The Efficacy of the Partial Glossectomy for Prevention of Airway Volume Reduction in Orthognathic Surgery of Class III Patients

The aim of this study was to evaluate the effects of a partial glossectomy on volumetric changes of pharyngeal airway space (PAS) in patients with mandibular setback surgery. Overall, 25 patients showing clinical features related to macroglossia treated with mandibular setback surgery were included...

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Main Authors: Suyun Seon, Junho Jung, Baek-Soo Lee, Yong-Dae Kwon, Byung-Joon Choi, Joo-Young Ohe
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/13/2/280
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author Suyun Seon
Junho Jung
Baek-Soo Lee
Yong-Dae Kwon
Byung-Joon Choi
Joo-Young Ohe
author_facet Suyun Seon
Junho Jung
Baek-Soo Lee
Yong-Dae Kwon
Byung-Joon Choi
Joo-Young Ohe
author_sort Suyun Seon
collection DOAJ
description The aim of this study was to evaluate the effects of a partial glossectomy on volumetric changes of pharyngeal airway space (PAS) in patients with mandibular setback surgery. Overall, 25 patients showing clinical features related to macroglossia treated with mandibular setback surgery were included in this retrospective study. Subjects were divided into two groups: the control group (G1, <i>n</i> = 13, with BSSRO) and the study group (G2, <i>n</i> = 12, with both BSSRO and partial glossectomy). The PAS volume of both groups was measured by the OnDemand 3D program on CBCT taken shortly before operation (T0), 3 months post-operative (T1), and 6 months post-operative (T2). A paired t-test and repeated analysis of variance (ANOVA) were used for statistical correlation. Total PAS and hypopharyngeal airway space were increased after operation in Group 2 compared to Group 1 (<i>p</i> < 0.05), while oropharyngeal airway space showed no significant statistical difference with the tendency of increasing. The combination of partial glossectomy and BSSRO surgical techniques had a significant effect on increasing the hypopharyngeal and total airway space in class III malocclusion patients (<i>p</i> < 0.05).
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spelling doaj.art-f8c3f99f59a34849b767d1dd53c5b6522023-11-16T21:39:04ZengMDPI AGLife2075-17292023-01-0113228010.3390/life13020280The Efficacy of the Partial Glossectomy for Prevention of Airway Volume Reduction in Orthognathic Surgery of Class III PatientsSuyun Seon0Junho Jung1Baek-Soo Lee2Yong-Dae Kwon3Byung-Joon Choi4Joo-Young Ohe5Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung-Hee University, Seoul 02447, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, School of Dentistry, Kyung-Hee University, Seoul 02447, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, School of Dentistry, Kyung-Hee University, Seoul 02447, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, School of Dentistry, Kyung-Hee University, Seoul 02447, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, School of Dentistry, Kyung-Hee University, Seoul 02447, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, School of Dentistry, Kyung-Hee University, Seoul 02447, Republic of KoreaThe aim of this study was to evaluate the effects of a partial glossectomy on volumetric changes of pharyngeal airway space (PAS) in patients with mandibular setback surgery. Overall, 25 patients showing clinical features related to macroglossia treated with mandibular setback surgery were included in this retrospective study. Subjects were divided into two groups: the control group (G1, <i>n</i> = 13, with BSSRO) and the study group (G2, <i>n</i> = 12, with both BSSRO and partial glossectomy). The PAS volume of both groups was measured by the OnDemand 3D program on CBCT taken shortly before operation (T0), 3 months post-operative (T1), and 6 months post-operative (T2). A paired t-test and repeated analysis of variance (ANOVA) were used for statistical correlation. Total PAS and hypopharyngeal airway space were increased after operation in Group 2 compared to Group 1 (<i>p</i> < 0.05), while oropharyngeal airway space showed no significant statistical difference with the tendency of increasing. The combination of partial glossectomy and BSSRO surgical techniques had a significant effect on increasing the hypopharyngeal and total airway space in class III malocclusion patients (<i>p</i> < 0.05).https://www.mdpi.com/2075-1729/13/2/280pharyngeal airwayglossectomymandibular setback surgery
spellingShingle Suyun Seon
Junho Jung
Baek-Soo Lee
Yong-Dae Kwon
Byung-Joon Choi
Joo-Young Ohe
The Efficacy of the Partial Glossectomy for Prevention of Airway Volume Reduction in Orthognathic Surgery of Class III Patients
Life
pharyngeal airway
glossectomy
mandibular setback surgery
title The Efficacy of the Partial Glossectomy for Prevention of Airway Volume Reduction in Orthognathic Surgery of Class III Patients
title_full The Efficacy of the Partial Glossectomy for Prevention of Airway Volume Reduction in Orthognathic Surgery of Class III Patients
title_fullStr The Efficacy of the Partial Glossectomy for Prevention of Airway Volume Reduction in Orthognathic Surgery of Class III Patients
title_full_unstemmed The Efficacy of the Partial Glossectomy for Prevention of Airway Volume Reduction in Orthognathic Surgery of Class III Patients
title_short The Efficacy of the Partial Glossectomy for Prevention of Airway Volume Reduction in Orthognathic Surgery of Class III Patients
title_sort efficacy of the partial glossectomy for prevention of airway volume reduction in orthognathic surgery of class iii patients
topic pharyngeal airway
glossectomy
mandibular setback surgery
url https://www.mdpi.com/2075-1729/13/2/280
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