Effect of adenoidectomy / tonsillectomy on temporomandibular joint (Tmj) function and mouth opening in early period Adenoidektomi ve/veya tonsillektomi ameliyatının erken dönemde temporomandibular eklem (Tme) ve ağız açıklığına olan etkisi


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GÜNAY C., Cevizci R., Keleş A., Dilci A., Bayazit Y.

Medeniyet Medical Journal, cilt.32, sa.1, ss.1-6, 2017 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 1
  • Basım Tarihi: 2017
  • Doi Numarası: 10.5222/mmj.2017.001
  • Dergi Adı: Medeniyet Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.1-6
  • Anahtar Kelimeler: Adenotonsillectomy, Mouth gag, Mouth opening, Temporomandibular joint
  • İstanbul Medipol Üniversitesi Adresli: Evet

Özet

The aim of this study was to investigate the effects of mouth gag used in adenoidectomy / tonsillectomy on temporomandibular joint (TMJ) function and mouth opening with using digital dial type caliper. Mouth opening distance and TMJ function of a total of 50 patients including 30 patients (6-43 yrs, 17 men, and 13 women) who had undergone adenoidectomy / tonsillectomy and 20 patients (19-47 yrs, 12 men and 8 women) of the control group who had undergone septoplasty between November 2015 and November 2016 at ENT Department of tertiary medical center were measured using digital dial type caliper one hour before, and one week, and one month after the operation. Changes in the distance of mouth opening at 4th hour, 1 week and 1 month postoperatively in the adenoidectomy / tonsillectomy group were statistically significant (p=0.001, p<0.01). Changes in the distance of mouth opening at 4th hour, 1 week and 1 month postoperatively in the septoplasty group were not statistically significant (p>0.05). There is 57.5% positive correlation between patients’ age, and range of mouth opening in two groups (r:0.575, p=0.001, p<0.01). As a conclusion; mouth opening and TMJ function might be effected by mouth gag in adenoidectomy / tonsillectomy surgeries depending on the duration of surgery and age of the patient. Small sample size and short follow-up period were limitations of the study.