, Sevgi Atar 2
, Demirhan Dıraçoğlu 3
, Onur Üstün 4
, Tolgar Lütfi Kumral 5
, İmran Aydoğdu 6
, Belgin Tutar 7
, Hüseyin Sarı 5
, Esmail Abdulahi Ahmed 8
, Yavuz Uyar 5
, Mustafa Berkiten 9
, Muzaffer İnan 10
2University of Health Sciences Turkey, Prof. Dr. Cemil Taşcıoğlu City Hospital, Clinic of Physical Medicine and Rehabilitation, İstanbul, Turkey
3İstanbul University, İstanbul Faculty of Medicine, Department of Physical Medicine and Rehabilitation, İstanbul, Turkey
4University of Health Sciences Turkey, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Clinic of Otorhinolaryngology, İstanbul, Turkey
5University of Health Sciences Turkey, Prof. Dr. Cemil Taşcıoğlu City Hospital, Clinic of Otorhinolaryngology, İstanbul, Turkey
6Bahçelievler State Hospital, Clinic of Otorhinolaryngology, İstanbul, Turkey
7Demiroğlu Bilim University, Florance Nightingale Göktürk Medical Center, Department of Otorhinolaryngology, İstanbul, Turkey
8Private İlke Hospital, Clinic of Otorhinolaryngology, İstanbul, Turkey
9İstanbul Health and Technology University, Faculty of Dentistry, Department of Endodontics, İstanbul, Turkey
10Ekotom Surgery Center, Clinic of Otorhinolaryngology, İstanbul, Turkey
Abstract
Objective: This study investigated the early and late postoperative maximal bite force (MBF) values in pre-pubertal children undergoing adenotonsillectomy (AT) and compared them with healthy control.
Methods: A total of children aged 6-12 years, diagnosed with chronic obstructive adenotonsillar hypertrophy (COATH), undergoing AT (n=30), and healthy controls (n=30) were included. The MBF and body mass index (BMI) were recorded for up to sixth months. The duration of active surgery was recorded. The visual analog scale (VAS) was applied to the patients for the pain on postoperative first and seventh days.
Results: There was no significant difference in MBF values between the groups from the baseline to sixth month (p>0.05). A statistically strong positive correlation was observed between MBF and age (p<0.05). A significant difference was observed in MBF changes in patients with duratşon of active surgery more than 20 min compared with those with less from the baseline to the first month (p<0.05). In the study group, it was observed that there was a low and moderate correlation in the mean changes between the MBF and BMI in the first, 7th day, and 1st-month matches (p<0.05). The VAS scores did not show a significant correlation with the MBF values (p>0.05).
Conclusion: The COATH and sex did not have a significant effect on MBF in pre-pubertal children, but age did. The postoperative MBF values were reached in the 1st month almost baseline values and there was a rapid increase between three and six months after AT. The prolonged operative time may affect MBF during one month postoperatively.