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Case Studies | Physiotherapy | India | Volume 12 Issue 9, September 2023 | Rating: 4.8 / 10
Effective Physiotherapy Intervention for Restoring Temporomandibular Joint Function in a Post-Buccal Mucosa Carcinoma Patient: A Case Report
Vyoma Fultariya | Dr. Brinda Joshi
Abstract: This case report describes a case of a 45-year-old adult male who sought help because of difficulty in mouth opening for the period of 1 month. The patient also reported difficulty in eating and pain on the right side temporomandibular joint region along with history of carcinoma of buccal mucosa on the right-side. Excision surgery of carcinoma was done and chemotherapy taken for the same. Following this, the patient was on a liquid diet. Clinical examination revealed restriction in the active range of temporomandibular joint depression, protrusion. Abnormal tissue stretch end feel was found for all the movement of the temporomandibular joint. Palpation of the lateral pole of the right condyle discovered no crepitus. The KNUCKLE test is positive. There is no "gold standard" treatment for the management of temporomandibular dysfunctions, but for temporomandibular dysfunction treatment has to be based on precise indications related to the presence of pain, limitation in function of the lower jaw. Temporomandibular joint mobilization, range of motion exercise and stretching using tongue blades and in addition, facilitatory exercise in the form of resisted neck flexion was given. After 2-months, follow-up was taken, which showed improvement in range of motion of temporomandibular joint and now the patient is able to chew food. This case report?s finding shows the importance of effective physiotherapy intervention in enabling patients to carry out the basic most ADL eating.
Keywords: Temporomandibular joint dysfunction, squamous cell carcinoma, physical therapy, facilitatory exercises
Edition: Volume 12 Issue 9, September 2023,
Pages: 858 - 861