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2013 | 72 | 2 |

Tytuł artykułu

Evaluation of upper airways depth among patients with skeletal Class I and III

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: The aim of this study was to determine the value of upper and lower pharyngeal depth among patients with skeletal Class III malocclusion on lateral cephalograms, as well as to examine the relationship between SNA, SNB, and ANB angles, along with Wits appraisal and the cross-sectional value of upper airway space at the level of the soft palate and tongue base among patients with skeletal Class I and III. Materials and methods: The material consisted of lateral cephalograms taken from 80 patients living in the Lubelskie voivodeship. The study group consisted of cephalograms of 50 patients with skeletal Class III malocclusion (17 male and 33 female), whereas the control group consisted of 30 roentgenograms of patients with Class I malocclusion with proper jaw to mandible relation (14 male and 16 female). The study and the control group shared no statistically significant differences considering basic sociographic data such as gender (chi = 1.267, p = 0.26) and age (U = 727.5, p = 0.82). The upper and lower pharyngeal depths were assessed with the use of McNamara’s method. Spearman’s rho test, Mann- -Whitney’s U test, and chi test were used for statistical analysis. Results: Among both males and females the pharyngeal depths were greater considering patients with skeletal Class III in comparison to patients with Class I malocclusion (p < 0.001). Furthermore, it was determined that the lower as well as the upper pharyngeal width is statistically significantly dependent on ANB and SNB angles and Wits appraisal (p < 0.001). Conclusions: Pharyngeal width at the level of the soft palate and tongue base depends on skeletal class, namely ANB angle and Wits appraisal; it increases with the increase of SNB angle (forward movement of the mandible). The SNA angle (position of the maxilla) does not influence the anterior-posterior nasopharyngeal dimension. (Folia Morphol 2013; 72; 2: 155–160)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

72

Numer

2

Opis fizyczny

p.155-160,fig.,ref.

Twórcy

  • Chair and Department of Jaw Orthopaedics, Medical University of Lublin, Karmelicka 7, 20–081 Lublin, Poland
  • Chair and Department of Jaw Orthopaedics, Medical University of Lublin, Karmelicka 7, 20–081 Lublin, Poland
autor
  • Chair and Department of Jaw Orthopaedics, Medical University of Lublin, Karmelicka 7, 20–081 Lublin, Poland
autor
  • Chair and Department of Jaw Orthopaedics, Medical University of Lublin, Karmelicka 7, 20–081 Lublin, Poland

Bibliografia

  • 1. Abramson Z, Susarla S, August M, Troulis M, Kaban L (2010) Three-dimensional computed tomographic analysis of airway anatomy in patients with obstructive sleep apnea. J Oral Maxillofac Surg, 68: 354–362.
  • 2. Abu Allhaija ES, Al-Khateeb NS (2005) Uvulo-glosso-pharyngeal dimensions in different anteroposterior skeletal patterns. Angle Orthod, 75: 1012–1018.
  • 3. Archilleos S, Krogstad O, Lyberg T (2000) Surgical mandibular advancement and changes in uvuloglossopharyngeal morphology and head posture: a short- and long-term cephalometric study in males. Eur J Orthod, 22: 367–381.
  • 4. Archilleos S, Krogstad O, Lyberg T (2000) Surgical mandibular setback and changes in uvuloglossopharyngeal morphology and head posture: a short- and long-term cephalometric study in males. Eur J Orthod, 22: 383–394.
  • 5. Baik UB, Suzuki M, Ikeda K, Sugawara J, Mitani H (2002) Relationship between cephalometric characteristics and obstructive sites in obstructive sleep apnea syndrome. Angle Orth, 72: 124–134.
  • 6. Ceylan I, Oktay H (1995) A study on the pharyngeal size in different skeletal patterns. AJODO, 108: 69–75.
  • 7. Chen F, Terada K, Hua Y, Saito I (2007) Effects of bimaxillary surgery and mandibular setback surgery on pharyngeal airway measurements in patients with class III skeletal deformities. Am J Orthod Dentofac Orthop, 131: 372–377.
  • 8. DeBerry-Borowiecki B, Kukwa A, Blanks RHI (1988) Cephalometric analysis for diagnosis and treatment of obstructive sleep apnea. Laryngoscope, 98: 226–234.
  • 9. Dunin-Wilczyńska I, Dobrowolska M (2002) Udział ortodonty w zespołowym leczeniu obturacyjnego bezdechu sennego (OBS). Ortodoncja współczesna, 4: 9–11.
  • 10. Enciso R, Nguyen M, Shigeta Y, Ogawa T, Clark GT (2010) Comparison of cone-beam CT parameters and sleep questionnaires in sleep apnea patients and control subjects. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 109: 285–293.
  • 11. Guilleminault C, Riley R, Powell N (1984) Obstructive sleep apnea and abnormal cephalometric measurements: implications for treatment. Chest, 86: 793–794.
  • 12. Handelman CS, Osborne G (1976) Growth of the nasopharynx and adenoid development from one to eighteen years. Angle Orthod, 46: 243–259.
  • 13. Iwasaki T, Hayasaki H, Takemoto Y, Kanomi R, Yamasaki Y (2009) Oropharyngeal airway in children with Class II malocclusion evaluated by cone-beam computed tomography. AJODO, 136: 318e1–318e8.
  • 14. Lowe AA, Fleetham JA, Adachi S, Ryan CF (1995) Cephalometric and computed tomographic predictors of obstructive sleep apnea severity. Am J Orthod Dentofacial Orthop, 107: 589–595.
  • 15. Lowe AA, Sanatamaria JD, Fleetham JA Price C (1986) Facial morphology and obstructive sleep apnea. Morphology and sleep apnea, 90: 484–491.
  • 16. McNamara J, Brudon W (1994) Orthodontic and orthopedic treatment in the mixed dentition. Ann Arbor, Needham press.
  • 17. Mergen DC, Jacobs RM (1970) The size of Nasopharynx Associated with Normal Occlusion and Class II Malocclusion. Angle Orth, 40: 342–346.
  • 18. Ricketts RM, Steele CH, Farchilol RC (1968) Forum on the tonsil and adenoid problem in orthodontcs. Am J Orthodont, 54: 485–514.
  • 19. Riley RW, Guilleminault C, Herman J, Powell N (1983) Cephalometric analyses and flow volume loops in obstructive sleep apnea patients. Sleep, 6: 304–317.
  • 20. Riley RW, Powell NB (1990) Maxillofacial surgery and obstructive sleep apnea syndrome. Otolaryngol Clin North Am, 23: 809–826.
  • 21. Stanisz A (2006) Przystępny kurs statystyki z zastosowaniem STATISTICA PL na przykładach z medycyny. Tom 1. Statystyki podstawowe. Statsoft Polska, Kraków.
  • 22. Tourné LPM (1991) Growth of the pharynx and its physiologic implications. Am J Orthod Dentofacial Orthop, 99: 129–139.
  • 23. Tselnik M, Pogrel MA (2000) Assessment of the Pharyngeal Airway space after mandibular setback surgery. J Oral Maxillofac Surg, 58: 282–285.

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Bibliografia

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