Gligor Mihaela Romanița, Cristache Corina Marilena, Bucur Mirela Veronica, Burlibasa Mihai, Matei Claudiu
Department of Dental Medicine and Nursing, Faculty of Medicine, Lucian Blaga University, 2A Lucian Blaga Str., 550169 Sibiu, Romania.
Department of Dental Techniques, Faculty of Midwifery and Medical Assisting (FMAM), Carol Davila University of Medicine and Pharmacy, 8 Eroilor Sanitari Blvd., 050474 Bucharest, Romania.
J Clin Med. 2021 Dec 23;11(1):65. doi: 10.3390/jcm11010065.
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.
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.
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 ( = 0.008 and = 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.
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.
翼点入路开颅术是神经外科最常用的手术干预方法之一，会导致一系列术后变化，若这些变化持续存在，会影响患者的生活、社会重新融入以及身心恢复。本研究的目的是开发并验证一份问卷，用于指示神经外科翼点入路手术患者中直接受影响的咀嚼肌群和面神经分支，以便对恢复治疗进行监测并实现个性化。
一份由18个项目组成的自填式问卷（12个用于术后咀嚼状态，6个用于面神经分支受累情况），在15名患者身上进行了验证，经过项目开发、量表开发和量表评估三个步骤，前瞻性地应用了两次，间隔一年（T0和T1），共有32名患有血管性或肿瘤性疾病并通过翼点入路进行手术治疗的患者参与。
术后结果与年龄或性别之间未发现统计学上的显著相关性。面神经分支受累情况与任何评估变量均无相关性。病理类型和手术时间与非手术侧耳前疼痛在统计学上显著相关（分别为=0.008和=0.034）。手术时间与咀嚼硬食物的能力、打哈欠时的疼痛以及下颌前后运动和逐渐张口时的耳前疼痛在统计学上显著相关。
我们创建并验证了一份有价值的以患者为中心的问卷，可作为术后评估直接受影响的咀嚼肌和面神经分支组的工具。
