Journal of Complementary and Integrative Medicine, 2016/10, 13(4):eA21. doi: 10.1515/jcim-2016-0102, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://www.degruyter.com/document/doi/10.1515/jcim-2016-0102/html)

Keywords:

case report [736]
collaboration [24]
cranio-sacral osteopathy [231]
male [860]
orthodontics [12]
orthognathic surgery [1]
post-surgical care [6]
temporomandibular joint [53]

Abstract:

Background: Problems of irradiating and persistent pain are common following Orthognathic Surgery. Objectives: The objective of this case study is to document the effects of complementary cranial osteopathic treatments on the postoperative symptoms in a 53 years old male. Methods: In this case study, the patient complains of tinnitus, and tension headaches. He mentions a loss of feeling in the chin, pain in the right temporomandibular joint (TMJ), limited jaw opening, and pain during functional activities such as chewing, yawning, speaking. In addition to the conventional orthodontic treatment, the patient received eight cranial osteopathic treatments over a six-month period. Results: Osteopathic evaluation revealed decreased cranial motility, principally in the right anterior and posterior quadrants of the cranium. Osteopathic normalization of the masticatory and membranous cranial structures leads to an increase in mandibular range of motion and reduce tinnitus and headaches. In this case, reduced motility of the dura mater may have lead to the decreased cranial motility thus affecting temporal bones/TMJ. Functional movements, mainly governed by the trigeminal nerve, could also be affected by pain and muscle tension. Conclusion: The results of this case study suggest that cranial osteopathy treatments, including membrane approach, can induce changes in the postoperative conditions in the sens of improvement of most symptoms. Complementary cranial osteopathic treatments, in this case, help the patient to regain fundamental functions relate to TMJ. More studies on the effects of cranial osteopathic treatment on postoperative orthognathic surgery are needed.