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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Temporomandibular dysfunction post-craniotomy: Evaluation between pre- and post-operative status

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Author(s):
Ferreira Costa, Andre Luiz [1, 2] ; Yasuda, Clarissa Lin [1] ; Franca, Jr., Marcondes [1] ; de Freitas, Claudio Froes [2] ; Tedeschi, Helder [3] ; de Oliveira, Evandro [3] ; Cendes, Fernando [1]
Total Authors: 7
Affiliation:
[1] Univ Estadual Campinas, UNICAMP, Dept Neurol, Lab Neuroimaging, Campinas, SP - Brazil
[2] Univ Sao Paulo, UNICID, Dept Orthodont, BR-03071000 Sao Paulo - Brazil
[3] Univ Estadual Campinas, UNICAMP, Dept Neurol, Campinas, SP - Brazil
Total Affiliations: 3
Document type: Journal article
Source: JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY; v. 42, n. 7, p. 1475-1479, OCT 2014.
Web of Science Citations: 2
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. (C) 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved. (AU)