Pharyngeal airway space changes after maxillomandibular advancement: a five-year retrospective study

被引:7
作者
Araujo, P. M. [1 ]
Osterne, R. L. V. [2 ]
de Souza Carvalho, A. C. G. [1 ]
Azevedo, N. O. [3 ]
Gondim, R. F. [1 ,3 ]
Goncalves Filho, R. T. [1 ,3 ]
Sant'Ana, E. [4 ]
Nogueira, R. L. M. [5 ,6 ]
机构
[1] Ctr Univ Christus, Sch Dent, Dept Oral & Maxillofacial Surg, Fortaleza, Ceara, Brazil
[2] Univ Fortaleza, Sch Med, Dept Pathol, Ave Washington Soares 1321, BR-60811905 Fortaleza, Ceara, Brazil
[3] Univ Fed Ceara, Sch Dent, Fortaleza, Ceara, Brazil
[4] Univ Sao Paulo, Bauru Sch Dent, Dept Oral & Maxillofacial Surg, Bauru, Brazil
[5] Univ Fed Ceara, Dept Dent Clin, Discipline Oral & Maxillofacial Surg & Stomatol, Sch Dent, Fortaleza, Ceara, Brazil
[6] Mem Batista Hosp, Dept Oral & Maxillofacial Surg, Fortaleza, Ceara, Brazil
关键词
orthognathic surgery; upper posterior airway; computed tomography; OBSTRUCTIVE SLEEP-APNEA; ORTHOGNATHIC SURGERY; BIMAXILLARY ADVANCEMENT; VOLUME; ROTATION;
D O I
10.1016/j.ijom.2019.01.003
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
The aim of this study was to compare the alterations in three regions of the airway-nasopharynx, oropharynx, and hypopharynx-in relation to the area of the midsagittal plane, volume, and minimal axial area after maxillomandibular advancement (MMA) surgery. Thirty patients who had undergone MMA surgery were evaluated at four time points: preoperative (T0), immediately postoperative (T1), 1 year postoperative (T2), and >= 5 years postoperative (T3). All measurements were performed using computed tomography, analyzed in Dolphin Imaging 11.0 Premium 3D software. The area in the midsagittal plane presented a mean increase of 22.0% between T0 and T3 (P < 0.001), with the highest increase in the oropharynx (24.1%, P < 0.001). The total volumetric increase at T3 was 16.7% (P < 0.001), with the highest increase in the nasopharynx (15.7%; P < 0.001). The lowest minimal axial area was found for the oropharynx at all time points, and the highest increase in minimal axial area was found for the nasopharynx (114.9%; P < 0.001). MMA surgery showed the highest increase in upper posterior airway between TO and Tl, and this was followed by a progressive reduction until T3, but with a statistically significant increase at T3 compared with T0 in all cases.
引用
收藏
页码:732 / 738
页数:7
相关论文
共 22 条
  • [1] Comparison of airway space with conventional lateral headfilms and 3-dimensional reconstruction from cone-beam computed tomography
    Aboudara, Cameron
    Nielsen, Ib
    Huang, John C.
    Maki, Koutaro
    Miller, Arthur J.
    Hatcher, David
    [J]. AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, 2009, 135 (04) : 468 - 479
  • [2] Three-Dimensional Computed Tomographic Airway Analysis of Patients with Obstructive Sleep Apnea Treated by Maxillomandibular Advancement
    Abramson, Zachary
    Susarla, Srinivas M.
    Lawler, Matthew
    Bouchard, Carl
    Troulis, Maria
    Kaban, Leonard B.
    [J]. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2011, 69 (03) : 677 - 686
  • [3] Prediction of 3-dimensional pharyngeal airway changes after orthognathic surgery: A preliminary study
    Brunetto, Daniel Paludo
    Velasco, Leandro
    Koerich, Leonardo
    de Souza Araujo, Monica Tirre
    [J]. AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, 2014, 146 (03) : 299 - 309
  • [4] Pharyngeal airway morphology in healthy individuals and in obstructive sleep apnea patients treated with maxillomandibular advancement: a comparative study
    Butterfield, Kevin J.
    Marks, Patricia L. G.
    McLean, Laurie
    Newton, Jack
    [J]. ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY, 2015, 119 (03): : 285 - 292
  • [5] Assessment of obstructive sleep apnoea treatment success or failure after maxillomandibular advancement
    de Ruiter, M. H. T.
    Apperloo, R. C.
    Milstein, D. M. J.
    de lange, J.
    [J]. INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2017, 46 (11) : 1357 - 1362
  • [6] Cephalometric and three-dimensional assessment of superior posterior airway space after maxillomandibular advancement
    de Souza Carvalho, A. C. G.
    Magro Filho, O.
    Garcia Junior, I. R.
    Araujo, P. M.
    Nogueira, R. L. M.
    [J]. INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2012, 41 (09) : 1102 - 1111
  • [7] Postsurgical volumetric airway changes in 2-jaw orthognathic surgery patients
    Hart, P. Sheamus
    McIntyre, Brian P.
    Kadioglu, Onur
    Currier, G. Fraens
    Sullivan, Steven M.
    Li, Ji
    Shay, Christina
    [J]. AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, 2015, 147 (05) : 536 - 546
  • [8] Effect of Mono- and Bimaxillary Advancement on Pharyngeal Airway Volume: Cone-Beam Computed Tomography Evaluation
    Hernandez-Alfaro, Federico
    Guijarro-Martinez, Raquel
    Mareque-Bueno, Javier
    [J]. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2011, 69 (11) : E395 - E400
  • [9] Long-term results of maxillomandibular advancement surgery in patients with obstructive sleep apnoea syndrome
    Jaspers, G. W.
    Booij, A.
    de Graaf, J.
    de Lange, J.
    [J]. BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2013, 51 (03) : E37 - E39
  • [10] Effects of orthognathic surgery on oropharyngeal airway: a meta-analysis
    Mattos, C. T.
    Vilani, G. N. L.
    Sant'Anna, E. F.
    Ruellas, A. C. O.
    Maia, L. C.
    [J]. INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2011, 40 (12) : 1347 - 1356