may result in impingement of the temporalis muscle, trismus (difficulty with mastication) and may compromise the infraorbital foramen [radiopaedia.org]

Zygomatic arch fracture is suggested by trismus and a defect on palpation of the zygomatic arch. [msdmanuals.com]

Fractures of the mandibular condyle usually cause preauricular pain, swelling, and limited opening of the mouth (trismus). [msdmanuals.com]

Jaw Fracture

[…] trauma of the teeth that may be displaced or missing, impaired occlusion, bleeding, and limited opening of the mouth due to temporomandibular joint instability and consequent trismus [symptoma.com]

The pain can in fact be severe enough that the mouth can only be opened a small amount, a condition referred to as “trismus”. [facialtraumamd.com]

Ameloblastic Carcinoma

The most common sign described has been swelling, although others include associated pain, rapid growth, trismus and dysphonia [ 26 ]. [rroij.com]

The most common sign was swelling, although pain, rapid growth, trismus, and dysphonia also occurred. [ncbi.nlm.nih.gov]

The patient's presenting symptoms included facial asymmetry of the right jaw over 2 months and the development of moderate trismus. [ncbi.nlm.nih.gov]

Cold-Induced Sweating Syndrome Type 1

She had a round face without criteria for difficult airway management and without trismus. Venous capital appeared poor. [scielo.br]

[…] space and hit enter Abstract Crisponi syndrome is an autosomal recessive disorder characterized by intermittent episodes of muscular contraction of the facial muscles with trismus [unboundmedicine.com]

Cytokines Death, Sudden Facies Female Genetic Association Studies Hand Deformities, Congenital Humans Hyperhidrosis Hypohidrosis Male Mutation Pedigree Receptors, Cytokine Trismus [portal.findresearcher.sdu.dk]

Acute Pericoronitis

Diagnosis Based on the clinical history and signs, a diagnosis of trismus is determined. [jcda.ca]

Pain (visual analogue scale; VAS), number of analgesics, maximum mouth opening (MMO), and number of patients with trismus were determined. [ncbi.nlm.nih.gov]

RESULTS: We found that the trismus and the OHRQoL in the Nd:YAG and the 808-nm diode groups were significantly improved when compared with the 660-nm diode and control groups [ncbi.nlm.nih.gov]

Mandibular Neoplasm

Twenty-three patients reported trismus. [ijdr.in]

Esophageal Stricture Lymphedema Mandibular Sarcoma Mucositis Myelodysplastic Syndrome Neutropenia Osteoradionecrosis Periodontal Issues Radiation Caries Stomatitis / Fibrosis Trismus [oralcancerfoundation.org]

The main symptoms are swelling and pain, with trismus, paraesthesia and tooth mobility being noted occasionally [2]. [ejo.eg.net]

Radiation Stomatitis

Trismus/tissue fibrosis: Loss of elasticity of masticatory muscles that restricts normal ability to open the mouth. [colgate.com]

Trismus can interfere with oral hygiene, fluoride treatments and dental care. [cancer.ca]

Trismus prevalence in studies of chemoradiation is approximately 30%.[ 35 ] Prevention strategies Early treatment of trismus has the potential to prevent or minimize many [cancer.gov]

Drug-Induced Dystonia

[…] was rather sparse: A patient with a known dystonic reaction to metoclopramide required an alternative option for sea sickness - we are trying cyclizine A patient developed trismus [bpac.org.nz]

Buccolingual dystonia is the most common form. [ Hooker, 1988 ] Consists of dysarthria, mutism, trismus, tongue protruding or retracting, facial grimacing / distortions. [pedemmorsels.com]

Characteristic movements include trismus, mouth opening, grimacing, blepharospasm, glossopharyngeal contraction, stridor, oculogyric crisis, opisthotonos, torticollis, and [clinicaladvisor.com]

Oromandibular Dystonia

However, the trismus improved mildly and transitorily. Therefore, coronoidotomy was done under general anesthesia. The jaw opening increased to 50 mm. [ncbi.nlm.nih.gov]

This case history reports a case of jaw-closing OMD accompanied by trismus-related TMJ osteoarthritis (OA). [ncbi.nlm.nih.gov]

Jaw closing dystonia, the most common subtype of this condition, can cause trismus and is frequently misdiagnosed as temporomandibular joint disorder or masticatory muscle [ncbi.nlm.nih.gov]