Use of the Kinki mouth-opening device in tonsillectomy.

概要

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In recent years, adult tonsillectomies have tended to increase, and with more adult patients there has been increased bleeding during the operation, as well as a tendency for postoperative taste disorders and numbness of the tongue, presumably because the operative field is fixed with a Davis mouth-opening device in pediatric tonsillectomies, and unnecessary compression is applied to the tongue.The authors have devised the Kinki mouth-opening device which combines the advantages of the Whitehead and Davis devices. AA comparison between the Kinki and Davis devices showed that the mouth opening angle and the space between the teeth and the root of the tongue were all greater with the Kinki device than with the Davis device, indicating that the mouth was opened wider with the Kinki device. The postoperative changes in taste were measured with an electric gustometer, and the Davis device caused more loss of taste than the Kinki device. The incidence of tongue numbness was also greater with the Davis device than with the Kinki device. The Kinki mouth-opening device appears to be ideal for adult tonsillectomies.
耳鼻咽喉科臨床学会の論文