Temporomandibular joint dysfunction following tonsillectomy

Maini, Sangeeta; Osborne, Jonathan; Fadl, H.; Spyridakou, C; Ogunyemi, L; Hill, Pamela D.

doi:10.1046/j.0307-7772.2001.00528.x

Cited by 14 publications

(21 citation statements)

References 5 publications

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“…Insertion of a Boyle-Davis mouth gag during tonsillectomy can lead to dislocation of the TMJ or pain as a result of postoperative joint dysfunction (16). The clinical impression is that temporary dislocation of the TMJ occasionally occurs during tonsillectomy (17). TMJ dislocation has been reported with both epilepsy and dystonia caused by neuroleptic medication (phenothiazines e.g compazine) and certain antiemetics (e.g metoclopramide) that produce extrapyramidal effects (18).…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular joint dislocation in Nairobi

Sang¹,

Mulupi²,

Akama³

et al. 2010

E Af Med Jrnl

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Background: Despite the diverse conservative and surgical modalities for the management of temporomandibular joint (TMJ) dislocation and the controversy that surrounds them, very little has been done within the East-African setup in terms of highlighting and provoking greater interest in the epidemiology and management of TMJ dislocation. Objective: To audit the pattern of occurrence, demographics, aetiology and enumerate the treatment modalities of TMJ dislocation at the oral and maxillofacial surgery division (OMFS) of the University of Nairobi Dental Hospital. Design: Descriptive cross-sectional study. Setting: University of Nairobi Dental Hospital (UNDH) from January 1995 to July 2005. Results: Twenty nine patients had been diagnosed and managed for TMJ dislocation. Twenty (69%) were females and nine (31%) were males. Their ages ranged from 10-95 years with a mean of 42 years. The cases managed were primarily chronic in nature. The most common form being anterior TMJ dislocation, accounting for twenty-five (86.2%) cases. Trauma was implicated as an aetiology in only five (17%) of the cases while the remaining majority of twenty four (83%) cases were spontaneous. Amongst the causes of spontaneous TMJ dislocation, yawning was the most common accounting for fourteen cases (48.3%). Dislocations caused by trauma were found to be 12.6 times more likely to be associated with other injuries than spontaneous dislocations. Anterior TMJ dislocations were found to be 1.3 times more likely to be associated with absence of molars than posterior TMJ dislocations. Anatomical aberrations, as predisposing factors, were not a significant finding in this research. Eight (28%) of the cases were managed conservatively. Twenty one (72%) of the cases were managed surgically. The eminectomy was the most common technique with a 75% success rate. The highest incidence of TMJ dislocation occurs in the 3rd-5th decade with a female preponderance with bilateral anterior TMJ dislocation being the most common. Most of the cases were managed surgically with eminectomy being the preferred technique with the highest success rate. A study needs to be undertaken to determine reasons' why conservative modalities are least employed in the management of TMJ dislocation in our setup and what can be done about it.

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Section: Introductionmentioning

confidence: 99%

Temporomandibular joint dislocation in Nairobi

Sang¹,

Mulupi²,

Akama³

et al. 2010

E Af Med Jrnl

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“…Ağız açıklığındaki azalmanın diğer bir nedeni de ağız ekartörünün TME'i gereğin-den fazla zorlamasıyla aşırı ekstansiyona bağlı eklem yapısı üzerinde hasara neden olması da olabilir 3,6 . Literatür incelendiğinde tonsillektomi sonrası ağız açıklığının azalması tonsiller yatağın fibröz iyileş-mesi ve TME'in fibröz ankilozuna bağlanmıştır 10 . Bu ameliyatlar sırasında TME dislokasyonu ile de karşı-laşılabilmektedir.…”

Section: Discussionunclassified

Effect of adenoidectomy / tonsillectomy on temporomandibular joint (TMJ) function and mouth opening in early period

Günay¹,

Cevizci²,

Keleş³

et al. 2017

MMJ

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“…Although it provides advantage for access to the intraoral cavity, placement of a mouth gag results in hemodynamic changes similar to laryngoscopy which causes significant increases in the intracranial pressure (ICP) and intraorbital pressures (IOP) (3). Moreover, excessive mouth opening causes tonic contractions at muscles of mastication and postoperative pain in the temporomandibular joint (4).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Effect of The Mouth Gag Application on Optic Nerve Sheath Diameter of Pediatric Patients Undergoing Tonsillectomy or Adenotonsillectomy: Observational study

Altıparmak¹,

Toker²,

Uysal³

et al. 2020

Preprint

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Abstract Background A mouth gag is usually used during tonsillectomy and adenotonsillectomy surgeries, cleft palate repair, obstructive sleep apnea surgery and intraoral tumor excision. The placement of the gag causes hemodynamic changes similar to laryngoscopy. The aim of this study is to evaluate the effect of the mouth gag placement on optic nerve sheath diameter (ONSD) of pediatric patients. The secondary aim is to assess the relationship between neck extension for positioning of head and increase in ONSD measurement. Methods The trial is registered to Australian New Zealand Clinical Trials Registry with Trial ID: ACTRN12618000551291. This prospective, observational study was performed in a tertiary university hospital operating theatre between 01.05.2018-01.07.2018. Thirty-five children aged < 18 years, with ASA I status, and scheduled for tonsillectomy and adenotonsillectomy surgeries were prospectively included in the study. Measurements of ONSD were performed (T0) after induction of anesthesia, (T1) after endotracheal intubation, (T2) after placement of the mouth gag and (T3) 20 minutes after the placement of the mouth gag. The degree of neck extension was assessed by the angle between the Frankfort plane and horizontal plane of the operation table in natural position Results All participants completed the study. There were significant differences in ONSD values according to time (p < 0.001). The maximum increase in ONSD values was detected after intubation (0.69±0.06 mm) and immediately after the mouth gag placement (0.67±0.07 mm). ONSD values continued to increase 20 minutes after the gag placement. There was no relation between degree of neck extension and ONSD values (β = 0.63, p=0.715) Conclusions The application of a mouth gag causes significant increases in ONSD measurements of children. Therefore, the duration of the mouth gag application during surgeries might be limited.

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Temporomandibular joint dysfunction following tonsillectomy

Cited by 14 publications

References 5 publications

Temporomandibular joint dislocation in Nairobi

Temporomandibular joint dislocation in Nairobi

Effect of adenoidectomy / tonsillectomy on temporomandibular joint (TMJ) function and mouth opening in early period

Evaluation of the Effect of The Mouth Gag Application on Optic Nerve Sheath Diameter of Pediatric Patients Undergoing Tonsillectomy or Adenotonsillectomy: Observational study

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