Trismus

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Trismus[edit | edit source]

Symptoms of trismus, commonly known as lockjaw.

Trismus, commonly referred to as lockjaw, is a condition characterized by reduced ability to open the mouth due to muscle spasm, inflammation, or fibrosis. It is often associated with temporomandibular joint disorder (TMJ) and can be a symptom of various underlying conditions.

Causes[edit | edit source]

Trismus can result from a variety of causes, including:

  • Infection: Such as tetanus, which is a bacterial infection that affects the nervous system and leads to muscle stiffness.
  • Trauma: Injury to the jaw or surrounding tissues can lead to muscle spasm and trismus.
  • Surgery: Post-surgical complications, especially after procedures involving the mouth, jaw, or throat.
  • Radiation therapy: Treatment for head and neck cancers can lead to fibrosis and trismus.
  • Inflammation: Conditions such as pericoronitis or arthritis affecting the jaw joint.

Symptoms[edit | edit source]

The primary symptom of trismus is the inability to fully open the mouth. Other symptoms may include:

  • Pain in the jaw or surrounding areas
  • Difficulty speaking or eating
  • Muscle stiffness
  • Headache

Diagnosis[edit | edit source]

Diagnosis of trismus involves a thorough medical history and physical examination. Imaging studies such as X-ray, CT scan, or MRI may be used to assess the underlying cause. A dental examination may also be necessary to evaluate the condition of the teeth and jaw.

Treatment[edit | edit source]

Treatment of trismus depends on the underlying cause and may include:

  • Physical therapy: Exercises to improve jaw mobility.
  • Medication: Pain relievers, muscle relaxants, or anti-inflammatory drugs.
  • Surgery: In severe cases, surgical intervention may be required to release the muscle spasm or correct structural issues.
  • Botulinum toxin injections: To reduce muscle spasm.

Prevention[edit | edit source]

Preventive measures for trismus include:

  • Maintaining good oral hygiene to prevent infections.
  • Regular dental check-ups.
  • Avoiding trauma to the jaw.
  • Following post-operative care instructions after dental or surgical procedures.

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Contributors: Prab R. Tumpati, MD