scholarly journals Assessment of Oropharyngeal Widths in Individuals with Different Facial Skeletal Patterns

2014 ◽  
Vol 04 (02) ◽  
pp. 034-038
Author(s):  
Swathi Gupta ◽  
Ravi M. Subrahmanya

Abstract: Background and objectives: The relationship between airway patency and craniofacial development is highly debated and controversial subject. Hence this was conducted with the aims and objectives of comparing and correlating the upper & lower Oropharyngeal widths in individuals with horizontal growth pattern with that of individuals having vertical growth pattern. Methodology: 60 subjects (30 males & 30 females) in the age group of 16 to 20 years were selected as per inclusion criteria. They were divided into two groups (Group I and Group II) according to their skeletal pattern in vertical plane based on Jarabak' sratio and Y axis. . Pharyngeal width measurement was done based on McNamara analysis The data obtained was statistically evaluated using Mann-Whitney U test (Z test). Results: Significant correlation was found between facial skeletal patterns and upper and lower Oropharyngeal widths. The subjects with vertical skeletal pattern were found to have significantly narrower upper airways and broader lower airways than those with horizontal skeletal pattern. Interpretation and conclusion: The study supports the existence of a relationship between facial skeletal patterns and upper and lower oropharyngeal widths.

2021 ◽  
Vol 11 (1) ◽  
pp. 24-28
Author(s):  
Rajiv Yadav ◽  
Kishor Dutta ◽  
Nabin Gosain ◽  
Anil K Yadav ◽  
Neelam Yadav ◽  
...  

Introduction: Balance in vertical facial proportion is an important criteria for good esthetics. Variations in vertical growth are common and have certain orthodontic implications. The objectives of this study were to determine mean upper anterior facial height and lower anterior facial height, ratio between UAFH to LAFH and their difference among genders in skeletal Class I patients with different vertical growth pattern among patients visiting department of Orthodontic and Dentofacial orthopedics, Tribhuvan University Dental Teaching Hospital, Kathmandu. Materials and Method: This study was descriptive observational cross sectional study with 105 sample aged from 18-25 years. Pretreatment cephalometric radiograph of Skeletal Class I patients were taken and divided into three growth patterns as group I (normal growth pattern), group II (horizontal growth pattern ) and group III (vertical growth pattern ). Upper anterior facial height (N-ANS) and lower anterior facial height (ANS-Me) of all samples were measured on lateral cephalogram with cephalometric tracing ruler parallel to true vertical line. Descriptive statistics was used to calculate mean, minimum, and maximum values standard deviations with p value <0.05. Result: The upper anterior facial height (UAFH) and lower anterior facial height (LAFH) measurements in normal growth pattern was 52.37 and 64.4 , in horizontal growth pattern was 53.0 and 62.2, in vertical growth pattern was 53.37 and 64.42 respectively. The mean ratio of upper and lower anterior facial height in normal, horizontal and vertical growth pattern was 0.81, 0.85 and 0.79 respectively. There was no statistically significant difference in upper and lower facial heights between males and females. There was no statistically significant difference in UAFH between normal, horizontal and vertical growth pattern but statistically significant difference was observed in LAFH between groups. Conclusion: The cephalometric values for different vertical groups in skeletal class I can be used more specifically for diagnosis and treatment planning of Nepali population.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1132-1135
Author(s):  
Anjali Anna Thomas ◽  
Harish Babu ◽  
Remmiya Mary Varghese

Mandibular growth pattern (MGP) prediction plays an important role in orthodontic treatment planning. This study sought to assess the mandibular symphyseal width in adolescents with different mandibular growth patterns (MGPs) so as to see whether a correlation exists. This study was conducted on 90 lateral cephalograms of patients aged between 10 and 16 years. The subjects were divided into normo-divergent, hypodivergent and hyperdivergent subgroups based on the gonial angle. The symphyseal measurement included width or depth of the mandibular symphysis according to Akietal study. He suggested that a mandible with anterior growth direction was associated with a large depth of the symphysis. In contrast, a mandible with a posterior growth direction was associated with a small depth of symphysis. To assess the correlation between mandibular symphyseal width and mandibular growth pattern, Pearson’s correlation test was done. Correlation is significant at the 0.01 level (2 tailed). A P-value which is less than 0.05 was considered statistically significant. The mandibular symphyseal width was found to be strongly associated with the MGP. It can be inferred from the results that in vertical growth pattern, as the gonial angle increases, symphyseal width decreases and in horizontal growth pattern, as the gonial angle decreases, symphyseal width increases. Also, in vertical growth pattern subjects, the mandibular symphyseal width is narrower. In contrast, in horizontal growth pattern subjects, the mandibular symphyseal width is wider.


2021 ◽  
Vol 6 (3) ◽  
pp. 1-8
Author(s):  
Akshita ◽  
Arun K. Chauhan ◽  
Riddhi Chawla

Introduction: Human find symmetrical face more attractive than are asymmetrical faces. The smile is one of the most important facial expressions and is essential in expressing friendliness, agreement, and appreciation. The aim of the present study was to evaluate the relationship between smile and symmetry in attributing to attractiveness.   Materials & Method: The study was conducted in the Department Of Orthodontics and Dentofacial Orthopedics, on 150 samples. 150 good quality radiographs and photographs of the patients were obtained. The subjects were divided into three groups:  Group I – Horizontal growth pattern Group II – Average growth pattern Group III – Vertical growth pattern. The frontal facial photograph and PA cephalometric radiograph were used to assess the facial symmetry. Posed smile photograph and Lateral cephalometric radiograph were used to assess the smile. Digimizer Image Analyzer (bvba software) were used for the analysis. The ratings were given by the expert panellist based on attractiveness   Results: In the present study, Left facial symmetry parameters is marginally higher than right side in cephalometric analysis and converse for photographic analysis, right facial symmetry parameters is marginally higher than left side but this is not statistically significant. There are no statistically significant difference among the groups for smile -photographic parameters and lateral cephalometric smile parameters. There is statistically significant difference among the groups for Visual Analog Scale readings for attractiveness given by orthodontist, general dentist and layperson for frontal profile for the subjects of three study groups.   Conclusion: The study revealed that in cephalometric analysis, left hemiface is wider than right hemiface while in photographic analysis, right hemiface is wider than left hemiface. Vertical grower shows maximum upper incisor exposure and upper and lower vermilion lip thickness. On the contrary full smile length was minimum in vertical grower. The most favored profile by VAS was horizontal growth pattern.


2012 ◽  
Vol 17 (6) ◽  
pp. 25e1-25e7 ◽  
Author(s):  
Dirceu Barnabé Raveli ◽  
Savana Maia ◽  
Luana Paz Sampaio ◽  
Denise Rocha Goes Landázuri ◽  
Taísa Boamorte Raveli

OBJECTIVE: To evaluate possible differences in mandibular behavior in Class I individuals with vertical and horizontal growth patterns. METHODS: The sample consisted of 20 untreated Class I individuals divided into: Group 1 comprising 10 individuals with vertical growth pattern and Group 2 comprising 10 individuals with horizontal growth pattern, all of them belonging to the Burlington Growth Center files, University of Toronto-Canada, radiographically followed-up at ages 9, 12 and 21. Cephalometric radiographs, determined mean values for a long-term evaluation of mandibular behavior using the following measurements: SNB, Co-GN, SN.GoMe, anterior facial height and posterior facial height. RESULTS: SNB and Co-Gn values were higher in horizontal growth group at all of the ages studied; SN.GoMe measure was significantly lower in horizontal growth group; anterior facial height (AFH) showed lower values in individuals with horizontal growth pattern; and posterior facial height (PFH) showed lower values in individuals with vertical growth pattern. CONCLUSION: Long-term comparisons of Class I individuals' growth tendencies indicate that there are significant differences between both groups. Mandible showed a trend to clockwise rotation in Group 1. Group 2 showed a trend to brachycephalic facial form, due to the deficit in vertical development with regard to anterior facial height.


2016 ◽  
Vol 7 (2) ◽  
pp. 73-77 ◽  
Author(s):  
Sunita Shrivastav ◽  
Deoashish D Gupta ◽  
Priyanka Niranjane ◽  
Narendra Sharma ◽  
Rakesh Nathani

ABSTRACT Purpose The purpose of this study was to analyze and comparethe association between cervical spine and face in subjects with vertical and horizontal growth pattern using lateral cephalogram. Materials and methods Lateral cephalograms of 75 subjects between ages of 18 and 35 years were taken and analyzed. The study sample was divided into three groups of 25 individuals each; i.e., vertical growth pattern (gonial angle > 125°); horizontal growth pattern (gonial angle < 121°); and control group with average growth pattern (gonial angle 123° ± 2.5°). The relation between upper cervical vertebrae and face was compared between three groups by taking linear measurements. Results A statistically significant difference was observed in vertical dimensions of second cervical vertebra when it was correlated with anterior cranial base, maxilla and mandible in adults having horizontal and vertical growth pattern as compared to individuals with average growth pattern. Linear vertical measurements between maxilla to cervical spine and mandible to cervical spine were less in horizontal growth pattern as compared to vertical and average growth pattern. The p-value of SCV2—0.001, GoCV2—0.405, and PmCV2—0.001 showed significant results within intergroups. Conclusion It can be concluded that there exists an association between the morphology of the cervical vertebrae and the vertical and horizontal skeletal growth patterns. How to cite this article Gupta DD, Niranjane P, Sharma N, Shrivastav S, Kamble RH, Nathani R. Comparison of Association between Cervical Spine and Face in Subjects with Vertical and Horizontal Growth Pattern: An in vitro Study using Lateral Cephalogram. World J Dent 2016;7(2):73-77.


2016 ◽  
Vol 17 (4) ◽  
pp. 418-433 ◽  
Author(s):  
Jun Pan ◽  
Songtao Qi ◽  
Yi Liu ◽  
Yuntao Lu ◽  
Junxiang Peng ◽  
...  

OBJECT Craniopharyngiomas (CPs) are rare epithelial tumors that are often associated with an enigmatic and unpredictable growth pattern. Understanding the growth patterns of these tumors has a direct impact on surgical planning and may enhance the safety of radical tumor removal. The aim of this study was to analyze the growth patterns and surgical treatment of CPs with a focus on the involvement of the hypothalamopituitary axis and the relationship of the tumor to the arachnoid membrane and surrounding structures. METHODS Clinical data from 226 consecutive patients with primary CP were retrospectively reviewed. Tumor location and the relationship of the tumor to the third ventricle floor and the pituitary stalk were evaluated using preoperative MRI and intraoperative findings. A topographic classification scheme was proposed based on the site of tumor origin and tumor development. The clinical relevance of this classification on patient presentation and outcomes was also analyzed. RESULTS The growth of CPs can be broadly divided into 3 groups based on the site of tumor origin and on tumor-meningeal relationships: Group I, infrasellar/infradiaphragmatic CPs (Id-CPs), which mainly occurred in children; Group II, suprasellar subarachnoid extraventricular CPs (Sa-CPs), which were mainly observed in adults and rarely occurred in children; and Group III, suprasellar subpial ventricular CPs (Sp-CPs), which commonly occurred in both adults and children. Tumors in each group may develop complex growth patterns during vertical expansion along the pituitary stalk. Tumor growth patterns were closely related to both clinical presentation and outcomes. Patients with Sp-CPs had more prevalent weight gain than patients with Id-CPs or Sa-CPs; the rates of significant weight gain were 41.7% for children and 16.7% for adults with Sp-CPs, 2.2% and 7.1% for those with Id-CPs, and 12.5% and 2.6% for those with Sa-CPs (p < 0.001). Moreover, patients with Sp-CPs had increased hypothalamic dysfunction after radical removal; 39% of patients with Sp-CPs, 14.5% with Id-CPs, and 17.4% with Sa-CPs had high-grade hypothalamic dysfunction in the first 2 postoperative years (p < 0.001). CONCLUSIONS The classification of CPs based on growth pattern may elucidate the best course of treatment for this formidable tumor. More tailored, individualized surgical strategies based on tumor growth patterns are mandatory to provide long-term tumor control and to minimize damage to hypothalamic structures. Differences in the distribution of growth patterns between children and adults imply that hierarchical comparison is necessary when investigating outcomes and survival across treatment paradigms in patients with CP.


2017 ◽  
Vol 51 (1) ◽  
pp. 7-11
Author(s):  
Dhaval Ranjitbhai Lekhadia ◽  
Rohan Rai ◽  
Niveditha Hegde ◽  
Abhinay Sorake

ABSTRACT Introduction The aim of this study was to establish a new cephalometric parameter, named the Dhaval—Rohan angle (DR), to assess the vertical skeletal patterns on a lateral cephalogram with accuracy and reproducibility. Materials and methods One hundred and twenty pretreatment lateral cephalograms of the patients visiting the department of orthodontics and dentofacial orthopedics for treatment were obtained and divided into three groups. i.e., horizontal growth pattern, average growth pattern, and vertical growth pattern cases based on the routinely used cephalometric parameters; FMA, SN-GoGn, Y-axis angle and Jarabak ratio. This angle uses three skeletal landmarks, the point C (center of the condyle), point M (midpoint of premaxilla), and point G (center of the largest circle that is tangent to the internal inferior, anterior, and posterior surfaces of the mandibular symphysis). Results The one-way analysis of variance (ANOVA) test showed that the three groups studied were not the same for DR angle and the post hoc Tukey test found the groups to be significantly different. According to the Student's t-test, there was no statistically significant difference in mean values of DR angle between males and females. Conclusion Cephalometric evaluation of young adults shows that the DR angle below 28.5° indicates a horizontal growth pattern, between 28.5 and 32.5° indicate an average growth pattern and above 32.5° indicate a vertical growth pattern. How to cite this article Lekhadia DR, Rai R, Hegde N, Hegde G, Sorake A, Kumar A. Assessment of Vertical Skeletal Patterns using a New Cephalometric Parameter: The Dhaval—Rohan Angle. J Postgrad Med Edu Res 2017;51(1):7-11.


2021 ◽  
pp. 030157422110159
Author(s):  
Shetty Suhani Sudhakar ◽  
K. Mithun ◽  
Abhinay Sorake ◽  
K. Nillan Shetty ◽  
Thankam C. Susan

Aim: To determine the correlation between palatal rugae (PR) pattern and subjects with vertical, average, and horizontal growth pattern and to determine gender variation if any. Material and Methods: One hundred and twenty study models were divided into horizontal, vertical, and average growth patterns with 40 (20 males and 20 females) samples in each group. The pattern of PR was assessed in each group using a template. Result: Type B (wavy type) PR occurs more often in horizontal and average growth pattern (80% and 72.5% respectively), whereas its occurrence in vertical growth pattern subject is the least among other growth patterns, that is, 42.5% of the total subjects. Type E (curved type) PR has appeared highest in 27.5% of average growth pattern patient followed by 12.5% of vertical growth pattern subjects. The occurrence of type E PR is least in horizontal growth pattern which is just 5% of the total subjects. Conclusion: Curved-type PR was more prevalent in vertical and average growth patterns. Diverging PR pattern was mainly seen in vertical growth pattern. PR also shows sexual dimorphism. The association is clinically significant as it will lead to determination of facial vertical growth pattern at early age; thus, it serves as a diagnostic adjunct for different malocclusions very early in life and aids in preventive or interceptive orthodontic measures to alleviate forthcoming growth pattern.


Author(s):  
З.С. САНОВА

В статье представлены материалы о взаимосвязи продолжительности продуктивного использования коров с характеристикой устойчивости к деградации, с возрастом отела и удоем. В исследованной, разнородной по происхождению, группе животных для прогноза продуктивного периода коров, обусловленного устойчивостью к деградации и возрастом первого отела, пригодно уравнение регрессии, аргументами в котором являются индекс устойчивости, возраст первого отела в первой и второй степенях. Коэффициент корреляции межу предсказанными значениями продуктивного периода и его фактическими величинами в I группе составляет 0,502, во II - 0,604. При этом крайние варианты прогнозируются со статистическими ошибками 5 мес при оценке индекса устойчивости по 2 лактациям и 4,1 мес по 3, а средние варианты, соответственно, 1,6 и 1,51 мес. Индекс устойчивости к процессу старения является важной характеристикой биологических особенностей коров, определяющий их продуктивное долголетие. Его оценка по первым 2 и 3 лактациям имеет прямолинейную связь с продуктивным периодом (r=0,4109 и r=0,5270), соответственно. Зависимость продуктивного периода от возраста первого отела криволинейная — с увеличением возраста первого отела сокращается срок продуктивного использования, при возрасте первого отела более 1400 дней срок продуктивного использования колеблется от 1,33 до 1,41 лактации. Коэффициент корреляции между этими характеристиками коров составляет - 0,2164 в I и - 0,2620 во II группах. The article presents materials about the relationship of the duration of productive use of cows with the characteristic of resistance to degradation, with the age of calving and milk yield. In the studied group of animals, which is heterogeneous in origin, the regression equation is suitable for predicting the productive period of cows due to resistance to degradation and the age of the first calving, the arguments of which are the stability index, the age of the first calving in the first and second degrees. The correlation coefficient between the predicted values of the productive period and its actual values in group I is 0.502, in group II - 0.604. At the same time, the extreme variants are predicted with statistical errors of 5 months when evaluating the stability index for 2 lactations and 4.1 months for 3, and the average variants, respectively, are 1.6 and 1.51 months. The index of resistance to the aging process is an important characteristic of the biological characteristics of cows, which determines their productive longevity. Its estimate for the first 2 and 3 lactations has a direct relationship with the productive period (r=0.4109 and r=0.5270), respectively. The dependence of the productive period age at first calving curvilinear with increasing age at first calving reduces the time to productive use, while age at first calving of more than 1400 days, the period of productive use ranges from 1.33 to 1.41 lactation. The correlation coefficient between these characteristics of cows is-0.2164 in I and-0.2620 in II groups.


2020 ◽  
Vol 2 (1) ◽  
pp. 38-43
Author(s):  
Luiz Severo Bem Junior ◽  
Gustavo De Souza Andrade ◽  
Joao Ribeiro Memória Júnior ◽  
Hildo Rocha Cirne de Azevedo Filho

Terson's sign (TS) is classically defined as vitreous hemorrhage associated with subarachnoid hemorrhage of aneurysmal origin, being an important predictor of severity, indicating greater morbidity and mortality when compared to patients without the sign. The objective of this study is to review the relationship of Terson syndrome/Terson sign with the prognosis of aneurysmal subarachnoid hemorrhage. A search for original articles, research and case reports was performed on the PubMed, Scielo, Cochrane and ScienceDirect platform, with the following descriptors: Terson sign and subarachnoid hemorrhage. Retrospective, prospective articles and case reports published in the last 5 years and which were in accordance with the established objective and inclusion criteria were selected. Ten (10) articles were selected, in which the available results show an unfavorable prognostic relationship of TS and subarachnoid hemorrhage, because these patients had a worse clinical status assessed on the Glasgow scales ≤ 8, Hunt & Hess > III, Fisher > 3, in addition to intracranial hypertension and location of the aneurysm in the anterior communicating artery complex. The early recognition of this condition described by Albert Terson in 1900 brought an important contribution to neurosurgery, being recognized until nowadays.


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