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

Autor(es)

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]

Afiliação do(s) autor(es)

^[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

• Tipo de documento: Artigo Científico
• Fonte: JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY; v. 42, n. 7, p. 1475-1479, OCT 2014.
• Citações Web of Science: 2
• Assunto(s): Craniotomia Articulação temporomandibular Atrofia muscular Fatores de risco

Resumo

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)

• Processo FAPESP: 07/59340-4 - Avaliacao clinica e por ressonancia magnetica da saude oral e disfuncao temporomandibular em individuos submetidos ao tratamento cirurgico para epilepsia do lobo temporal.
• Beneficiário: André Luiz Ferreira Costa
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado