Three-dimensional analysis of pharyngeal airway change of skeletal class III patients in cone beam computed tomography after bimaxillary surgery

Author(s):  
Young-Wook Kwon ◽  
Jong-Min Lee ◽  
Joo-Wan Kang ◽  
Chang-Hyen Kim ◽  
Je Uk Park
Author(s):  
Sameer Khan ◽  
Devaki Vijayalakshmi ◽  
K.S. Nagachandran ◽  
S. Karthik ◽  
Janani Jayapal ◽  
...  

Objectives: To evaluate the changes in the pharyngeal airway space (PAS) before and after bi-lateral sagittal split osteotomy (BSSO) surgery using a three-dimensional cone-beam computed tomography (3D-CBCT). Material and Methods: The sample consisted of patients (n=7), aged between 21-30 years, having a skeletal Class II with retrognathic mandible and orthognathic maxilla who underwent orthodontic treatment and were advised for BSSO advancement surgery. Pre-surgical CBCT scans were taken a week before the surgery (T0) and the post-treatment records, three months after the surgery (T1). The 3D PAS was reconstructed from the CBCT scans, and the volumetric changes were evaluated.


Folia Medica ◽  
2020 ◽  
Vol 62 (3) ◽  
pp. 572-577
Author(s):  
Madhura Jadhav ◽  
Veera Bhosale ◽  
Amol Patil ◽  
Siddharth Shinde

Introduction: After a century of controversies, we are still not certain on the relationship between airway volume and facial morphology. Objective: To measure nasopharyngeal airway volume and compare it among different skeletal patterns. Materials and methods: Forty five CBCT scans of patients between sixteen to twenty five years were used in the study. The nasopharyngeal airway was divided into upper, middle and lower segments. CBCT images were grouped into skeletal class I, class II and class III. Results: There was highly significant difference in upper (p=0.001) and middle pharyngeal airway volume (p<0.001) among 3 skeletal groups. Lower pharyngeal airway volume was also statistically significant (p=0.051) among 3 groups. Total pharyngeal airway volume did not show any significant correlation. Conclusion: Nasopharyngeal airway volume seems to play a role in different skeletal patterns.


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