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Vertical growth changes after adenoidectomy.

Tülin Arun1, Fulya Isik, Korkmaz Sayinsu

  • 1Faculty of Dentistry, Yeditepe University, Götzepe, Istanbul, Turkey. tarun@yeditepe.edu.tr

The Angle Orthodontist
|May 3, 2003
PubMed
Summary

Children who underwent adenoidectomy exhibited a more vertical craniofacial growth pattern compared to controls. However, the timing of adenoidectomy (early vs. late) did not significantly impact vertical growth components.

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Area of Science:

  • Orthodontics
  • Pediatric Dentistry
  • Craniofacial Growth

Background:

  • Adenoidectomy is a common procedure in children, potentially influencing craniofacial development.
  • Understanding the impact of adenoidectomy timing on vertical growth is crucial for orthodontic and pediatric dental management.

Purpose of the Study:

  • To compare the vertical growth component of craniofacial structures in children with early versus late adenoidectomy histories.
  • To evaluate differences in craniofacial growth patterns between adenoidectomy patients and a control group.

Main Methods:

  • Retrospective study analyzing 93 lateral cephalometric radiographs.
  • Three groups: early adenoidectomy (1.5-4 years), late adenoidectomy (>4 years), and a control group with clear airways.
  • Comparison of various cephalometric parameters related to vertical growth.

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Main Results:

  • No statistically significant difference in vertical growth patterns was found between early and late adenoidectomy groups.
  • The pooled adenoidectomy group showed statistically significant differences in multiple parameters (e.g., SNGoMe, Gonial angle, Jarabak ratio) compared to the control group.
  • Adenoidectomy patients exhibited a more vertically directed growth pattern than the control group.

Conclusions:

  • Adenoidectomy influences craniofacial vertical growth, leading to a more vertical growth pattern.
  • The timing of adenoidectomy (before or after four years of age) does not appear to significantly alter vertical craniofacial growth patterns.
  • Further research may explore specific cephalometric parameters affected by adenoidectomy.