Anatomical relation between nasal septum deviation and oropharynx volume in different facial patterns evaluated through cone beam computed tomography

被引:7
作者
Wanzeler A.M.V. [1 ,2 ]
Renda M.D.O. [1 ,2 ]
de Oliveira Pereira M.E. [1 ,2 ]
Alves-Junior S.M. [1 ,2 ]
Tuji F.M. [1 ,2 ]
机构
[1] Department of Oral Radiology, Federal University of Pará, Belém, Pará
[2] Federal University of Pará, Rua Augusto Corrêa, 1, Belém, 66075-110, Pará
关键词
Cone-beam computed tomography; Nasal septum; Oropharynx airway; Vertical skeletal pattern;
D O I
10.1007/s10006-017-0641-2
中图分类号
学科分类号
摘要
Introduction: The objective of this study was to establish the anatomical relation between nasal septum deviation (NSD) and oropharynx volume in different facial patterns using cone beam computed tomography (CBCT). Methods: Ninety CBCT examinations were analyzed. InVivoDental software was used to evaluate cephalometric image reconstructions in terms of facial type, determined from cephalometric measurements indicative of growth direction; the presence of NSD was also evaluated. ITK-SNAP software was employed for delimitation of the oropharynx. Intra-examiner error methods were recorded. The results were subjected to parametric and non-parametric tests using Bioestat 5.0. Results: A comparison of facial types revealed a significantly lower prevalence of NSD in the dolichofacial group compared with the brachyfacial and mesofacial groups (P = 0.0101 and 0.0149, respectively). In the total sample, there was a very strong positive relation between the presence of NSD and oropharynx space volume (P = 0.0162). The oropharynx volume was larger in all facial patterns in the presence of NSD. Conclusion: The presence of NSD was not associated with facial type, although the oropharynx volume in patients with NSD increased. Therefore, deviation of the septum influences oropharynx volume. © 2017, Springer-Verlag GmbH Germany.
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页码:341 / 346
页数:5
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共 32 条
  • [1] Kim Y.J., Hong J.S., Hwang Y.I., Park Y.H., Three-dimensional analysis of pharyngeal airway in preadolescent children with different anteroposterior skeletal patterns, Am J Orthod Dentofac Orthop, 137, 3, pp. 306-311, (2010)
  • [2] Mukherji S.K., Castillo M., Normal cross-sectional anatomy of the nasopharynx, oropharynx, and oral cavity, Neuroimaging Clin N Am, 8, 1, pp. 211-218, (1998)
  • [3] Grauer D., Cevidanes L.S., Styner M.A., Ackerman J.L., Proffit W.R., Pharyngeal airway volume and shape from cone-beam computed tomography: relationship to facial morphology, Am J Orthod Dentofac Orthop, 136, 6, pp. 805-814, (2009)
  • [4] Nayak D.R., Balakrishnan R., Murty D.K., Hazarika P., Endoscopic septo turbinoplasty: our update series, Indian J Otolaryngol Head Neck Surg, 54, 1, pp. 20-24, (2002)
  • [5] Shapiro P.A., Effects of nasal obstruction on facial development, J Allergy Clin Immunol, 81, 5, pp. 967-971, (1998)
  • [6] Diamond O., Tonsils and adenoids: why the dilemma?, Am J Orthod, 78, pp. 495-503, (1980)
  • [7] Bresolin D., Et al., Mouth breathing in allergic children: its relationship to dentofacial development, Am J Orthod, 839, 4, pp. 334-340, (1983)
  • [8] Foster A., Holton N., Variation in developmental and morphological interaction between the nasal septum and facial skeleton, Anat Rec (Hoboken), 299, 6, pp. 730-740, (2016)
  • [9] Prasad S., Varsheney S., Bist S.S., Mishrs S., Kabdwal N., Correlation study between nasal sepyal deviation and rhinosinusitis, Indian J Otolaryngol Head Neck Surg, 65, 4, pp. 363-366, (2013)
  • [10] Emami A.J., Brodsky L., Pizzuto M., Neonatal septoplasty: case report and review of the literature, Int J Pediatr Otorhinolaryngol, 35, pp. 271-275, (1996)