PMID: 11903374Mar 21, 2002Paper

Temporomandibular joint dysfunction following tonsillectomy

Clinical Otolaryngology and Allied Sciences
Sangeeta MainiP Hill

Abstract

We report a prospective, controlled trial to assess temporomandibular joint (TMJ) dysfunction following the use of a Boyle-Davis mouth gag during tonsillectomy. TMJ function was evaluated in patients undergoing tonsillectomy and a control group undergoing nasal surgery preoperatively and 6 weeks postoperatively. The main outcome measures were symptoms and signs of TMJ dysfunction and interincisal distance. A mean reduction of 0.89 mm in interincisal distance (P < 0.01) was noted postoperatively in the tonsillectomy patients. There was no statistically significant reduction of interincisal distance in patients undergoing nasal surgery. There was a statistically significant reduction in interincisal distance in the post-tonsillectomy patients, caused by fibrous healing of the tonsillar bed or fibrous ankylosis of the TMJ.

References

Jun 1, 1978·Oral Surgery, Oral Medicine, and Oral Pathology·R I Brooke, P G Stenn
Oct 1, 1986·Clinical Otolaryngology and Allied Sciences·K Tveterås, S Kristensen
Jun 1, 1995·Journal of Oral Rehabilitation·P U DijkstraG Boering

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Citations

Jun 26, 2012·The Annals of Otology, Rhinology, and Laryngology·Rajeev MathewLisa Pitkin
Apr 10, 2021·American Journal of Otolaryngology·Prachi N PatelJessica R Levi

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