ABSTRACT
The aim of this study was to evaluate the influence of emotional factors in temporomandibular disorders (TMD) in university students. The universe of this study consisted of 696 students of both sexes, from the University of Passo Fundo (UPF) - RS, who signed the free and informed consent term and received the Fonseca's Questionnaire, in order to verify the level of TMD and the Social Readjustment Rating Scale (SRRS), to evaluate the degree of stress level, at the beginning and end of the semester, beginners and graduating students. Data were tabulated and statistically analyzed using the Chi-Square test, with the significance level of 5%. From the total, 489 (70.25%) subjects had some degree of TMD, being the light TMD the most prevalent (309) in all areas of knowledge, with no statistical difference between the studied areas (p= 0.004). There was correlation between TMD and stress-SRRS (r= 0.217). There is a low percentage of individuals who are free from TMD. The correlation between TMD and stress was weak in all studied groups, regardless the area of knowledge, academic period and school grade.
El objetivo de este estudio fue evaluar la influencia de los factores emocionales en los trastornos temporomandibulares (TTM) en estudiantes universitarios. Fueron estudiados 696 estudiantes de ambos sexos, de la Universidad de Passo Fundo (UPF) - RS, que recibieron el Cuestionario de Fonseca, con el fin de verificar el nivel de TTM y la Escala de Reajuste Social (ERS), para evaluar el grado de nivel de estrés, en dos momentos distintos, al principio y al final del semestre, tanto en estudiantes que ingresaron a la Universidad como en estudiantes que se gradúan. Los datos fueron tabulados y analizados estadísticamente mediante la prueba de chi-cuadrado, con un nivel de significación del 5%. Del total, 489 (70,25%) sujetos tenían algún grado de TTM, siendo el tipo leve de TTM el más frecuente (309) en todas las áreas del conocimiento, sin diferencia estadística entre las áreas estudiadas (p= 0,004). No hubo correlación entre los TTM y el estrés-ERS (r= 0,217). Existe un bajo porcentaje de las personas que están libres de TTM. La correlación entre los TTM y el estrés era débil en todos los grupos estudiados, independientemente del área de conocimiento, periodo académico y grado escolar.
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Stress, Psychological , Students/psychology , Temporomandibular Joint Dysfunction Syndrome/psychology , Universities , Facial Pain/psychology , Chi-Square Distribution , Surveys and QuestionnairesABSTRACT
INTRODUCTION: Squamous cell carcinoma represents about 90% of malignancies of the mouth and about 38% of the head and neck tumors. The behavior of the cancer is very aggressive, presenting early cervical metastasis and, often contralateral ranging from 0.9 to 36%. OBJECTIVES: This study aims to analyze clinical and pathological factors that may influence metastasis of squamous cell carcinoma in cervical lymph nodes and relate this occurrence in the contralateral primary tumor, with disease prognosis and the interference of this type of metastasis in the survival rate of patients with this pathology. Material and Metohds: It was conducted a retrospective study from medical records of patients with Squamous Cell Carcinomas with homolateral lymph node metastasis and contralateral attended at the clinic of Head and neck surgery of Hospital São Vicente de Paulo in Passo Fundo - RS - Brazil, from 2000 to 2008. RESULTS: Analyzing the charts of patients with metastatic and metastatic contralateral side it was observed that patients with initial stage presented a higher survival with statistical significance (p=0,035). CONCLUSIONS: The occurrence of metastases in lymph nodes of contralateral position to the primary lesion was not the main fator that influenced the survival of the group. Key words:Squamous cell carcinoma, oral cavity, contralateral, death rate, lymphatic metastasis, prognosis.
