Oral motor and electromyographic characterization of adults with facial fractures: a comparison between different fracture severities
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/133337 |
Resumo: | OBJECTIVES: To characterize the oral motor system of adults with facial injuries and to compare the oral motor performance/function between two different groups. METHODS: An observational, descriptive, cross-sectional study was conducted in 38 patients presenting with facial trauma who were assigned to the Division of Orofacial Myology of a Brazilian School Hospital. Patients were divided into two groups: Group 1 (G1) consisted of 19 patients who were submitted to open reduction of at least one facial fracture, and Group 2 (G2) consisted of 19 individuals who were submitted to closed fracture reduction with maxillomandibular fixation. For comparison purposes, a group of 19 healthy volunteers was recruited. All participants underwent a clinical assessment that included an oral motor evaluation, assessment of the mandibular range of motions, and electromyographic assessment of the masticatory muscles. RESULTS: Clinical assessment of the oral motor organs indicated that G1 and G2 presented deficits related to the posture, position, and mobility of the oral motor organs. Patients also presented limited mandibular ranges of movement. Deficits were greater for individuals in G1, especially for maximal incisor opening. Additionally, patients in G1 and G2 presented a similar electromyographic profile of the masticatory muscles (i.e., patients with facial fractures presented lower overall muscle activity and significant asymmetrical activity of the masseter muscle during maximum voluntary teeth clenching). CONCLUSION: Patients in G1 and G2 presented similar functional deficits after fracture treatment. The severity of facial fractures did not influence muscle function/performance 4 months after the correction of fractures. |
id |
USP-19_ff77e1d52ed80274babf3a82afb36753 |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/133337 |
network_acronym_str |
USP-19 |
network_name_str |
Clinics |
repository_id_str |
|
spelling |
Oral motor and electromyographic characterization of adults with facial fractures: a comparison between different fracture severitiesMandibular FracturesCondylar FracturesOpen ReductionClosed ReductionOrofacial FunctionsOBJECTIVES: To characterize the oral motor system of adults with facial injuries and to compare the oral motor performance/function between two different groups. METHODS: An observational, descriptive, cross-sectional study was conducted in 38 patients presenting with facial trauma who were assigned to the Division of Orofacial Myology of a Brazilian School Hospital. Patients were divided into two groups: Group 1 (G1) consisted of 19 patients who were submitted to open reduction of at least one facial fracture, and Group 2 (G2) consisted of 19 individuals who were submitted to closed fracture reduction with maxillomandibular fixation. For comparison purposes, a group of 19 healthy volunteers was recruited. All participants underwent a clinical assessment that included an oral motor evaluation, assessment of the mandibular range of motions, and electromyographic assessment of the masticatory muscles. RESULTS: Clinical assessment of the oral motor organs indicated that G1 and G2 presented deficits related to the posture, position, and mobility of the oral motor organs. Patients also presented limited mandibular ranges of movement. Deficits were greater for individuals in G1, especially for maximal incisor opening. Additionally, patients in G1 and G2 presented a similar electromyographic profile of the masticatory muscles (i.e., patients with facial fractures presented lower overall muscle activity and significant asymmetrical activity of the masseter muscle during maximum voluntary teeth clenching). CONCLUSION: Patients in G1 and G2 presented similar functional deficits after fracture treatment. The severity of facial fractures did not influence muscle function/performance 4 months after the correction of fractures.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2017-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/13333710.6061/clinics/2017(05)04Clinics; Vol. 72 No. 5 (2017); 276-283Clinics; v. 72 n. 5 (2017); 276-283Clinics; Vol. 72 Núm. 5 (2017); 276-2831980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/133337/129403Copyright (c) 2017 Clinicsinfo:eu-repo/semantics/openAccessda Silva, Amanda PagliottoSassi, Fernanda ChiarionBastos, EndrigoAlonso, Nivaldode Andrade, Claudia Regina Furquim2017-06-02T13:42:09Zoai:revistas.usp.br:article/133337Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2017-06-02T13:42:09Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Oral motor and electromyographic characterization of adults with facial fractures: a comparison between different fracture severities |
title |
Oral motor and electromyographic characterization of adults with facial fractures: a comparison between different fracture severities |
spellingShingle |
Oral motor and electromyographic characterization of adults with facial fractures: a comparison between different fracture severities da Silva, Amanda Pagliotto Mandibular Fractures Condylar Fractures Open Reduction Closed Reduction Orofacial Functions |
title_short |
Oral motor and electromyographic characterization of adults with facial fractures: a comparison between different fracture severities |
title_full |
Oral motor and electromyographic characterization of adults with facial fractures: a comparison between different fracture severities |
title_fullStr |
Oral motor and electromyographic characterization of adults with facial fractures: a comparison between different fracture severities |
title_full_unstemmed |
Oral motor and electromyographic characterization of adults with facial fractures: a comparison between different fracture severities |
title_sort |
Oral motor and electromyographic characterization of adults with facial fractures: a comparison between different fracture severities |
author |
da Silva, Amanda Pagliotto |
author_facet |
da Silva, Amanda Pagliotto Sassi, Fernanda Chiarion Bastos, Endrigo Alonso, Nivaldo de Andrade, Claudia Regina Furquim |
author_role |
author |
author2 |
Sassi, Fernanda Chiarion Bastos, Endrigo Alonso, Nivaldo de Andrade, Claudia Regina Furquim |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
da Silva, Amanda Pagliotto Sassi, Fernanda Chiarion Bastos, Endrigo Alonso, Nivaldo de Andrade, Claudia Regina Furquim |
dc.subject.por.fl_str_mv |
Mandibular Fractures Condylar Fractures Open Reduction Closed Reduction Orofacial Functions |
topic |
Mandibular Fractures Condylar Fractures Open Reduction Closed Reduction Orofacial Functions |
description |
OBJECTIVES: To characterize the oral motor system of adults with facial injuries and to compare the oral motor performance/function between two different groups. METHODS: An observational, descriptive, cross-sectional study was conducted in 38 patients presenting with facial trauma who were assigned to the Division of Orofacial Myology of a Brazilian School Hospital. Patients were divided into two groups: Group 1 (G1) consisted of 19 patients who were submitted to open reduction of at least one facial fracture, and Group 2 (G2) consisted of 19 individuals who were submitted to closed fracture reduction with maxillomandibular fixation. For comparison purposes, a group of 19 healthy volunteers was recruited. All participants underwent a clinical assessment that included an oral motor evaluation, assessment of the mandibular range of motions, and electromyographic assessment of the masticatory muscles. RESULTS: Clinical assessment of the oral motor organs indicated that G1 and G2 presented deficits related to the posture, position, and mobility of the oral motor organs. Patients also presented limited mandibular ranges of movement. Deficits were greater for individuals in G1, especially for maximal incisor opening. Additionally, patients in G1 and G2 presented a similar electromyographic profile of the masticatory muscles (i.e., patients with facial fractures presented lower overall muscle activity and significant asymmetrical activity of the masseter muscle during maximum voluntary teeth clenching). CONCLUSION: Patients in G1 and G2 presented similar functional deficits after fracture treatment. The severity of facial fractures did not influence muscle function/performance 4 months after the correction of fractures. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-05-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/133337 10.6061/clinics/2017(05)04 |
url |
https://www.revistas.usp.br/clinics/article/view/133337 |
identifier_str_mv |
10.6061/clinics/2017(05)04 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/133337/129403 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 72 No. 5 (2017); 276-283 Clinics; v. 72 n. 5 (2017); 276-283 Clinics; Vol. 72 Núm. 5 (2017); 276-283 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222763169873920 |