Temporomandibular Disorder and Disuse Atrophy of the Masticatory Muscles after Surgical Resection of a Schwannoma: A Case Report
이연희, 박혜지, 황미진, 어규식,
소속 상세정보
이연희 ( Lee Yeon-Hee ) - Kyung Hee University Dental Hospital Department of Orofacial Pain and Oral Medicine
박혜지 ( Park Hye-Ji ) - Kyung Hee University Dental Hospital Department of Orofacial Pain and Oral Medicine
황미진 ( Hwang Mi-Jin ) - Seongnam Ye Dental Hospital Department of Orofacial Pain and Oral Medicine
어규식 ( Auh Q-Schick ) - Kyung Hee University Dental Hospital Department of Orofacial Pain and Oral Medicine
Abstract
Disuse atrophy involves gradual muscle weakening due to inadequate usage and can cause temporomandibular disorder (TMD). A 45-year old man with TMD symptoms on the left side, who had disuse atrophy of the masticatory muscles on the right side following surgical removal of a trigeminal schwannoma on the right side, first visited the Department of Orofacial Pain and Oral Medicine at Kyung Hee University Dental Hospital with left jaw pain and difficulty in opening mouth and chewing. He had been experiencing difficulties in cognitive function, decrease in visual acuity, impaired speech, and writing deficits after brain surgery. Furthermore, he complained of abnormal occlusion on the right side, which interfered with his ability to chew comfortably and open his mouth effectively. Herein, we describe a contralateral TMD case due to ipsilateral disuse atrophy after brain surgery for a trigeminal schwannoma and our successful treatment with medication, physical therapy, and stabilization splint.
키워드
Disuse atrophy; Stabilization splint; Temporomandibular disorder; Trigeminal schwannoma
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