颞肌夹层颅骨成形术与非颞肌夹层颅骨成形术治疗颅骨减压术后大颅骨缺损的咬合力对比分析。

Asian journal of neurosurgery Pub Date : 2025-05-09 eCollection Date: 2025-09-01 DOI:10.1055/s-0045-1809047
Soumya Deepta Nandi, Raja K Kutty, Jyothish Laila Sivanandapanicker, Sunilkumar Balakrishnan Sreemathyamma, Raj S Chandran, Rosebist Pathrose Kamalabai, Libu Gnanaseelan Kanakamma, Rajmohan Bhanu Prabhakar, Sureshkumar Kunjuni Leela, Anilkumar Peethambaran
{"title":"颞肌夹层颅骨成形术与非颞肌夹层颅骨成形术治疗颅骨减压术后大颅骨缺损的咬合力对比分析。","authors":"Soumya Deepta Nandi, Raja K Kutty, Jyothish Laila Sivanandapanicker, Sunilkumar Balakrishnan Sreemathyamma, Raj S Chandran, Rosebist Pathrose Kamalabai, Libu Gnanaseelan Kanakamma, Rajmohan Bhanu Prabhakar, Sureshkumar Kunjuni Leela, Anilkumar Peethambaran","doi":"10.1055/s-0045-1809047","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Cranioplasty involves repairing the skull defect using an autologous bone flap or synthetic molds. The temporalis muscle, detached during decompressive craniectomy (DC), may be reattached to the bone flap for better cosmetic reconstruction. Along with the masseter and pterygoid muscles, the temporalis muscle significantly contributes to the human bite force. In this study, we analyze patients' bite force in which the temporalis muscle was either dissected and reattached or left undisturbed during cranioplasty.</p><p><strong>Materials and methods: </strong>All patients who previously underwent DC for traumatic brain injury or stroke were grouped into two, depending on the method of cranioplasty. In group 1, patients underwent temporalis muscle dissection and reattachment to the bone flap or prosthesis. In group 2, the temporalis muscle was left undisturbed. The bite force of the subjects was measured bilaterally in both groups by a gnathodynamometer before cranioplasty and 3 months after the surgery. We compared the difference in bite force of the subjects individually on both sides, preoperatively and postoperatively, as well as between the groups.</p><p><strong>Results: </strong>This study included 36 patients over 18 years of age, with 18 patients in each group. Preoperatively, the bite force of all the subjects was decreased on the side of the DC compared with the normal side. After cranioplasty, the bite force significantly improved compared with preoperative values in both groups.</p><p><strong>Conclusion: </strong>Temporalis dissection can be safely done during cranioplasty. There is improvement in bite force after cranioplasty with or without temporalis dissection.</p>","PeriodicalId":94300,"journal":{"name":"Asian journal of neurosurgery","volume":"20 3","pages":"542-548"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12370351/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparative Analysis of Bite Force after Cranioplasty with and without Temporalis Dissection in Large Skull Defects Caused by Decompressive Craniectomy.\",\"authors\":\"Soumya Deepta Nandi, Raja K Kutty, Jyothish Laila Sivanandapanicker, Sunilkumar Balakrishnan Sreemathyamma, Raj S Chandran, Rosebist Pathrose Kamalabai, Libu Gnanaseelan Kanakamma, Rajmohan Bhanu Prabhakar, Sureshkumar Kunjuni Leela, Anilkumar Peethambaran\",\"doi\":\"10.1055/s-0045-1809047\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Cranioplasty involves repairing the skull defect using an autologous bone flap or synthetic molds. The temporalis muscle, detached during decompressive craniectomy (DC), may be reattached to the bone flap for better cosmetic reconstruction. Along with the masseter and pterygoid muscles, the temporalis muscle significantly contributes to the human bite force. In this study, we analyze patients' bite force in which the temporalis muscle was either dissected and reattached or left undisturbed during cranioplasty.</p><p><strong>Materials and methods: </strong>All patients who previously underwent DC for traumatic brain injury or stroke were grouped into two, depending on the method of cranioplasty. In group 1, patients underwent temporalis muscle dissection and reattachment to the bone flap or prosthesis. In group 2, the temporalis muscle was left undisturbed. The bite force of the subjects was measured bilaterally in both groups by a gnathodynamometer before cranioplasty and 3 months after the surgery. We compared the difference in bite force of the subjects individually on both sides, preoperatively and postoperatively, as well as between the groups.</p><p><strong>Results: </strong>This study included 36 patients over 18 years of age, with 18 patients in each group. Preoperatively, the bite force of all the subjects was decreased on the side of the DC compared with the normal side. After cranioplasty, the bite force significantly improved compared with preoperative values in both groups.</p><p><strong>Conclusion: </strong>Temporalis dissection can be safely done during cranioplasty. There is improvement in bite force after cranioplasty with or without temporalis dissection.</p>\",\"PeriodicalId\":94300,\"journal\":{\"name\":\"Asian journal of neurosurgery\",\"volume\":\"20 3\",\"pages\":\"542-548\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-05-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12370351/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Asian journal of neurosurgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1055/s-0045-1809047\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/9/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asian journal of neurosurgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/s-0045-1809047","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

颅骨成形术包括使用自体骨瓣或合成模具修复颅骨缺损。在减压颅骨切除术(DC)中分离的颞肌可以重新附着在骨瓣上以获得更好的美容重建。与咬肌和翼状肌一起,颞肌对人的咬合力有重要的贡献。在这项研究中,我们分析了在颅骨成形术中切除并重新附着颞肌或不受干扰的患者的咬合力。材料和方法:根据颅骨成形术的方法,将所有之前因创伤性脑损伤或中风接受DC治疗的患者分为两组。在第一组,患者接受颞肌剥离和骨瓣或假体再附着。第二组颞肌不受干扰。两组患者在颅骨成形术前和术后3个月分别用口腔测力仪测量双侧咬合力。我们比较了两组患者的咬合力差异,术前和术后,以及组间。结果:本研究纳入36例18岁以上患者,每组18例。术前,所有受试者的牙床侧咬合力均较正常侧降低。颅骨成形术后,两组患者的咬合力均较术前有明显改善。结论:颅骨成形术中可以安全的进行颞肌剥离。有或没有颞肌剥离颅骨成形术后的咬合力改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Comparative Analysis of Bite Force after Cranioplasty with and without Temporalis Dissection in Large Skull Defects Caused by Decompressive Craniectomy.

Comparative Analysis of Bite Force after Cranioplasty with and without Temporalis Dissection in Large Skull Defects Caused by Decompressive Craniectomy.

Comparative Analysis of Bite Force after Cranioplasty with and without Temporalis Dissection in Large Skull Defects Caused by Decompressive Craniectomy.

Comparative Analysis of Bite Force after Cranioplasty with and without Temporalis Dissection in Large Skull Defects Caused by Decompressive Craniectomy.

Introduction: Cranioplasty involves repairing the skull defect using an autologous bone flap or synthetic molds. The temporalis muscle, detached during decompressive craniectomy (DC), may be reattached to the bone flap for better cosmetic reconstruction. Along with the masseter and pterygoid muscles, the temporalis muscle significantly contributes to the human bite force. In this study, we analyze patients' bite force in which the temporalis muscle was either dissected and reattached or left undisturbed during cranioplasty.

Materials and methods: All patients who previously underwent DC for traumatic brain injury or stroke were grouped into two, depending on the method of cranioplasty. In group 1, patients underwent temporalis muscle dissection and reattachment to the bone flap or prosthesis. In group 2, the temporalis muscle was left undisturbed. The bite force of the subjects was measured bilaterally in both groups by a gnathodynamometer before cranioplasty and 3 months after the surgery. We compared the difference in bite force of the subjects individually on both sides, preoperatively and postoperatively, as well as between the groups.

Results: This study included 36 patients over 18 years of age, with 18 patients in each group. Preoperatively, the bite force of all the subjects was decreased on the side of the DC compared with the normal side. After cranioplasty, the bite force significantly improved compared with preoperative values in both groups.

Conclusion: Temporalis dissection can be safely done during cranioplasty. There is improvement in bite force after cranioplasty with or without temporalis dissection.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信