Cargando…

Mastication after craniotomy: pilot assessment of postoperative oral health-related quality of life

BACKGROUND: Neurosurgical approaches to the brain often require the mobilization of the temporal muscle. Many patients complain of postoperative pain, atrophy, reduced mouth opening, and masticatory problems. Although the pterional, frontolateral-extended-pterional, and temporal craniotomies are the...

Descripción completa

Detalles Bibliográficos
Autores principales: Gierthmuehlen, Mortimer, Jarc, Nadja, Plachta, Dennis T. T., Schmoor, Claudia, Scheiwe, Christian, Gierthmuehlen, Petra Christine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9061666/
https://www.ncbi.nlm.nih.gov/pubmed/34668078
http://dx.doi.org/10.1007/s00701-021-05020-w
_version_ 1784698774631743488
author Gierthmuehlen, Mortimer
Jarc, Nadja
Plachta, Dennis T. T.
Schmoor, Claudia
Scheiwe, Christian
Gierthmuehlen, Petra Christine
author_facet Gierthmuehlen, Mortimer
Jarc, Nadja
Plachta, Dennis T. T.
Schmoor, Claudia
Scheiwe, Christian
Gierthmuehlen, Petra Christine
author_sort Gierthmuehlen, Mortimer
collection PubMed
description BACKGROUND: Neurosurgical approaches to the brain often require the mobilization of the temporal muscle. Many patients complain of postoperative pain, atrophy, reduced mouth opening, and masticatory problems. Although the pterional, frontolateral-extended-pterional, and temporal craniotomies are the most frequently used approaches in neurosurgery, a systematic assessment of the postoperative oral health-related quality of life has never been performed so far. This study evaluates the oral health-related quality of life of patients after pterional, frontolateral-extended-pterional, or temporal craniotomy using a validated and standardized dental questionnaire, compares the results with the normal values of the general population, and investigates whether this questionnaire is sensitive to changes caused by surgical manipulation of the temporal muscle. METHODS: The “Oral Health Impact Profile” (OHIP14) is a validated questionnaire to assess the oral health-related quality of life. It asks the patients to assess their oral health situation within the past 7 days in 14 questions. Possible answers range from 0 (never) to 4 (very often). Sixty patients with benign intracranial processes operated through a lateral cranial approach were included. The questionnaire was answered before surgery (baseline) and 3 months and 15 months after surgery. RESULTS: Overall, postoperative OHIP scores increase significantly after 3 months and decrease after 15 months, but not to preoperative values. No factors can be identified which show a considerable relationship with the postoperative OHIP score. CONCLUSIONS: Postoperative impairment of mouth opening and pain during mastication can be observed 3 to 15 months after surgery and sometimes cause feedback from patients and their dentists. However, in line with existing literature, these complaints decrease with time. The study shows that the OHIP questionnaire is sensitive to changes caused by surgical manipulation of the temporal muscle and can therefore be used to investigate the influence of surgical techniques on postoperative complaints. Postoperatively, patients show worse OHIP scores than the general population, demonstrating that neurosurgical cranial approaches negatively influence the patient’s oral health-related wellbeing. Larger studies using the OHIP questionnaire should evaluate if postoperative physical therapy, speech therapy, or specialized rehabilitation devices can improve the masticatory impairment after craniotomy. TRIAL REGISTRATION: Clinical trial register: DRKS00011096.
format Online
Article
Text
id pubmed-9061666
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Springer Vienna
record_format MEDLINE/PubMed
spelling pubmed-90616662022-05-07 Mastication after craniotomy: pilot assessment of postoperative oral health-related quality of life Gierthmuehlen, Mortimer Jarc, Nadja Plachta, Dennis T. T. Schmoor, Claudia Scheiwe, Christian Gierthmuehlen, Petra Christine Acta Neurochir (Wien) Original Article - Neurosurgical technique evaluation BACKGROUND: Neurosurgical approaches to the brain often require the mobilization of the temporal muscle. Many patients complain of postoperative pain, atrophy, reduced mouth opening, and masticatory problems. Although the pterional, frontolateral-extended-pterional, and temporal craniotomies are the most frequently used approaches in neurosurgery, a systematic assessment of the postoperative oral health-related quality of life has never been performed so far. This study evaluates the oral health-related quality of life of patients after pterional, frontolateral-extended-pterional, or temporal craniotomy using a validated and standardized dental questionnaire, compares the results with the normal values of the general population, and investigates whether this questionnaire is sensitive to changes caused by surgical manipulation of the temporal muscle. METHODS: The “Oral Health Impact Profile” (OHIP14) is a validated questionnaire to assess the oral health-related quality of life. It asks the patients to assess their oral health situation within the past 7 days in 14 questions. Possible answers range from 0 (never) to 4 (very often). Sixty patients with benign intracranial processes operated through a lateral cranial approach were included. The questionnaire was answered before surgery (baseline) and 3 months and 15 months after surgery. RESULTS: Overall, postoperative OHIP scores increase significantly after 3 months and decrease after 15 months, but not to preoperative values. No factors can be identified which show a considerable relationship with the postoperative OHIP score. CONCLUSIONS: Postoperative impairment of mouth opening and pain during mastication can be observed 3 to 15 months after surgery and sometimes cause feedback from patients and their dentists. However, in line with existing literature, these complaints decrease with time. The study shows that the OHIP questionnaire is sensitive to changes caused by surgical manipulation of the temporal muscle and can therefore be used to investigate the influence of surgical techniques on postoperative complaints. Postoperatively, patients show worse OHIP scores than the general population, demonstrating that neurosurgical cranial approaches negatively influence the patient’s oral health-related wellbeing. Larger studies using the OHIP questionnaire should evaluate if postoperative physical therapy, speech therapy, or specialized rehabilitation devices can improve the masticatory impairment after craniotomy. TRIAL REGISTRATION: Clinical trial register: DRKS00011096. Springer Vienna 2021-10-19 2022 /pmc/articles/PMC9061666/ /pubmed/34668078 http://dx.doi.org/10.1007/s00701-021-05020-w Text en © The Author(s) 2021, corrected publication 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article - Neurosurgical technique evaluation
Gierthmuehlen, Mortimer
Jarc, Nadja
Plachta, Dennis T. T.
Schmoor, Claudia
Scheiwe, Christian
Gierthmuehlen, Petra Christine
Mastication after craniotomy: pilot assessment of postoperative oral health-related quality of life
title Mastication after craniotomy: pilot assessment of postoperative oral health-related quality of life
title_full Mastication after craniotomy: pilot assessment of postoperative oral health-related quality of life
title_fullStr Mastication after craniotomy: pilot assessment of postoperative oral health-related quality of life
title_full_unstemmed Mastication after craniotomy: pilot assessment of postoperative oral health-related quality of life
title_short Mastication after craniotomy: pilot assessment of postoperative oral health-related quality of life
title_sort mastication after craniotomy: pilot assessment of postoperative oral health-related quality of life
topic Original Article - Neurosurgical technique evaluation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9061666/
https://www.ncbi.nlm.nih.gov/pubmed/34668078
http://dx.doi.org/10.1007/s00701-021-05020-w
work_keys_str_mv AT gierthmuehlenmortimer masticationaftercraniotomypilotassessmentofpostoperativeoralhealthrelatedqualityoflife
AT jarcnadja masticationaftercraniotomypilotassessmentofpostoperativeoralhealthrelatedqualityoflife
AT plachtadennistt masticationaftercraniotomypilotassessmentofpostoperativeoralhealthrelatedqualityoflife
AT schmoorclaudia masticationaftercraniotomypilotassessmentofpostoperativeoralhealthrelatedqualityoflife
AT scheiwechristian masticationaftercraniotomypilotassessmentofpostoperativeoralhealthrelatedqualityoflife
AT gierthmuehlenpetrachristine masticationaftercraniotomypilotassessmentofpostoperativeoralhealthrelatedqualityoflife