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Title: Temporomandibular dysfunction post-craniotomy: evaluation between pre- and post-operative status. Author: Costa AL, Yasuda CL, França M, de Freitas CF, Tedeschi H, de Oliveira E, Cendes F. Journal: J Craniomaxillofac Surg; 2014 Oct; 42(7):1475-9. PubMed ID: 24951235. 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.[Abstract] [Full Text] [Related] [New Search]