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University of Groningen

Trismus in head and neck cancer patients

van der Geer, Joyce

DOI:

10.33612/diss.112040321

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from

it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date:

2020

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

van der Geer, J. (2020). Trismus in head and neck cancer patients. Rijksuniversiteit Groningen.

https://doi.org/10.33612/diss.112040321

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Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum.

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Trismus in head and neck cancer patients

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Trismus in head and neck cancer patients

ISBN Printed book: 978-94-034-2295-4 ISBN E-book: 978-94-034-2296-1

Layout and design by: Marilou Maes, persoonlijkproefschrift.nl Printed by: Ipskamp Printing, proefschriften.net Copyright © 2019 Sarah Joyce van der Geer

All rights reserved. No part of this publication may be reported or transmitted, in any form or by any means, without permission of the author.

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Trismus in head and neck cancer

patients

Proefschrift

ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen

op gezag van de

rector magnificus prof. dr. C. Wijmenga en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op maandag 3 februari 2020 om 14.30 uur

door

Sarah Joyce van der Geer

geboren op 25 december 1992

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Promotores

Prof. dr. P.U. Dijkstra Prof. dr. J.L.N. Roodenburg

Copromotor

Dr. H. Reintsema

Beoordelingscommissie

Prof. dr. E.B. Wolvius Prof. dr. J.H.B. Geertzen Prof. dr. F.K.L. Spijkervet

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Paranimfen

P. Onclin R. Rozema

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CONTENTS

Chapter 1 General introduction 9 Criterion for trismus

Chapter 2 Criterion for trismus in head and neck cancer patients:

a verification study. 17

Factors associated with trismus

Chapter 3a Prevalence and prediction of trismus in head and neck cancer

patients: a cross- sectional study. 35

Chapter 3b Mouth opening in patients treated for head and neck cancer: a linear mixed model analysis. 57

Chapter 4 Predictors for trismus in patients receiving radiotherapy. 73

Chapter 5 Prognostic factors for a restricted mouth opening (trismus) in

head and neck cancer patients: a systematic review. 95

Therapy for trismus

Chapter 6 The use of stretching devices for treatment of trismus in head

and neck cancer patients: a randomized controlled trial. 139

Chapter 7 General discussion 163

Summary 173

Samenvatting 177

Dankwoord 183

Curriculum Vitae 191

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