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  • Küçük Resim
    Yayın
    Comparison of maximal bite force in children undergoing adenotonsillectomy: A prospective case-control study with 6-month follow-up
    (2022) Atar, Yavuz; Atar, Sevgi; Dıraçoğlu, Demirhan; Üstün, Onur; Kumral, Tolgar Lütfi; Aydoğdu, İmran; Tutar, Belgin; Sarı, Hüseyin; Ahmed, Esmail Abdulahi; Uyar, Yavuz; Berkiten, Mustafa; İnan, Muzaffer
    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.
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    Effect of adenoid hypertrophy and adenoidectomy on bite force in children: Twelve month follow-up, case-control study
    (Taylor & Francis, 2022) Atar, Yavuz; Atar, Sevgi; Arkan Anarat, Melis Ece; Berkiten, Mustafa; Sarıçam, Sabire Sitare; Demirhan, Esma; Mersinlioğlu, Gökhan; Diracoğlu, Demirhan
    Objective The effects of adenoid hypertrophy (AH) and adenoidectomy on maximal bite force (MBF) in patients were evaluated by comparing them with healthy controls. Methods A total of 118 children diagnosed with AH and undergoing adenoidectomy (Group A), and healthy controls (Group B) were included. The MBF and nasopharyngeal airway passage distance (NAPD) were recorded. Results There was a correlation between NAPD and MBF at the beginning of the study (r = -0.675 and p < 0.001). The initial mean MBF of Groups A and B were 318.37 +/- 70.76 N and 344.04 +/- 64.14 N, respectively (p = 0.041). However, there was no significant difference between the groups due to the increase in the MBF of Group A at 12 months (p = 0.165). Conclusion The MBF may be negatively affected in proportion to decreased NAPD, and it could also be an indicator for monitoring the status of children with AH.