Physiotherapy Maneuver Is Critical to Recover Mouth Opening After Pediatric Trauma  Ghada Amin Khalifa, MD, Naglaa Shawki El-Kilani, MD, Hanan Mohamed.

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Physiotherapy Maneuver Is Critical to Recover Mouth Opening After Pediatric Trauma  Ghada Amin Khalifa, MD, Naglaa Shawki El-Kilani, MD, Hanan Mohamed Shokier, MD  Journal of Oral and Maxillofacial Surgery  Volume 74, Issue 12, Pages 2465-2479 (December 2016) DOI: 10.1016/j.joms.2016.07.026 Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

Figure 1 Photographs showing A, post-traumatic restricted mouth opening after 1 week; B, use of a mouth gag to dilate the jaw; C, use of a mouth prop to keep the jaw dilated; and D, mouth opening 4 months after physiotherapy, with a slight mandibular deviation toward the nonaffected side. Journal of Oral and Maxillofacial Surgery 2016 74, 2465-2479DOI: (10.1016/j.joms.2016.07.026) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

Figure 2 Graph showing mean of maximum mouth opening recovery during the follow-up period. Journal of Oral and Maxillofacial Surgery 2016 74, 2465-2479DOI: (10.1016/j.joms.2016.07.026) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

Figure 3 Delta mean changes of maximum mouth opening during the follow-up months. The greatest change was at the fourth month. Journal of Oral and Maxillofacial Surgery 2016 74, 2465-2479DOI: (10.1016/j.joms.2016.07.026) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

Figure 4 Maximum mouth opening as a function of follow-up time for the total delta mean change of the 4 groups. The nonlinear regression test and relevant equation for maximum mouth opening are shown. Journal of Oral and Maxillofacial Surgery 2016 74, 2465-2479DOI: (10.1016/j.joms.2016.07.026) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions