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Related Concept Videos

Assessment of the Mouth01:26

Assessment of the Mouth

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A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
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Temporomandibular dysfunction post-craniotomy: evaluation between pre- and post-operative status.

André Luiz Ferreira Costa1, Clarissa Lin Yasuda2, Marcondes França2

  • 1Department 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.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
|June 22, 2014
PubMed
Summary
This summary is machine-generated.

Post-craniotomy patients experienced reduced maximal mouth opening. Pre-operative bruxism and longer follow-up times increased the risk of temporomandibular joint dysfunction (TMD) after surgery.

Keywords:
CraniotomyRisk factorsTemporal muscle atrophyTemporomandibular joint

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Area of Science:

  • Neurosurgery
  • Oral and Maxillofacial Surgery
  • Neurology

Background:

  • Craniotomy can lead to post-operative complications affecting the temporomandibular joint (TMJ).
  • Temporomandibular joint dysfunction (TMD) symptoms include pain, limited mouth opening, and joint sounds.

Purpose of the Study:

  • To identify risk factors for temporomandibular joint dysfunction (TMD) following craniotomy.
  • To evaluate the impact of craniotomy on maximal mouth opening and other TMJ parameters.

Main Methods:

  • A cohort of 24 patients undergoing craniotomy for refractory epilepsy was assessed.
  • Maximal mouth opening, disc displacement, bruxism, TMJ sounds, and pain were evaluated pre- and post-surgery.
  • Bivariate and multiple regression analyses were used to identify risk factors.

Main Results:

  • Maximal mouth opening significantly decreased in all patients post-craniotomy (p=0.03).
  • Multiple regression analysis revealed that pre-operative bruxism and time of post-operative evaluation were significant risk factors for TMD (p<0.05).

Conclusions:

  • Craniotomy is associated with a significant reduction in maximal mouth opening.
  • Pre-operative bruxism is a key risk factor for developing temporomandibular joint dysfunction after craniotomy.