Evaluation of temporal muscle trophism in relation to the manipulation time and infiltration of 0.5% isobaric bupivacaine through a pterional approach

Valdivia-Chiñas, Heberseleth; Córdoba-Mosqueda, María Elena; Cruz-Cruz, Erika Fabiola; Ochoa-Cacique, Diego; Medina-Carrillo, Óscar; García-González, Ulises

doi:10.1016/j.neucie.2019.05.001

Cited by 1 publication

(2 citation statements)

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“…Dissection of the temporal muscle during craniotomy is frequently associated with its postoperative atrophy, restricted mandibular movements and the development of signs and symptoms of TMJ dysfunction [ 16 ]. In addition to functional disability, cosmetic defects could also result from the dissection of the frontal branch of the facial nerve, such as paralysis of the forehead muscle, the orbicularis oculi muscle, and the corrugator supercilii muscle [ 17 ], all these aspects can cause severe impairment of a patient’s quality of life [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…It is well known that, so far, none of the neurosurgical techniques requiring disconnection of the temporalis muscle have managed to entirely prevent its atrophy [ 25 , 26 ]. However, not only is the temporalis muscle affected, its mobilization generates an alteration in normal TMJ function, which manifests as pain, a limited ability to chew, and problems with occlusion, mouth opening, and lateral movement of the jaw [ 16 , 18 ]. These functional alterations were observed in the patients in our study group.…”

Section: Discussionmentioning

confidence: 99%

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Questionnaire-Based Assessment of the Masticatory Function and Facial Nerve Recovery Post Pterional Approach in Brain Tumors Surgery

Gligor

Cristache

Bucur

et al. 2021

JCM

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Background: The pterional approach for craniotomy, one of the most used surgical intervention in neurosurgery, results in a series of postoperative changes that, if they persist, affect the patient’s life, social reintegration, and his/her physical and mental recovery. The aim of the present study was to develop and validate a questionnaire for indicating directly affected masticatory muscles groups and facial nerve branches, in patients undergoing the pterional approach in neurosurgery, so that the recovery therapy can be monitored and personalized. Methods: A self-reporting questionnaire consisting of 18 items (12 for postoperative masticatory status and 6 for facial nerve branches involvement), validated on fifteen patients, following three steps: items development, scale development, and scale evaluation, was prospectively applied twice, at a one-year interval (T0 and T1), with thirty-two patients suffering from vascular or tumoral pathology and surgically treated through a pterional approach. Results: No statistically significant correlation could be found between postoperative outcomes and age or gender. Facial nerve branch involvement could not be correlated with any of the assessed variables. Pathology and time elapsed from surgery were statistically significantly correlated to preauricular pain on the non-operated side (p = 0.008 and p = 0.034, respectively). Time elapsed from surgery was statistically significantly correlated to the ability to chew hard food, pain while yawning, and preauricular pain during back and forward jaw movements and gradual mouth opening. Conclusions: We created and validated a valuable patient-centered questionnaire that can be employed as a tool for postoperative assessment of directly affected masticatory muscles and groups of facial nerve branches.

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Section: Discussionmentioning

confidence: 99%