Three-Dimensional Assessment of the Pharyngeal Airway in Growing versus Non-Growing Subjects with/without Cleft Lip and Palate

Clefts of the lip or palate (CLPs) are the most common craniofacial birth defect, with a worldwide incidence of ~1 in 700 live births. The objective of this study is to assess the characteristics of the nasopharyngeal airway in growing vs. non-growing cleft lip/palate subjects and compare them with...

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Main Authors: Ahmed Z. Abdelkarim, Ayman R. Khalifa, Mohamed G. Hassan, Ahmed Abdou, Suayip Burak Duman, Nader N. Rezallah, Abdelrahman Elsaid Abdraboh, Ahmed Ghoneima
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Anatomia
Subjects:
Online Access:https://www.mdpi.com/2813-0545/2/3/18
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author Ahmed Z. Abdelkarim
Ayman R. Khalifa
Mohamed G. Hassan
Ahmed Abdou
Suayip Burak Duman
Nader N. Rezallah
Abdelrahman Elsaid Abdraboh
Ahmed Ghoneima
author_facet Ahmed Z. Abdelkarim
Ayman R. Khalifa
Mohamed G. Hassan
Ahmed Abdou
Suayip Burak Duman
Nader N. Rezallah
Abdelrahman Elsaid Abdraboh
Ahmed Ghoneima
author_sort Ahmed Z. Abdelkarim
collection DOAJ
description Clefts of the lip or palate (CLPs) are the most common craniofacial birth defect, with a worldwide incidence of ~1 in 700 live births. The objective of this study is to assess the characteristics of the nasopharyngeal airway in growing vs. non-growing cleft lip/palate subjects and compare them with normal subjects. This retrospective study analyzed eighty-seven scans of three groups from cone beam computed tomography (CBCT). The cone beam computed tomography (CBCT) scans were coded and landmarks were identified using a Dolphin three-dimensional (3D) imaging software server (version 11.7; Patterson Dental Supply, Chatsworth, Calif). All values showed strong measurement reliability (>80), except for the nasopharynx measurement. Regarding gender difference, for the nasopharynx, female subjects (1261.32 ± 713.94) showed the lowest significant values in non-growing unilateral compared to males (6496.8 ± 2987) at <i>p</i> = 0.008. For oropharynx, in the growing bilateral cleft group, male subjects (13,046.79 ± 5521.89) showed a significant difference (<i>p</i> = 0.046) compared to females (8468.98 ± 4279.99). MP-SN, B, A, SNA., SN.B., and ANS-ME showed significant differences for cephalometric parameters (<i>p</i> < 0.05). Despite significant differences in linear and angular measurements, volumetric airway measurements showed no significant differences in the growing groups. For non-growing cleft subjects, the cleft anomaly significantly affected the nasal cavity and left maxillary sinus volumes.
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spelling doaj.art-37176181332546c2bd410ecd1c7a0d8e2023-11-19T09:13:47ZengMDPI AGAnatomia2813-05452023-07-012319220510.3390/anatomia2030018Three-Dimensional Assessment of the Pharyngeal Airway in Growing versus Non-Growing Subjects with/without Cleft Lip and PalateAhmed Z. Abdelkarim0Ayman R. Khalifa1Mohamed G. Hassan2Ahmed Abdou3Suayip Burak Duman4Nader N. Rezallah5Abdelrahman Elsaid Abdraboh6Ahmed Ghoneima7Division of Oral and Maxillofacial Radiology, College of Dentistry, The Ohio State University, Columbus, OH 43210, USADepartment of Community Dentistry, College of Dentistry, Gulf Medical University, Ajman 4181, United Arab EmiratesDepartment of Orthodontics, Faculty of Dentistry, Assiut University, Assiut 71515, EgyptDepartment of Prosthetic Dentistry, Biomaterials Division, Faculty of Dentistry, King Salman International University, El Tur 16949, EgyptDepartment of Oral and Maxillofacial Radiology, Faculty of Dentistry, Inonu University, 44280 Malatya, TurkeyDivision of Oral and Maxillofacial Radiology, College of Dentistry, City University Ajman, Ajman P.O. Box 18484, United Arab EmiratesDepartment of Removable Prosthodontics, Faculty of Dentistry, Beni Suef University, Beni Suef 62521, EgyptDepartment of Orthodontics, College of Dental Medicine, MBRU, Dubai 505055, United Arab EmiratesClefts of the lip or palate (CLPs) are the most common craniofacial birth defect, with a worldwide incidence of ~1 in 700 live births. The objective of this study is to assess the characteristics of the nasopharyngeal airway in growing vs. non-growing cleft lip/palate subjects and compare them with normal subjects. This retrospective study analyzed eighty-seven scans of three groups from cone beam computed tomography (CBCT). The cone beam computed tomography (CBCT) scans were coded and landmarks were identified using a Dolphin three-dimensional (3D) imaging software server (version 11.7; Patterson Dental Supply, Chatsworth, Calif). All values showed strong measurement reliability (>80), except for the nasopharynx measurement. Regarding gender difference, for the nasopharynx, female subjects (1261.32 ± 713.94) showed the lowest significant values in non-growing unilateral compared to males (6496.8 ± 2987) at <i>p</i> = 0.008. For oropharynx, in the growing bilateral cleft group, male subjects (13,046.79 ± 5521.89) showed a significant difference (<i>p</i> = 0.046) compared to females (8468.98 ± 4279.99). MP-SN, B, A, SNA., SN.B., and ANS-ME showed significant differences for cephalometric parameters (<i>p</i> < 0.05). Despite significant differences in linear and angular measurements, volumetric airway measurements showed no significant differences in the growing groups. For non-growing cleft subjects, the cleft anomaly significantly affected the nasal cavity and left maxillary sinus volumes.https://www.mdpi.com/2813-0545/2/3/18CBCTcleft palatemaxillary sinuspharynx
spellingShingle Ahmed Z. Abdelkarim
Ayman R. Khalifa
Mohamed G. Hassan
Ahmed Abdou
Suayip Burak Duman
Nader N. Rezallah
Abdelrahman Elsaid Abdraboh
Ahmed Ghoneima
Three-Dimensional Assessment of the Pharyngeal Airway in Growing versus Non-Growing Subjects with/without Cleft Lip and Palate
Anatomia
CBCT
cleft palate
maxillary sinus
pharynx
title Three-Dimensional Assessment of the Pharyngeal Airway in Growing versus Non-Growing Subjects with/without Cleft Lip and Palate
title_full Three-Dimensional Assessment of the Pharyngeal Airway in Growing versus Non-Growing Subjects with/without Cleft Lip and Palate
title_fullStr Three-Dimensional Assessment of the Pharyngeal Airway in Growing versus Non-Growing Subjects with/without Cleft Lip and Palate
title_full_unstemmed Three-Dimensional Assessment of the Pharyngeal Airway in Growing versus Non-Growing Subjects with/without Cleft Lip and Palate
title_short Three-Dimensional Assessment of the Pharyngeal Airway in Growing versus Non-Growing Subjects with/without Cleft Lip and Palate
title_sort three dimensional assessment of the pharyngeal airway in growing versus non growing subjects with without cleft lip and palate
topic CBCT
cleft palate
maxillary sinus
pharynx
url https://www.mdpi.com/2813-0545/2/3/18
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