scholarly journals Nasal septum changes in adolescent patients treated with rapid maxillary expansion

2016 ◽  
Vol 21 (1) ◽  
pp. 47-53 ◽  
Author(s):  
Tehnia Aziz ◽  
Francis Carter Wheatley ◽  
Kal Ansari ◽  
Manuel Lagravere ◽  
Michael Major ◽  
...  

Objective: To analyze cone-beam computed tomography (CBCT) scans to measure changes in nasal septal deviation (NSD) after rapid maxillary expansion (RME) treatment in adolescent patients. Methods: This retrospective study involved 33 patients presenting with moderate to severe nasal septum deviation as an incidental finding. Out of these 33 patients, 26 were treated for transverse maxillary constriction with RME and seven, who did not undergo RME treatment, were included in the study as control group. CBCT scans were taken before appliance insertion and after appliance removal. These images were analyzed to measure changes in nasal septum deviation (NSD). Analysis of variance for repeated measures (ANOVA) was used. Results: No significant changes were identified in NSD regardless of the application or not of RME treatment and irrespective of the baseline deviation degree. Conclusion: This study did not provide strong evidence to suggest that RME treatment has any effect on NSD in adolescent patients; however, the results should be interpreted with caution, due to the small sample size and large variation amongst individual patient characteristics.

2020 ◽  
Author(s):  
Sanaz Sadry ◽  
Ufuk Ok ◽  
Didem Öner Özdaş

Abstract Purpose: The aim of this study is to evaluate the effects of nasal septum deviation on the pharyngeal airway and cervico-craniofacial measurements on cephalometrics. Methods: The present study examines the skeletal and functional relationship of airway and septum deviation on the panoramic and cephalometric images of 50 patients with indication of orthodontic treatment, who were refeered to XXXXX University Faculty of Dentistry Departments of Pedodontics and Orthodontic for various reasons. Material of the study consists of 50 patients, including 25 patients (11 females and 9 males) with nasal septum deviation and 25 (12 females and 8 males) control group individuals without nasal septum deviation (23 females and 17 males; mean age: 10.1 ± 0.7 years). Results: The obtained data were evaluated using SPSS (21.0) package program. Regarding the data analysis, Mann-Whitney U Test Statistics was used for the analysis of two-variable data. (P>0.05). The difference between the groups was statistically significant (p<0.05) in the group with nasal septum deviation with regard to nasopharynx (af-pf1), vertical airway length (Eb-pm), and cervical colon curvature (OPT/CVT). Conclusion: Orthodontic patients detected with a nasal septum deviation of 4 mm and more on their panoramic radiographs are susceptible of various pharyngeal airway and cranio-cervical postural changes.


2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Tehnia Aziz ◽  
Kal Ansari ◽  
Manuel O. Lagravere ◽  
Michael P. Major ◽  
Carlos Flores-Mir

2017 ◽  
pp. 30-33
Author(s):  
O. A. Nakonechnaya ◽  
A. I. Onischenko ◽  
T. V. Gorbach ◽  
A. S. Tkachenko ◽  
T. N. Chubukova

Aim: to study the levels of fractalkine and IL-8 in blood serum of patients with exacerbation of chronic purulent rhinosinusitis. Material and methods . Twenty patients suffering from chronic purulent rhinosinusitis were examined during the stage of exacerbation. The control group consisted of twenty conditionally healthy individuals with nasal septum deviation. The blood sampling of the examined patients was performed. The levels of fractalkine and IL-8 in the blood serum were determined by ELISA. Results. The exacerbation of purulent chronic rhinosinusitis leads to increased levels of both fractalkine and IL-8 in the blood serum of patients, which contributes to the involvement of neutrophils, monocytes, and cytotoxic T-lymphocytes into the inflammatory process. Chemokines IL-8 and fractalkine play an important role in the pathogenesis of chronic purulent rhinosinusitis, which suggests the reasonability of application of pharmacological preparations that block their functions. Conclusions. The carried out study revealed increased levels of both fractalkine and IL-8 in the blood serum of the patients with chronic purulent rhinosinusitis at the stage of exacerbation


2021 ◽  
pp. 105566562110232
Author(s):  
Maryam Paknahad ◽  
Aida Pourzal ◽  
Mohammad Mahjoori-Ghasrodashti ◽  
Leila Khojastepour

Objectives: The detection of anatomical variation impairments in patients with cleft lip and palate (CLP) is crucial in combined orthodontic and maxillofacial surgical treatments. Therefore, this study aimed at evaluating the anatomical maxillary sinus characteristics, nasal septum deviation (NSD), and mucosal thickening of the maxillary sinus in patients with CLP using cone beam computed tomography (CBCT). Design: The CBCT images were classified into 3 groups of unilateral cleft lip and palate (UCLP; n = 40), bilateral cleft lip and palate (BCLP; n=14), and noncleft (control; n = 54). Subsequently, the maxillary sinus linear dimensions were assessed. Height, width, depth, infundibulum height, and ostium width were assessed as quantitative measures, whereas nasal septum deviation and mucosal thickening were assessed as qualitative measures. One-way analysis of variance and χ2 tests were utilized to identify any significant differences among the groups regarding the aforementioned variables. Results: Significant differences were observed among the groups regarding maxillary sinus height and depth, NSD, and mucosal thickening. Moreover, UCLP and BCLP groups showed higher incidence of NSD and mucosal thickening. However, the size of maxillary sinus height and depth was lower in the UCLP and BCLP groups. Conclusion: The results showed that BCLP and UCLP groups obtained lower maxillary sinus height and depth compared to the control group. On the other hand, incidence of the NSD and mucosal thickening was significantly higher in UCLP and BCLP groups than those in the control group.


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Fitin Aloufi ◽  
Charles B. Preston ◽  
Khalid H. Zawawi

Objectives. The primary objectives of this retrospective study were first to compare the upper and lower pharyngeal airway spaces between orthodontic patients with and without maxillary constriction and second to evaluate the effect of rapid maxillary expansion (RME) on these airway spaces. A secondary objective was to compare the mode of breathing between groups. Materials and Methods. The experimental (RME) group consisted of 30 patients (mean age, years, 16 boys and 14 girls) with maxillary constriction who were treated with hyrax-type RME. The control group comprised the records of age- and gender matched patients (mean age, years, 16 boys and 14 girls) with no maxillary constriction but requiring nonextraction comprehensive orthodontic treatment. Cephalometric measurements in the sagittal dimension of upper and lower airway spaces for the initial and final records were recorded. Mode of breathing and length of treatment were also compared. Results. The sagittal dimension of the upper airway increased significantly in the RME group ( mm) compared to the control group ( mm), . However, there was no significant difference in the lower pharyngeal airway measurement between the RME group () and the control group (), . There was no significant difference with respect to mode of breathing between the two groups (). Conclusion. Rapid maxillary expansion (RME) during orthodontic treatment may have a positive effect on the upper pharyngeal airway, with no significant change on the lower pharyngeal airway.


2015 ◽  
Vol 86 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Débora C Martins ◽  
Bernardo Q Souki ◽  
Paula L Cheib ◽  
Gerluza A.B Silva ◽  
Igor D.G Reis ◽  
...  

ABSTRACT Objective:  To compare external root resorption (ERR) when bands and wires are used as orthodontic anchorage during rapid maxillary expansion (RME). Materials and Methods:  Histologic analysis was performed on 108 sites from 18 maxillary first premolars and on 36 sites from six mandibular first premolars in nine subjects (mean age = 15.2 ± 1.4 years) 3 months after RME. Maxillary teeth were pooled into two groups (n = 54 each) according to the type of orthodontic anchorage (band group [BG] vs wire group [WG]). Anchorage type was randomly chosen in a split-mouth design. Mandibular first premolars, which were not subjected to orthodontic forces, were used as the control group (CG). Results:  All premolars in the BG and WG showed ERR at the level of the cementum and dentin. Repair with cementum cells was observed in all resorption areas, but complete repair was rarely found. No statistically significant difference was found between the BG and WG with regard to the ERR. No association was found between the root height position (middle or cervical third) and the incidence of ERR. Buccal root surfaces showed a higher amount of ERR compared with the palatal and interproximal surfaces. ERR was not found in any teeth in the CG. Conclusion:  All maxillary first premolars subjected to RME showed ERR and partial cementum repair. Banded teeth did not develop more ERR than nonbanded anchorage teeth.


2019 ◽  
Vol 30 (2) ◽  
pp. 433-436 ◽  
Author(s):  
Imran Aydoğdu ◽  
Yavuz Atar ◽  
Zeynep Aydoğdu ◽  
Ziya Saltürk ◽  
Enes Ataç ◽  
...  

2019 ◽  
Vol 30 (5) ◽  
pp. 1605-1608
Author(s):  
Israfil Orhan ◽  
Tugrul Ormeci ◽  
Nagihan Bilal ◽  
Saime Sagiroglu ◽  
Adem Doganer

2019 ◽  
Vol 13 (02) ◽  
pp. 143-149
Author(s):  
Fatma Selen Ozzeybek Can ◽  
Hakan Turkkahraman

Abstract Objectives The aim of this study was to evaluate the effects of rapid maxillary expansion (RME) and facemask therapy on the soft tissue profiles of class III patients at different growth stages. Materials and Methods Forty-five subjects (23 females and 22 males) were divided into prepubertal, pubertal, and postpubertal groups. Bonded type RME appliances and Petit-type facemasks were fitted to each patient, and intraoral elastics were applied from the hooks of the RME appliance to the facemask. Statistical Analysis All measurements were statistically analyzed with SPSS version 18.0 (SPSS Inc., Chicago, IL, United States) for Windows. Repeated-measures of ANOVA and posthoc Tukey tests were used to compare the groups. Results The soft tissue nasion, pronasale, subnasale, soft tissue A point, and labrale superior landmarks were all displaced forward and downward, and the most dramatic changes were recorded in the pubertal group. The labrale inferior, soft tissue B point, soft tissue pogonion, and soft tissue menton landmarks moved backward and downward in all groups, and the greatest displacements were observed in the pubertal group. Conclusions The soft tissue profiles improved significantly and became more convex in all treatment groups. Although, the most favorable facial changes were observed in the pubertal growth stage, the treatments applied in the postpubertal stage also elicited significant changes and should thus be considered viable treatment options.


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