Three-Dimensional Analysis of the Pharyngeal Airway Volume and Craniofacial Morphology in Patients With Bilateral Cleft Lip and Palate.

Objective: This study aimed to determine the correlations between the craniofacial morphology and pharyngeal airway volume in patients with complete bilateral cleft lip and palate (BCLP). Design: Retrospective study. Setting: Tertiary hospital. Participants: Twenty-seven patients with complete BCLP...

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Publicado en:Cleft Palate Craniofacial Journal Vol. 58; no. 3; pp. 332 - 340
Autores principales: Kuang, Wenying, Zheng, Jie, Li, Shaolin, Yuan, Shiyu, He, Hong, Yuan, Wenjun
Formato: diagnostic images research tables/charts Journal Article
Publicado: Sage Publications Inc. Mar2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2021
      vid: 58
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Three-Dimensional Analysis of the Pharyngeal Airway Volume and Craniofacial Morphology in Patients With Bilateral Cleft Lip and Palate.
      aug:
        au:
          Kuang, Wenying
          Zheng, Jie
          Li, Shaolin
          Yuan, Shiyu
          He, Hong
          Yuan, Wenjun
        affil: Department of Orthodontics, School and 499766Hospital of Stomatology, Wuhan University, Wuhan, China
      sug:
        subj:
          Imaging, Three-Dimensional Evaluation
          Pharynx Physiology
          Craniofacial Abnormalities
          Cleft Lip
          Cleft Palate
          Human
          Retrospective Design
          Tertiary Health Care
          Tomography, X-Ray Computed Methods
          Lung Volume Measurements
          Descriptive Statistics
          Data Analysis Software
      ab: Objective: This study aimed to determine the correlations between the craniofacial morphology and pharyngeal airway volume in patients with complete bilateral cleft lip and palate (BCLP). Design: Retrospective study. Setting: Tertiary hospital. Participants: Twenty-seven patients with complete BCLP and 27 class I control patients, aged 10 to 14 years. Main Outcome Measure: The pharyngeal airway volume and craniofacial morphology were evaluated using cone-beam computed tomography. Measurements were compared between groups and any correlations were identified. Results: A significantly smaller total pharyngeal airway volume (TPV), oropharyngeal airway volume, and upper (UOPV) and lower (LOPV) oropharyngeal airway volume were found in patients with BCLP than in class I control patients, with no difference in the nasopharyngeal volume between groups. Furthermore, the craniofacial morphology measurements of N-Me, S-Go, Or-C, Ptm-C, Me-C, Co-Go, Go-Me, Ptm-Or, N-S-Ar, and Ar-Go-Me significantly differed between the BCLP and control groups (all P <.05). Multiple regression analysis indicated that Ptm-C and Me-C; Ptm-C, Or-C, and Me-C; and Me-C explained 20.3%, 38.9%, and 17.1% of the variations in TPV (P =.025), UOPV (P =.002), and LOPV (P =.018), respectively. Conclusions: Total pharyngeal airway volume, TPV, OPV, UOPV, and LOPV were significantly smaller in patients with BCLP than in class I controls. In patients with BCLP, the maxilla showed inhibited sagittal development and a retrograde position; moreover, the pharyngeal airway volume was weakly associated with the position of the maxilla and mandible relative to the coronal plane.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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