Öz
Objectives: Association between craniofacial skeletal morphology and upper airway dimension is important. The aim of this retrospective study is to evaluate nasopharyngeal, oropharyngeal and hypopharyngeal airway sizes using lateral cephalometric radiographs. Materials and Methods: The material consisted lateral cephalometric radiographs taken from the archives of Erciyes University Faculty of Dentistry. The study group consisted of lateral cephalometric raiographs of 30 patients with skeletal Class I malocclusion (20 female and 10 male), 31 patients with skeletal Class II malocclusion (21 female and 10 male), 29 patients with skeletal Class III malocclusion (18 female and 11 male). PNS-PPW1 (nasopharingeal airway), SPT-PPW2 (oropharingeal airway) and Eb-PPW3 (hypofaringeal airway) values was measured. Otherwise, tongue length, vertical airway length, soft plate angulation, thickness and height, lower and upper pharyngeal spaces and hyoid bone position with respect to mandibular plane are evaluated. Statistical comparisons were performed using one-way ANOVA, and Fisher’s LSD tests. Results: No statistically significant difference in nasopharyngeal airway (F=0,970, p=0,383), oropharingeal airway (F=1,34, p=0,267), and hypofaringeal airway (F=1,86, p=0,161) sizes were seen among the patients with skeletal Class I, Class II, and Class III malocclusion. Conclusions: It is seen that the sizes of nasopharyngeal, oropharyngeal and hypopharyngeal airway are independent from skeletal Class I, Class II, and Class III malocclusions
Anahtar Kelimeler
Kaynakça
- Aboudara C, Nielsen I, Huang JC et al. Comparison of airway space with conventional lateral headfilms and 3-dimensional reconstruction from cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2009;135:468–479.
- Aboudara CA, Hatcher D, Nielsen IL, Miller A. A three-dimensional evaluation of the upper airway in adolescents. Orthod Craniofac Res 2003;6:173–175.
- Akcam MO, Toygar TU, Wada T. Longitudinal investigation of soft palate and nasopharyngeal airway relations in different rotation types. Angle Orthod 2002;72:521–526.
- Linder-Aronson S. Adenoids: their effect on mode of breathing and nasal airflow and their relationship to characteristics of the facial skeleton and the dentition. A biometric, rhino-manometric and cephalometro-radiographic study on children with and without adenoids. Acta Otolaryng 1970;265:1-132.
- Iça B, Oztürk F. The effects of orthodontic malocclusions and treatments on airway dimensions, tongue and hyoid bone position. Cumhuriyet Dent J 2014;17:101-108.
- Solow B, Siersbaek-Nielsen S, Greve E. Airway adequacy, head posture and craniofacial
- morphology. Am J Orthod 1984;86:214-223.
- Joseph AA, Elbaum J, Cisneros GJ, Eisig SB. Acephalometric comparative study of the soft tissue airway dimensions in persons with hyperdivergent and normodivergent facial patterns. J Oral Maxillofac Surg.1998;56:135-139.
- Battagel JM, Johal A, L'Estrange PR, Croft CB, Kotecha B. Changes in airway and hyoid position in response to mandibular protrusion in subjects with obstructive sleep apnoea (OSA). Eur J Orthod. 1999;21:363-376.
- Hong J, Oh K, Kim B, Kim Y, Park Y. Threedimensional analysis of pharyngeal airway volume in adults with anterior position of the mandible. Am J Orthod Dentofacial Orthop 2011;140:161-169.
- El H, Palomo JM. Airway volume for different dentofacial skeletal patterns. Am J Orthod Dentofacial Orthop 2011;139:511-521.
- Martin O, Muelas L, Vinas MJ. Comparative study of nasopharyngeal soft-tissue characteristics in patients with Class III malocclusion. Am J Orthod Dentofacial Orthop 2011;139:242-251.
- Jakobsone G, Stenvik A, Espeland L. The effect of maxillary advancement and impaction on the upper airway after bimaxillary surgery to correct Class III malocclusion. Am J Orthod Dentofacial Orthop 2011;139:369-376.
- Tsai HH, Ho CY, Lee PL, Tan CT. Cephalometric analysis of nonobese snorers either with or without obstructive sleep apnea syndrome. Angle Orthod 2007;77:1054-1061.
- Doruk C, Sökücü O, Sezer H, Canbay EI. Evaluation of nasal airway resistance during rapid maxillary expansion using acoustic rhinometry. Eur J Orthod 2004;26:397-401.
- Palaisa J, Ngan P, Martin C and Razmus T. Use of conventional tomography to evaluate changes in the nasal cavity with rapid palatal expansion. Am J Orthod Dentofac Orthop 2007;132:458-466.
- Preston CB, Lampasso JD, Tobias PV. Cephalometric evaluation and measurement of upper airway. Semin Orthod 2004;10:3-15.
- Jamieson A, Guilleminault C, Partinen M, Quera-Salva MA. Obstructive sleep apneic patients have craniomandibular abnormalities. Sleep 1986;9:469-477.
- Muto T, Yamazaki A, Takeda S. A cephalometric evaluation of the pharyngeal airway space in patients with mandibular retrognathia and prognathia, and normal subjects. Int J Oral Maxillofac Surg 2008;37:228-231.
- Yücel E, Yücel-Eroğlu E, Türk T, Saraçgil S. Eriflkin bireylerde üst hava yolu morfolojisinin değerlendirilmesi. Türk Ortodonti Dergisi 2000;13:179-188.
- Hanggi M, Teuscher UM, Roos M, Peltomaki T. Longterm changes in pharyngeal airway dimensions following activator-headgear and fixed appliance treatment. Eur J Orthod 2008;30:598-605.
Öz
Kraniofasiyal iskeletsel morfoloji ve üst hava yolu boyutu arasındaki ilişki önemli bir tartışma konusudur. Bu retrospektif çalışmanın amacı iskeletsel Sınıf I, Sınıf II ve Sınıf III hastalar arasındaki nazofaringeal, orofaringeal ve hipofaringeal hava yolu boyutlarını lateral sefalometrik radyograflar kullanarak değerlendirmektir. Erciyes Üniversitesi Diş Hekimliği Fakültesi arşivinden elde edilen lateral sefalometrik radyograflar üzerinde, Sınıf I maloklüzyona sahip 30 hastanın (20 kız, 10 erkek), sınıf II maloklüzyona sahip 31 hastanın (20 kız, 11 erkek) ve sınıf III maloklüzyona sahip 29 hastanın (18 kız, 11 erkek) üst havayolu boyutları değerlendirilmiştir. Nazofaringeal hava yolu (PNS-UPW), orofaringeal hava yolu (U-MPW) ve hipofaringeal hava yolu (V-LPW) boyutları ölçülmüştür. Ayrıca dil uzunluğu, vertikal hava yolu uzunluğu, yumuşak damağın angulasyonu, uzunluğu, kalınlığı ve yüksekliği, alt ve üst faringeal boşluk miktarları ve mandibular düzleme göre hyoid kemiğin konumu değerlendirilmiştir. Elde edilen veriler istatistiksel olarak Tek Yönlü Varyans Analizi ve Fisher’ın LSD Testi kullanılarak karşılaştırılmıştır. Nazofaringeal havayolu (F=0,970, p=0,383), Orofarengial havayolu (F=1,34, p=0,267) ve Hipofaringeal havayolu (F=1,86, p=0,161) boyutları arasında iskeletsel Sınıf I, Sınıf II ve Sınıf III maloklüzyona sahip hastalar arasında istatistiksel olarak anlamlı fark görülmemiştir. Ancak üst ve alt faringeal boşluk miktarları gruplar arasında istatistiksel olarak anlamlı fark göstermiştir. Sonuç olarak, nazofaringeal, orofarengial ve hipofaringeal havayolu boyutları iskeletsel Sınıf I, Sınıf II ve Sınıf III maloklüzyondan bağımsızdır.
Anahtar Kelimeler
Kaynakça
- Aboudara C, Nielsen I, Huang JC et al. Comparison of airway space with conventional lateral headfilms and 3-dimensional reconstruction from cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2009;135:468–479.
- Aboudara CA, Hatcher D, Nielsen IL, Miller A. A three-dimensional evaluation of the upper airway in adolescents. Orthod Craniofac Res 2003;6:173–175.
- Akcam MO, Toygar TU, Wada T. Longitudinal investigation of soft palate and nasopharyngeal airway relations in different rotation types. Angle Orthod 2002;72:521–526.
- Linder-Aronson S. Adenoids: their effect on mode of breathing and nasal airflow and their relationship to characteristics of the facial skeleton and the dentition. A biometric, rhino-manometric and cephalometro-radiographic study on children with and without adenoids. Acta Otolaryng 1970;265:1-132.
- Iça B, Oztürk F. The effects of orthodontic malocclusions and treatments on airway dimensions, tongue and hyoid bone position. Cumhuriyet Dent J 2014;17:101-108.
- Solow B, Siersbaek-Nielsen S, Greve E. Airway adequacy, head posture and craniofacial
- morphology. Am J Orthod 1984;86:214-223.
- Joseph AA, Elbaum J, Cisneros GJ, Eisig SB. Acephalometric comparative study of the soft tissue airway dimensions in persons with hyperdivergent and normodivergent facial patterns. J Oral Maxillofac Surg.1998;56:135-139.
- Battagel JM, Johal A, L'Estrange PR, Croft CB, Kotecha B. Changes in airway and hyoid position in response to mandibular protrusion in subjects with obstructive sleep apnoea (OSA). Eur J Orthod. 1999;21:363-376.
- Hong J, Oh K, Kim B, Kim Y, Park Y. Threedimensional analysis of pharyngeal airway volume in adults with anterior position of the mandible. Am J Orthod Dentofacial Orthop 2011;140:161-169.
- El H, Palomo JM. Airway volume for different dentofacial skeletal patterns. Am J Orthod Dentofacial Orthop 2011;139:511-521.
- Martin O, Muelas L, Vinas MJ. Comparative study of nasopharyngeal soft-tissue characteristics in patients with Class III malocclusion. Am J Orthod Dentofacial Orthop 2011;139:242-251.
- Jakobsone G, Stenvik A, Espeland L. The effect of maxillary advancement and impaction on the upper airway after bimaxillary surgery to correct Class III malocclusion. Am J Orthod Dentofacial Orthop 2011;139:369-376.
- Tsai HH, Ho CY, Lee PL, Tan CT. Cephalometric analysis of nonobese snorers either with or without obstructive sleep apnea syndrome. Angle Orthod 2007;77:1054-1061.
- Doruk C, Sökücü O, Sezer H, Canbay EI. Evaluation of nasal airway resistance during rapid maxillary expansion using acoustic rhinometry. Eur J Orthod 2004;26:397-401.
- Palaisa J, Ngan P, Martin C and Razmus T. Use of conventional tomography to evaluate changes in the nasal cavity with rapid palatal expansion. Am J Orthod Dentofac Orthop 2007;132:458-466.
- Preston CB, Lampasso JD, Tobias PV. Cephalometric evaluation and measurement of upper airway. Semin Orthod 2004;10:3-15.
- Jamieson A, Guilleminault C, Partinen M, Quera-Salva MA. Obstructive sleep apneic patients have craniomandibular abnormalities. Sleep 1986;9:469-477.
- Muto T, Yamazaki A, Takeda S. A cephalometric evaluation of the pharyngeal airway space in patients with mandibular retrognathia and prognathia, and normal subjects. Int J Oral Maxillofac Surg 2008;37:228-231.
- Yücel E, Yücel-Eroğlu E, Türk T, Saraçgil S. Eriflkin bireylerde üst hava yolu morfolojisinin değerlendirilmesi. Türk Ortodonti Dergisi 2000;13:179-188.
- Hanggi M, Teuscher UM, Roos M, Peltomaki T. Longterm changes in pharyngeal airway dimensions following activator-headgear and fixed appliance treatment. Eur J Orthod 2008;30:598-605.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Original Research Articles |
| Yazarlar | |
| Yayımlanma Tarihi | 11 Şubat 2015 |
| Gönderilme Tarihi | 29 Mayıs 2014 |
| Yayımlandığı Sayı | Yıl 2015Cilt: 18 Sayı: 1 |
Cited By
İSKELETSEL SINIF II BİREYLERDE NAZOFARENGEAL HAVAYOLUNUN FARKLI GELİŞİM DÖNEMLERİNDE DEĞERLENDİRİLMESİ
Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi
Özge USLU AKÇAM
https://doi.org/10.17567/ataunidfd.307084
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
CDJ accepts articles in English. Submitting a paper to CDJ is free of charges. In addition, CDJ has not have article processing charges.
Frequency: Four times a year (March, June, September, and December)
IMPORTANT NOTICE
All users of Cumhuriyet Dental Journal should visit to their user's home page through the "https://dergipark.org.tr/tr/user" " or "https://dergipark.org.tr/en/user" links to update their incomplete information shown in blue or yellow warnings and update their e-mail addresses and information to the DergiPark system. Otherwise, the e-mails from the journal will not be seen or fall into the SPAM folder. Please fill in all missing part in the relevant field.
Please visit journal's AUTHOR GUIDELINE to see revised policy and submission rules to be held since 2020.