{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T21:47:47Z","timestamp":1787694467027,"version":"build-2784847793"},"reference-count":46,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Many neurosurgical approaches require incision of the temporal muscle (TM). Consequently, patients often report reduced opening of the mouth, facial asymmetry, numbness, and pain after lateral craniotomies. A systematic assessment of these postoperative subjective complaints is lacking in the literature. Therefore, in this study, the authors evaluate subjective complaints after pterional, frontolateral\u2013extended pterional, or temporal craniotomy using a 6-item questionnaire. They examine the association of these subjective complaints with the extent of the mobilization of the TM.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>The questionnaire assessed complaints about limited opening of the mouth, pain in the mastication muscles, facial asymmetry, sensory deficits in the temporal region, weather sensitivity, and headache. Eligible patients with benign intracranial processes operated on using lateral cranial approaches between 2016 and 2019 were included. The questionnaire was answered before surgery (baseline) and 3 and 15 months after surgery. Surgeons documented the extent of TM incision.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Among the 55 patients in this study, all complaints apart from headache showed an increase at a statistically significant rate at 3 months postoperatively, that is, limited mouth opening (p &lt; 0.0001), pain in the mastication muscles (p &lt; 0.0001), an impression of asymmetry in the mastication muscles (p = 0.0002), sensory disturbances in the temporal region (p &lt; 0.0001), and weather sensitivity (p &lt; 0.001). Only pain in the mastication muscles showed a relevant decrease at 15 months postsurgery (p = 0.058). The extent of the mobilized TM was associated with pain in the mastication muscles at 3 months (p = 0.0193).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Subjective complaints in patients following lateral craniotomy can be detected. As the extent of the mobilized TM relevantly influenced pain in the mastication muscles, the authors conclude that one should sparsely mobilize the TM. Furthermore, a neurosurgeon should be aware and warn the patient of subjective postoperative complaints and inform the patient about their natural course.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2023.8.jns231307","type":"journal-article","created":{"date-parts":[[2023,11,4]],"date-time":"2023-11-04T01:26:32Z","timestamp":1699061192000},"page":"1406-1413","source":"Crossref","is-referenced-by-count":2,"title":["Assessment of postoperative pain, dysesthesia, and weather sensitivity after pterional and temporal neurosurgical approaches"],"prefix":"10.3171","volume":"140","author":[{"given":"Nadja","family":"Jarc","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University Medical Center Freiburg, Medical Faculty, Albert-Ludwigs-University Freiburg;"},{"name":"Department of Stereotactic and Functional Neurosurgery, University Medical Center Freiburg, Medical Faculty, Albert-Ludwigs-University Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Scheiwe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Medical Center Freiburg, Medical Faculty, Albert-Ludwigs-University Freiburg;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis T. T.","family":"Plachta","sequence":"additional","affiliation":[{"name":"Neuroloop GmbH, Freiburg;"},{"name":"Department for Microsystems Engineering (IMTEK), Laboratory for Biomedical Microtechnology, Albert-Ludwigs-University Freiburg;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Schmoor","sequence":"additional","affiliation":[{"name":"Clinical Trials Unit, Medical Centre\u2013University of Freiburg, Faculty of Medicine, University of Freiburg;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra Christine","family":"Gierthmuehlen","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, University Medical Center Duesseldorf; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mortimer","family":"Gierthmuehlen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Medical Center Freiburg, Medical Faculty, Albert-Ludwigs-University Freiburg;"},{"name":"Department of Neurosurgery, Ruhr-University Bochum, University Medical Center Knappschaftskrankenhaus Bochum;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2","key":"b1","series-title":"Surg Neurol","first-page":"83","article-title":"Microsurgical pterional approach to aneurysms of the basilar bifurcation","volume":"6","author":"Yasargil MG","year":"1976","unstructured":"Yasargil MG, Antic J, Laciga R, Jain KK, Hodosh RM, Smith RD. 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