A1 Refereed original research article in a scientific journal
Postoperative temporomandibular dysfunction in patients with fractures of the zygomatic complex: a prospective follow-up study
Authors: H. Rajantie, J. Snäll, H. Thorén
Publisher: CHURCHILL LIVINGSTONE
Publication year: 2018
Journal: British Journal of Oral and Maxillofacial Surgery
Journal name in source: BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY
Journal acronym: BRIT J ORAL MAX SURG
Volume: 56
Issue: 7
First page : 573
Last page: 577
Number of pages: 5
ISSN: 0266-4356
eISSN: 1532-1940
DOI: https://doi.org/10.1016/j.bjoms.2018.05.017
Abstract
The aim of this prospective follow-up study was to clarify the incidence and characteristics of dysfunction of the temporomandibular joint (TMJ) in patients treated surgically for fractures of the zygomatic complex. Patients were evaluated on presentation and six months after injury to assess the function of the masticatory system using the Helkimo index, which incorporates two complementary subindices: the subjective symptomatic (anamnestic) index (A(i)) and the objective clinical dysfunction index (D-i). Forty-five patients (12 women and 33 men, mean (range) age 44 (21-83) years) completed the study. Six patients developed subjective symptoms of dysfunction of the TMJ during follow-up, in four of whom they were severe. Clinical findings were noted in 38 patients but without significant association with subjective symptoms.Dysfunction of the TMJ is common six months after surgical treatment of a fracture of the zygomatic complex, and patients with such fractures should be evaluated for temporomandibular dysfunction during follow-up and referred for treatment when necessary. (C) 2018 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
The aim of this prospective follow-up study was to clarify the incidence and characteristics of dysfunction of the temporomandibular joint (TMJ) in patients treated surgically for fractures of the zygomatic complex. Patients were evaluated on presentation and six months after injury to assess the function of the masticatory system using the Helkimo index, which incorporates two complementary subindices: the subjective symptomatic (anamnestic) index (A(i)) and the objective clinical dysfunction index (D-i). Forty-five patients (12 women and 33 men, mean (range) age 44 (21-83) years) completed the study. Six patients developed subjective symptoms of dysfunction of the TMJ during follow-up, in four of whom they were severe. Clinical findings were noted in 38 patients but without significant association with subjective symptoms.Dysfunction of the TMJ is common six months after surgical treatment of a fracture of the zygomatic complex, and patients with such fractures should be evaluated for temporomandibular dysfunction during follow-up and referred for treatment when necessary. (C) 2018 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
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