Turkish Journal of Oncology Turkish Society for Radiation Oncology
Article Open Access Volume 21 · Issue 2 · 2006 pp. 057–062

Factors related with development of treatment induced trismus in nasopharyngeal cancer patients

Enis ÖZYAR, Ebru KARAKAYA, Ferah YILDIZ, İ. Lale ATAHAN
1 Hacettepe Üniversitesi Tıp Fakültesi Radyasyon Onkolojisi Anabilim Dalı
Published: 2006 Pubmed: 63215 Article ID: 10
Abstract
OBJECTIVES

Our objective is to analyse the rate of trismus induced after treatment for nonmetastatic nasopharyngeal cancer patients and to assess the factors on development of it.


METHODS

The files of 292 patients with more than two years follow-up between November 1993-2001 were investigated retrospect ively. The patient related factors (gender, age), tumor related factors (stage, histopathological diagnosis, trismus at the time of diagnosis, cranial nerve involvement), tretment related factors (radiotherapy with or without concomittan chemotherapy, applying brachitherapy or not, total treatment time and radiotherapy dose, applying reirradiation or not) were registered and effect of these factors to formation of trismus was investigated.


RESULTS

The rate of trismus was found to be 8%. Two and five-year overall survival rates were 83% and 67.6%. Among investigated factors only two were found related with formation of radiation induced trismus: presence of trismus at the time of diagnosis (p=0.03) and treatment with reirradiation for recurrence (p=0.002).


CONCLUSION

In this study radiation induced trismus rate for nasopharyngeal cancer was similar to findings in literature. Trismus at the time of diagnosis and reirradiation are factors effecting the rate of observing this complication.

Keywords: Carcinoma/pathology/therapy; nasopharyngeal neoplasms/ pathology/therapy; radiotherapy, high-energy; trismus

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