André Luiz Ferreira Costa1, Clarissa Lin Yasuda2, Marcondes França2, Claudio Fróes de Freitas3, Helder Tedeschi4, Evandro de Oliveira4, Fernando Cendes2. 1. Department of Orthodontics, UNICID (University of São Paulo City), São Paulo, SP, Brazil; Laboratory of Neuroimaging, Department of Neurology, UNICAMP (University of Campinas), Campinas, SP, Brazil. Electronic address: alfcosta@gmail.com. 2. Laboratory of Neuroimaging, Department of Neurology, UNICAMP (University of Campinas), Campinas, SP, Brazil. 3. Department of Orthodontics, UNICID (University of São Paulo City), São Paulo, SP, Brazil. 4. Department of Neurology, UNICAMP (University of Campinas), Campinas, SP, Brazil.
Abstract
OBJECTIVE: To identify risk factors associated with post-operative temporomandibular joint dysfunction after craniotomy. METHODS: The study sample included 24 patients, mean age of 37.3 ± 10 years; eligible for surgery for refractory epilepsy, evaluated according to RDC/TMD before and after surgery. The primary predictor was the time after the surgery. The primary outcome variable was maximal mouth opening. Other outcome variables were: disc displacement, bruxism, TMJ sound, TMJ pain, and pain associated to mandibular movements. Data analyses were performed using bivariate and multiple regression methods. RESULTS: The maximal mouth opening was significantly reduced after surgery in all patients (p = 0.03). In the multiple regression model, time of evaluation and pre-operative bruxism were significantly (p < .05) associated with an increased risk for TMD post-surgery. CONCLUSION: A significant correlation between surgery follow-up time and maximal opening mouth was found. Pre-operative bruxism was associated with increased risk for temporomandibular joint dysfunction after craniotomy.
OBJECTIVE: To identify risk factors associated with post-operative temporomandibular joint dysfunction after craniotomy. METHODS: The study sample included 24 patients, mean age of 37.3 ± 10 years; eligible for surgery for refractory epilepsy, evaluated according to RDC/TMD before and after surgery. The primary predictor was the time after the surgery. The primary outcome variable was maximal mouth opening. Other outcome variables were: disc displacement, bruxism, TMJ sound, TMJ pain, and pain associated to mandibular movements. Data analyses were performed using bivariate and multiple regression methods. RESULTS: The maximal mouth opening was significantly reduced after surgery in all patients (p = 0.03). In the multiple regression model, time of evaluation and pre-operative bruxism were significantly (p < .05) associated with an increased risk for TMD post-surgery. CONCLUSION: A significant correlation between surgery follow-up time and maximal opening mouth was found. Pre-operative bruxism was associated with increased risk for temporomandibular joint dysfunction after craniotomy.
Authors: Daniel Buzaglo Gonçalves; Maria Izabel Andrade Dos Santos; Lucas de Cristo Rojas Cabral; Louise Makarem Oliveira; Gabriela Campos da Silva Coutinho; Bruna Guimarães Dutra; Rodrigo Viana Martins; Franklin Reis; Wellingson Silva Paiva; Robson Luis Oliveira de Amorim Journal: Surg Neurol Int Date: 2021-09-13
Authors: Mortimer Gierthmuehlen; Nadja Jarc; Dennis T T Plachta; Claudia Schmoor; Christian Scheiwe; Petra Christine Gierthmuehlen Journal: Acta Neurochir (Wien) Date: 2021-10-19 Impact factor: 2.816