Comparison of Different Orthognathic Surgeries Impact on Pharyngeal Airway Space in CL III Patients

Introduction: This study sought to compare the changes in the pharyngeal airway space, hyoid bone position, tongue, soft palate, and retro-lingual soft tissues following three different orthognathic surgeries on class III patients. Materials and Methods: This quasi-experimental study was conducted...

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Main Authors: Mahtab Nouri, Sara Alijani, Golnaz Nahvi
Format: Article
Language:English
Published: Shahid Beheshti University of Medical Sciences 2019-10-01
Series:Regeneration, Reconstruction & Restoration
Subjects:
Online Access:http://journals.sbmu.ac.ir/tripleR/article/view/29305
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author Mahtab Nouri
Sara Alijani
Golnaz Nahvi
author_facet Mahtab Nouri
Sara Alijani
Golnaz Nahvi
author_sort Mahtab Nouri
collection DOAJ
description Introduction: This study sought to compare the changes in the pharyngeal airway space, hyoid bone position, tongue, soft palate, and retro-lingual soft tissues following three different orthognathic surgeries on class III patients. Materials and Methods: This quasi-experimental study was conducted on 75 skeletal class III patients. The predictor variable was the type of orthognathic surgery namely mandibular setback, maxillary impaction & mandibular setback and maxillary advancement & mandibular setback (25 patients in each group). The primary outcome variables were the dimensions of the pharyngeal airway space and retrolingual region, measured preoperatively and at least one year postoperatively. Cephalometric landmarks were also measured. Pre- and post-operative cephalograms were superimposed based on the S-N line with registration at the S-point. Results: When considering the changes in the whole sample (75 cases), significant changes were found in oropharyngeal length (UMPW, VLPW), tongue height (H-VT), horizontal position of vallecula (V_C3) and horizontal position of the hyoid bone. The only significant difference noted, was the tongue height and vertical position of hyoid between the three groups. Conclusion: Orthognathic surgery significantly affects the oropharyngeal space and position of the tongue and hyoid bone. The three types of Orthognathic surgeries on class III patients caused different effects on oropharyngeal space, tongue and hyoid position with a significant impact on tongue height in maxillary advancement plus mandibular setback.
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spelling doaj.art-e8017e0a52fd422e8db450276983fcf02022-12-22T01:07:44ZengShahid Beheshti University of Medical SciencesRegeneration, Reconstruction & Restoration2476-51632476-51712019-10-014416216910.22037/rrr.v4i4.2930513427Comparison of Different Orthognathic Surgeries Impact on Pharyngeal Airway Space in CL III PatientsMahtab NouriSara AlijaniGolnaz NahviIntroduction: This study sought to compare the changes in the pharyngeal airway space, hyoid bone position, tongue, soft palate, and retro-lingual soft tissues following three different orthognathic surgeries on class III patients. Materials and Methods: This quasi-experimental study was conducted on 75 skeletal class III patients. The predictor variable was the type of orthognathic surgery namely mandibular setback, maxillary impaction & mandibular setback and maxillary advancement & mandibular setback (25 patients in each group). The primary outcome variables were the dimensions of the pharyngeal airway space and retrolingual region, measured preoperatively and at least one year postoperatively. Cephalometric landmarks were also measured. Pre- and post-operative cephalograms were superimposed based on the S-N line with registration at the S-point. Results: When considering the changes in the whole sample (75 cases), significant changes were found in oropharyngeal length (UMPW, VLPW), tongue height (H-VT), horizontal position of vallecula (V_C3) and horizontal position of the hyoid bone. The only significant difference noted, was the tongue height and vertical position of hyoid between the three groups. Conclusion: Orthognathic surgery significantly affects the oropharyngeal space and position of the tongue and hyoid bone. The three types of Orthognathic surgeries on class III patients caused different effects on oropharyngeal space, tongue and hyoid position with a significant impact on tongue height in maxillary advancement plus mandibular setback.http://journals.sbmu.ac.ir/tripleR/article/view/29305orthognathic surgerymalocclusion, angle class iiipharynx
spellingShingle Mahtab Nouri
Sara Alijani
Golnaz Nahvi
Comparison of Different Orthognathic Surgeries Impact on Pharyngeal Airway Space in CL III Patients
Regeneration, Reconstruction & Restoration
orthognathic surgery
malocclusion, angle class iii
pharynx
title Comparison of Different Orthognathic Surgeries Impact on Pharyngeal Airway Space in CL III Patients
title_full Comparison of Different Orthognathic Surgeries Impact on Pharyngeal Airway Space in CL III Patients
title_fullStr Comparison of Different Orthognathic Surgeries Impact on Pharyngeal Airway Space in CL III Patients
title_full_unstemmed Comparison of Different Orthognathic Surgeries Impact on Pharyngeal Airway Space in CL III Patients
title_short Comparison of Different Orthognathic Surgeries Impact on Pharyngeal Airway Space in CL III Patients
title_sort comparison of different orthognathic surgeries impact on pharyngeal airway space in cl iii patients
topic orthognathic surgery
malocclusion, angle class iii
pharynx
url http://journals.sbmu.ac.ir/tripleR/article/view/29305
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AT saraalijani comparisonofdifferentorthognathicsurgeriesimpactonpharyngealairwayspaceincliiipatients
AT golnaznahvi comparisonofdifferentorthognathicsurgeriesimpactonpharyngealairwayspaceincliiipatients