The diagnostic work-up in a 2-year-old girl with persistent mouth opening and oral malfunctions of unknown aetiology – case report
Agnieszka Grobelczyk1, Irena Mazur-Galli2, Wiktoria Tomaszewska1, Agata Chobot1,3, Edyta Machura4, Ewa Grzywna-Rozenek4
Affiliation and address for correspondenceThis study presents possible causes of recurrent prolonged episodes of oral malfunctions manifesting as permanently open mouth, salivation, and deglutition disorders. We present the case study of a girl hospitalised in the paediatric ward and then diagnosed by a multidisciplinary approach due to the lack of active and passive ability of mouth closing. Despite the comprehensive diagnostic work-up performed, no typical causes or organic reasons were determined. The comparative analysis included infectious, neurological, laryngological, vascular and orthopaedic diseases, and psychological and psychiatric factors. The diagnosis was made by exclusion; the psychological and habitual background was approved as the most probable reason for the symptoms.
