European Oral Research

SUBMITINFORMATION
EnglishTürkçe

Research Article


DOI :10.26650/eor.2018.28870   IUP :10.26650/eor.2018.28870    Full Text (PDF)

Quantification of volumetric, surface area and linear airway changes after orthognathic surgery: a preliminary study

Mehmet Ali Altay, Faisal A. Quereshy, Jonathan T. Williams, Humzah A. Quereshy, Öznur Özalp, Dale A. Baur

Purpose
The aim of this study was to conduct a retrospective evaluation of the volumetric, cross-sectional surface area and the linear airway changes in healthy subjects undergoing orthognathic surgery.

Materials and methods
A total of 10 patients were included in this study and categorized into two groups. The first group consisted of five patients who underwent maxillary and mandibular advancements (MMA) with genioplasty. The remaining five patients who underwent maxillary advancement with mandibular setback (MAMS) comprised the second group. The changes in airway volume, surface area, and linear values obtained from defined hard and soft tissue parameters were evaluated using preoperative and postoperative cone-beam computed tomography. A paired t-test was used to explore the statistical significance.

Results
A statistically significant increase in the airway volume (34.3%) was observed in the MMA group. The changes in the MAMS group were not statistically significant, although an average volumetric decrease of 8.8% was observed. The minimal axial surface area measurements in the MMA group at the levels of the soft palate and the tongue were significantly increased (56.8% and 44.9%, respectively). However, MAMS resulted in no significant changes at these levels (11.2% and 9.1% decrease, respectively). Linear changes showed a statistically significant increase in the airway in the MMA group, whereas the same measurements failed to produce significant changes in the MAMS group.

Conclusion
As there were no significant changes in the measured parameters, surgeons can have greater confidence that MAMS does not have any negative influence on the airway.

Keywords: Volumetric, linear, surface area, airway changes, orthognathic surgery

PDF View

References

  • 1. Quereshy F, Savell T, Palomo J. Applications of Cone Beam Computed Tomography in The Practice of Oral and Maxillofacial Surgery. J Oral Maxillofac Surg 2008; 66: 791 6. [CrossRef ] google scholar
  • 2. Riley RW, Powell NB, Guilleminault C, Ware W. Obstructive Sleep Apnea Following Surgery For Mandibular Prognathism. J Oral Maxillofac Surg 1987; 45: 450-2.[CrossRef] google scholar
  • 3. Riley RW, Powell NB. Maxillofacial Surgery and Obstructive Sleep Apnea Syndrome. Otolaryngol Clin North Am 1990; 23: 809-26. google scholar
  • 4. Hong JS, Park YH, Kim YJ, Hong SM, Oh KM. Three dimensional changes in pharyngeal airway in skeletal class III patients undergoing orthognathic surgery. J Oral Maxillofac Surg 2011; 69: e4018. [CrossRef ] google scholar
  • 5. Mattos CT, Vilani GN, Sant’Anna EF, Ruellas AC, Maia LC. Effects of orthognathic surgery on oropharyngeal airway: a meta analysis. Int J Oral Maxillofac Surg 2011; 40: 1347-56. [CrossRef ] google scholar
  • 6. Park JW, Kim NK, Kim JW, Kim MJ, Chang YI. Volumetric, planar, and linear analyses of pharyngeal airway change on computed tomography and cephalometry after man- Airway changes after orthognathic surgery 41 dibular setback surgery. Am J Orthod Dentofacial Orthop 2010; 138: 292-9. [CrossRef ] google scholar
  • 7. Jakobsone G, Neimane L, Krumina G. Two- and three-dimensional evaluation of the upper airway after bimaxillary correction of Class III malocclusion. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 110: 234-42. [CrossRef ] google scholar
  • 8. Tselnik M, Pogrel MA. Assessment of the pharyngeal airway space after mandibular setback surgery. J Oral Maxillofac Surg 2000; 58: 282-5. [CrossRef ] google scholar
  • 9. Athanasiou AE, Toutountzakis N, Mavreas D, Ritzau M, Wenzel A. Alterations of hyoid bone position and pharyngeal depth and their relationship after surgical correction of mandibular prognathism. Am J Orthod Dentofacial Orthop 1991; 100: 259-65. [CrossRef ] google scholar
  • 10. Gu G, Gu G, Nagata J, Suto M, Anraku Y, Nakamura K, Kuroe K, Ito G. Hyoid position, pharyngeal airway and head posture in relation to relapse after the mandibular setback in skeletal Class III. Clin Orthod Res 2000; 3: 67-77. [CrossRef ] google scholar
  • 11. Turnbull NR, Battagel JM. The effects of orthognathic surgery on pharyngeal airway dimensions and quality of sleep. J Orthod 2000; 27: 235-47. [CrossRef ] google scholar
  • 12. Lee Y, Chun YS, Kang N, Kim M. Volumetric changes in the upper airway after bimaxillary surgery for skeletal class III malocclusions: a case series study using 3 dimensional cone-beam computed tomography. J Oral Maxillofac Surg 2012; 70: 2867-75. [CrossRef ] google scholar
  • 13. Shaw K, McIntyre G, Mossey P, Menhinick A, Thomson D. Validation of conventional 2D lateral cephalometry using 3D cone beam CT. J Orthod 2013; 40: 22-8.[CrossRef ] google scholar
  • 14. Burkhard JP, Dietrich AD, Jacobsen C, Roos M, Lubbers HT, Obwegeser JA. Cephalometric and three-dimensional assessment of the posterior airway space and imaging software reliability analysis before and after orthognathic surgery. J Craniomaxillofac Surg 2014; 42: 1428-36. [CrossRef ] google scholar
  • 15. Becker OE, Avelar RL, Goelzer JG, Dolzan Ado N, Haas OL Jr, De Oliveira RB. Pharyngeal airway changes in Class III patients treated with double jaw orthognathic surgery-- maxillary advancement and mandibular setback. J Oral Maxillofac Surg 2012; 70: e639-47. [CrossRef ] google scholar
  • 16. Sears CR, Miller AJ, Chang MK, Huang JC, Lee JS. Comparison of pharyngeal airway changes on plain radiography and cone-beam computed tomography after orthognathic surgery. J Oral Maxillofac Surg 2011; 69: e385-94. [CrossRef ] google scholar

Citations

Copy and paste a formatted citation or use one of the options to export in your chosen format


EXPORT



APA

Altay, M.A., Quereshy, F.A., Williams, J.T., Quereshy, H.A., Özalp, Ö., & Baur, D.A. (2018). Quantification of volumetric, surface area and linear airway changes after orthognathic surgery: a preliminary study. European Oral Research, 52(1), 33-38. https://doi.org/10.26650/eor.2018.28870


AMA

Altay M A, Quereshy F A, Williams J T, Quereshy H A, Özalp Ö, Baur D A. Quantification of volumetric, surface area and linear airway changes after orthognathic surgery: a preliminary study. European Oral Research. 2018;52(1):33-38. https://doi.org/10.26650/eor.2018.28870


ABNT

Altay, M.A.; Quereshy, F.A.; Williams, J.T.; Quereshy, H.A.; Özalp, Ö.; Baur, D.A. Quantification of volumetric, surface area and linear airway changes after orthognathic surgery: a preliminary study. European Oral Research, [Publisher Location], v. 52, n. 1, p. 33-38, 2018.


Chicago: Author-Date Style

Altay, Mehmet Ali, and Faisal A. Quereshy and Jonathan T. Williams and Humzah A. Quereshy and Öznur Özalp and Dale A. Baur. 2018. “Quantification of volumetric, surface area and linear airway changes after orthognathic surgery: a preliminary study.” European Oral Research 52, no. 1: 33-38. https://doi.org/10.26650/eor.2018.28870


Chicago: Humanities Style

Altay, Mehmet Ali, and Faisal A. Quereshy and Jonathan T. Williams and Humzah A. Quereshy and Öznur Özalp and Dale A. Baur. “Quantification of volumetric, surface area and linear airway changes after orthognathic surgery: a preliminary study.” European Oral Research 52, no. 1 (Jun. 2024): 33-38. https://doi.org/10.26650/eor.2018.28870


Harvard: Australian Style

Altay, MA & Quereshy, FA & Williams, JT & Quereshy, HA & Özalp, Ö & Baur, DA 2018, 'Quantification of volumetric, surface area and linear airway changes after orthognathic surgery: a preliminary study', European Oral Research, vol. 52, no. 1, pp. 33-38, viewed 10 Jun. 2024, https://doi.org/10.26650/eor.2018.28870


Harvard: Author-Date Style

Altay, M.A. and Quereshy, F.A. and Williams, J.T. and Quereshy, H.A. and Özalp, Ö. and Baur, D.A. (2018) ‘Quantification of volumetric, surface area and linear airway changes after orthognathic surgery: a preliminary study’, European Oral Research, 52(1), pp. 33-38. https://doi.org/10.26650/eor.2018.28870 (10 Jun. 2024).


MLA

Altay, Mehmet Ali, and Faisal A. Quereshy and Jonathan T. Williams and Humzah A. Quereshy and Öznur Özalp and Dale A. Baur. “Quantification of volumetric, surface area and linear airway changes after orthognathic surgery: a preliminary study.” European Oral Research, vol. 52, no. 1, 2018, pp. 33-38. [Database Container], https://doi.org/10.26650/eor.2018.28870


Vancouver

Altay MA, Quereshy FA, Williams JT, Quereshy HA, Özalp Ö, Baur DA. Quantification of volumetric, surface area and linear airway changes after orthognathic surgery: a preliminary study. European Oral Research [Internet]. 10 Jun. 2024 [cited 10 Jun. 2024];52(1):33-38. Available from: https://doi.org/10.26650/eor.2018.28870 doi: 10.26650/eor.2018.28870


ISNAD

Altay, MehmetAli - Quereshy, FaisalA. - Williams, JonathanT. - Quereshy, HumzahA. - Özalp, Öznur - Baur, DaleA.. “Quantification of volumetric, surface area and linear airway changes after orthognathic surgery: a preliminary study”. European Oral Research 52/1 (Jun. 2024): 33-38. https://doi.org/10.26650/eor.2018.28870



TIMELINE


Last Revision13.11.2017
Accepted12.12.2017
Published Online03.01.2018

LICENCE


Attribution-NonCommercial (CC BY-NC)

This license lets others remix, tweak, and build upon your work non-commercially, and although their new works must also acknowledge you and be non-commercial, they don’t have to license their derivative works on the same terms.


SHARE




Istanbul University Press aims to contribute to the dissemination of ever growing scientific knowledge through publication of high quality scientific journals and books in accordance with the international publishing standards and ethics. Istanbul University Press follows an open access, non-commercial, scholarly publishing.