Upperairway volume assessment accordingto facial pattern
DOI:
https://doi.org/10.5335/rfo.v25i1.10390Keywords:
Faringe, apneia obstrutiva do sono, cirurgia ortognática, tomografia computadorizada de feixe cônicoAbstract
Aims: Analyze upper airway volume in healthy adult patients from CBCT examinations, comparing skeletal facial patterns I, II and III, considering age and gender.. Methods: A retrospective study of a radiological clinic database analysis, with a sample of 129 full-face DICOM exams, dated between 2015 and 2018. After dividing the sample into three groups, according to skeletal pattern, volumetric measurements were obtained through the application ITK-SNAP version 3.6.0, a free 3D anatomical segmentation processo. Results: The sample was separated into pattern I with 60 exams, pattern II with 48 and pattern III with 21 exams. Females were the most frequent with 69.8% (n = 90) and the mean age was defined as 35 years. The overall mean volume was 22,774.2 mm³ and the mean between skeletal patterns showed no significant difference (p = 0,251), according to the nonparametric Kruskal-Wallis test (p < 0,05). In the analysis of sexual dimorphism, men presented higher volume, with statistical difference (p = 0,033) through the Mann-Whitney test. Conclusion: The mean upper airway volume among healthy individuals with facial patterns I, II and III showed no significant difference, only a slight variation, pattern III being 14.8% higher than pattern I. The male gender stood out with greater volume and the age variation had no correlation with the pharyngeal space volume.
Downloads
References
2. Al-Hadi N, Chegini S, Klontzas ME, McKenny J, Heliotis M. Patient expectations and satisfaction following orthognathic surgery. Int J Oral Maxillofac Surg. 2018; xxx: xxx-xxx.
3. Holty JEC, Guilleminault C. Maxillomandibular advancement for the treatment of obstructive sleep apnea: a systematic review and meta-analysis. Sleep Med Rev. 2010; 14: 287-97.
4. Vaezi T, Zarch SHH, Eshghpour M, Kermani H. Two-dimensional and volumetric airway changes after bimaxillary surgery for class III malocclusion. J Korean Assoc Oral Maxillofac Surg. 2017; 43: 88-93.
5. Parsi GK, Alsulaiman AA, Kotak B, Mehra P, Will LA, Motro M. Volumetric changes of the upper airway following maxillary and mandibular advancement using cone beam computed tomography. Int J Oral Maxillofac Surg. 2018; xxx: xxx-xxx.
6. Kamasová M, Václavík J, Kociánová E, Táborský M. Obstructive sleep apnea in outpatient care - what to do with? Cor Et Vasa. 2017; e1-e7.
7. Dultra FKAA, Tavares A, Dultra JA, Salles C, Crusoé-Rebelo IM, Barbosa I, Souza-Machado A. Pharyngeal airspace of asthmatic individuals and those suffering from obstructive sleep apnea syndrome: study by CBCT. Eur J Rad. 2017; 95: 342-48.
8. Zinsly SR, Moraes LC, Moura P, Ursi W. Avaliação do espaço aéreo faríngeo por meio da tomografia computadorizada de feixe cônico. Dental Press J Orthod. 2010; 15(5): 150-8.
9. Guijarro-Martínez R, Swennen GRJ. Cone-beam computerized tomography imaging and analysis of the upper airway: a systematic review of the literature. Int J Oral Maxillofac Surg. 2011; 40: 1227-37.
10. Eslami E, Katz ES, Baghdady M, Abramovitchd K, Masoud MI. Are three-dimensional airway evaluations obtained through computed and cone-beam computed tomography scans predictable from lateral cephalograms? a systematic review of evidence. Angle Orthod. 2017; 87: 159-67.
11. Haiter-Neto F, Oliveira SS, Casanova MS, Caldas MP. Telerradiografias obtidas em posição natural da cabeça alteram as grandezas cefalométricas? Rev Dent Press Ortodon Ortop Facial. 2007; 12(4): 117-23.
12. Rodrigues MM, Pereira Filho VA, Real Gabrielli M, De Oliveira TFM, Batatinha JAP, Passeri LA. Avaliação volumétrica de segmentos faríngeos em pacientes com apneia obstrutiva do sono. Braz J Otorhinolaryngol. 2018; 84(1): 89-94.
13. Steiner CC. Cephalometric for you and me. Am J Orthod. 1953; 39: 729-755.
14. Zamora N, Paredes V, Cibrian RM. Study between ANB angle and Wits appraisal in cone beam computed tomography (CBCT). Med Oral Patol Oral Cir Bucal. 2013; 18(4): e725-32.
15. 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(2): 234-42.
16. Yushkevich PA, Piven J, Hazlett HC, Smith RG, Ho S, Gee JC, Gerig G. User-guided 3D active contour segmentation of anatomical structures: significantly improved efficiency and reliability. Neuro Image. 2006; 31: 1116-28.
17. Hernández-Alfaro F, Guijarro-Martínez R, Mareque-Bueno J. Effect of mono- and bimaxillary advancement on pharyngeal airway volume: cone-beam computed tomography evaluation. J Oral Maxillofac Surg. 2011; 69: e395-e400.
18. Tan SK, Leung WK, Tang ATH, Zwahlen RA. How does mandibular advancement with or without maxillary procedures affect pharyngeal airways? An overview of systematic reviews. PLoS One. 2017; 12(7): e0181146.
19. Guijarro-Martínez R, Swennen GRJ. Three-dimensional cone beam computed tomography definition of the anatomical subregions of the upper airway: a validation study. Int J Oral Maxillofac Surg. 2013; 42: 1140-49.
20. Dalmau E, Zamora N, Tarazona B, Gandia JL, Paredes V. A comparative study of the pharyngeal airway space, measured with cone beam computed tomography, between patients with different craniofacial morphologies. J Craniomaxillofac Surg. 2015; 43(8): 1438-46.
21. Kikuchi Y. Three-dimensional relationship between pharyngeal airway and maxillo-facial morphology. Bull Tokyo Dent Coll. 2008; 49(2): 65-75.
22. Castro-Silva L, Monnazzi MS, Spin-Neto R, Moraes M, Miranda S, Real Gabrielli MF, Pereira-Filho VA. Cone-beam evaluation of pharyngeal airway space in class I, II, and III patients. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015; 120(6), 679-83.
Downloads
Published
Issue
Section
License

This work is licensed under aCreative Commons Atribuição-NãoComercial-SemDerivações 4.0 Internacional.
