{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T10:00:26Z","timestamp":1780999226085,"version":"3.54.1"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001171","name":"Cancer Institute NSW","doi-asserted-by":"publisher","award":["CINSW 2020\/2081"],"award-info":[{"award-number":["CINSW 2020\/2081"]}],"id":[{"id":"10.13039\/501100001171","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001171","name":"Cancer Institute NSW","doi-asserted-by":"publisher","award":["CINSW ECF1513"],"award-info":[{"award-number":["CINSW ECF1513"]}],"id":[{"id":"10.13039\/501100001171","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100024053","name":"Sydney Local Health District","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100024053","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011371","name":"Royal Australasian College of Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011371","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022937","name":"Australian and New Zealand Head and Neck Cancer Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022937","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tensor fascia lata (TFL) slings are widely used in facial nerve reconstruction (FNR) to restore symmetry and tone, but postoperative trismus is a significant morbidity. This study assessed the feasibility of early rehabilitation using Restorabite, a novel force\u2010controlled trismus device.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty\u2010seven patients undergoing FNR with TFL slings commenced 10\u2009weeks of Restorabite therapy a mean 1.3\u2009\u00b1\u20091.2\u2009weeks postoperatively. Outcomes included maximal incisal opening (MIO) and trismus\u2010related quality of life (Gothenburg Trismus Questionnaire, GTQ).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean MIO improved by 13.0\u2009mm (95% CI 11.0\u201315.0;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with 16 patients improving in trismus severity and 8 no longer meeting trismus criteria (&gt;\u200935\u2009mm). GTQ scores improved by 17.6 (95% CI 15.4\u201319.7;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02), particularly in eating and pain. Benefits were sustained at 6 and 12\u2009months. Radiotherapy was associated with poorer outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early use of Restorabite is safe and effective for trismus rehabilitation following FNR with TFL slings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.70169","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T10:59:18Z","timestamp":1768561158000},"page":"1579-1586","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Early Trismus Intervention Following Facial Nerve Palsy Reconstruction"],"prefix":"10.1002","volume":"48","author":[{"given":"Briony","family":"Adshead","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney Australia"},{"name":"School of Health Sciences, Faculty of Medicine and Health The University of Sydney  Sydney Australia"},{"name":"Sydney Facial Nerve Service Chris O'brien Lifehouse  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8246-210X","authenticated-orcid":false,"given":"Emma","family":"Charters","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney Australia"},{"name":"School of Health Sciences, Faculty of Medicine and Health The University of Sydney  Sydney Australia"},{"name":"Sydney Facial Nerve Service Chris O'brien Lifehouse  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney Australia"},{"name":"School of Health Sciences, Faculty of Medicine and Health The University of Sydney  Sydney Australia"},{"name":"Sydney Facial Nerve Service Chris O'brien Lifehouse  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney Australia"},{"name":"Central Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney Australia"},{"name":"Royal Prince Alfred Institute of Academic Surgery, Sydney Local Health District  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masako","family":"Dunn","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney Australia"},{"name":"Central Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsu\u2010Hui","family":"Low","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Sydney Australia"},{"name":"Sydney Facial Nerve Service Chris O'brien Lifehouse  Sydney Australia"},{"name":"Central Clinical School, Faculty of Medicine and Health The University of Sydney  Sydney Australia"},{"name":"Faculty of Medicine and Health Sciences Macquarie University  Sydney 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