Pharyngeal airway changes after mono-maxillary advancement surgery

Introduction/Objective. Maxillary or mandibular retrognathism are common dentofacial deformities treated by combined orthodontic-surgical treatment. Surgical maxillary or mandibular advancement changes the position and strain of surrounding structures, which may also affect pharyngeal airway dimensi...

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Main Authors: Stefanović Neda Lj., Živković Sandić Marija, Martin Juan Palomo
Format: Article
Language:English
Published: Serbian Medical Society 2018-01-01
Series:Srpski Arhiv za Celokupno Lekarstvo
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0370-8179/2018/0370-81791800049S.pdf
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author Stefanović Neda Lj.
Živković Sandić Marija
Martin Juan Palomo
author_facet Stefanović Neda Lj.
Živković Sandić Marija
Martin Juan Palomo
author_sort Stefanović Neda Lj.
collection DOAJ
description Introduction/Objective. Maxillary or mandibular retrognathism are common dentofacial deformities treated by combined orthodontic-surgical treatment. Surgical maxillary or mandibular advancement changes the position and strain of surrounding structures, which may also affect pharyngeal airway dimensions. The aim of this study was to evaluate and compare three-dimensional pharyngeal airway space changes in patients treated with maxillary advancement and those treated with mandibular advancement. Methods. The sample consisted of 25 patients – 12 treated with maxillary advancement and 13 with mandibular advancement surgery. Nasopharyngeal (NP) volume, oropharyngeal (OP) volume, and the area of maximum constriction (AMC) in the OP were measured on cone beam computed tomography scans (2 mA / 120 kV / 12’’ FOV) taken before and at least three months after surgery. Paired samples t-test was used for analyzing statistical significance of changes (p ≤ 0.05). Results. Postoperative OP and NP volumes, as well as the AMC, increased insignificantly in both groups. Conclusion. Results suggest that mono-maxillary surgical advancement of the maxilla or the mandible increases pharyngeal airway dimensions.
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spelling doaj.art-39f0821af7cb44b9a8f9dda2bd1825112022-12-21T23:16:36ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792406-08952018-01-011467-837838310.2298/SARH180109049S0370-81791800049SPharyngeal airway changes after mono-maxillary advancement surgeryStefanović Neda Lj.0Živković Sandić Marija1Martin Juan Palomo2School of Dental Medicine, Department of Orthodontics, BelgradeSchool of Dental Medicine, Department of Orthodontics, BelgradeCase Western Reserve University, School of Dental Medicine, Department of Orthodontics and Craniofacial Imaging Center, Cleveland, Ohio, USAIntroduction/Objective. Maxillary or mandibular retrognathism are common dentofacial deformities treated by combined orthodontic-surgical treatment. Surgical maxillary or mandibular advancement changes the position and strain of surrounding structures, which may also affect pharyngeal airway dimensions. The aim of this study was to evaluate and compare three-dimensional pharyngeal airway space changes in patients treated with maxillary advancement and those treated with mandibular advancement. Methods. The sample consisted of 25 patients – 12 treated with maxillary advancement and 13 with mandibular advancement surgery. Nasopharyngeal (NP) volume, oropharyngeal (OP) volume, and the area of maximum constriction (AMC) in the OP were measured on cone beam computed tomography scans (2 mA / 120 kV / 12’’ FOV) taken before and at least three months after surgery. Paired samples t-test was used for analyzing statistical significance of changes (p ≤ 0.05). Results. Postoperative OP and NP volumes, as well as the AMC, increased insignificantly in both groups. Conclusion. Results suggest that mono-maxillary surgical advancement of the maxilla or the mandible increases pharyngeal airway dimensions.http://www.doiserbia.nb.rs/img/doi/0370-8179/2018/0370-81791800049S.pdfCone Beam CTmono-maxillary advancement surgerypharyngeal airways
spellingShingle Stefanović Neda Lj.
Živković Sandić Marija
Martin Juan Palomo
Pharyngeal airway changes after mono-maxillary advancement surgery
Srpski Arhiv za Celokupno Lekarstvo
Cone Beam CT
mono-maxillary advancement surgery
pharyngeal airways
title Pharyngeal airway changes after mono-maxillary advancement surgery
title_full Pharyngeal airway changes after mono-maxillary advancement surgery
title_fullStr Pharyngeal airway changes after mono-maxillary advancement surgery
title_full_unstemmed Pharyngeal airway changes after mono-maxillary advancement surgery
title_short Pharyngeal airway changes after mono-maxillary advancement surgery
title_sort pharyngeal airway changes after mono maxillary advancement surgery
topic Cone Beam CT
mono-maxillary advancement surgery
pharyngeal airways
url http://www.doiserbia.nb.rs/img/doi/0370-8179/2018/0370-81791800049S.pdf
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AT martinjuanpalomo pharyngealairwaychangesaftermonomaxillaryadvancementsurgery