Severe limitation in mouth opening following transtemporal neurosurgical procedures: Diagnosis, treatment, and prevention

D. W. Nitzan, B. Azaz, S. Constantini

Research output: Contribution to journalArticlepeer-review

Abstract

Five new patients and six previously described patients with severe limitation in maximum mouth opening following transtemporal neurosurgical procedures are described. Six patients underwent an operation for epidural hematoma and three for skull-base meningioma; two were treated with a pterional craniotomy for an aneurysm. Limited maximum mouth opening in these circumstances is caused by temporal muscle scarring and shortening. Aggressive physiotherapy is potentially beneficial if started early. If, however, diagnosis is delayed, the efficacy of physiotherapy declines, and surgical treatments such as temporal muscle detachment and coronoidectomy are fully indicated. The differential diagnosis, prevention, and treatment of limited maximum mouth opening following neurosurgical procedures are discussed.

Original languageEnglish
Pages (from-to)623-625
Number of pages3
JournalJournal of Neurosurgery
Volume76
Issue number4
DOIs
StatePublished - 1992
Externally publishedYes

Keywords

  • craniotomy
  • epidural hematoma
  • pseudoankylosis
  • skull-base surgery
  • temporomandibular joint

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