Importance in the Occurrence Distribution of Minimum Oropharyngeal Cross-Sectional Area in the Different Skeletal Patterns Using Cone-Beam Computed Tomography.

Purpose. Obstructive sleep apnea is a condition involving repetitive partial or complete collapse of the pharyngeal airway, especially in patient with mandibular hypoplasia. The present study investigated the differences between the volume of the oropharyngeal airway and the minimum axial area in th...

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Published in:BioMed Research International pp. 1 - 9
Main Authors: Chen, Ying-Sheng, Chou, Szu-Ting, Cheng, Jung-Hsuan, Chen, Shis-Chieh, Pan, Chin-Yun, Tseng, Yu-Chuan
Format: diagnostic images pictorial research tables/charts Journal Article
Published: Wiley-Blackwell 6/14/2021
Online Access:View this record in EBSCOhost
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      dt: 6/14/2021
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        150892285
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        10.1155/2021/5585629
        150892285
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        atl: Importance in the Occurrence Distribution of Minimum Oropharyngeal Cross-Sectional Area in the Different Skeletal Patterns Using Cone-Beam Computed Tomography.
      aug:
        au:
          Chen, Ying-Sheng
          Chou, Szu-Ting
          Cheng, Jung-Hsuan
          Chen, Shis-Chieh
          Pan, Chin-Yun
          Tseng, Yu-Chuan
        affil: Dental Department, Taipei Medical University-Shuang Ho Hospital, Taipei, Taiwan
      sug:
        subj:
          Oropharynx Anatomy and Histology
          Tomography, X-Ray Computed Methods
          Airway Obstruction Diagnosis
          Human
          Pearson's Correlation Coefficient
          Descriptive Statistics
          Pulmonary Disease, Chronic Obstructive
      ab: Purpose. Obstructive sleep apnea is a condition involving repetitive partial or complete collapse of the pharyngeal airway, especially in patient with mandibular hypoplasia. The present study investigated the differences between the volume of the oropharyngeal airway and the minimum axial area in three skeletal patterns through the use of cone-beam computed tomography (CBCT). Materials and Methods. CBCT scans of 147 patients were collected to measure the upper oropharyngeal airway volume (UOV), lower oropharyngeal airway volume (LOV), upper oropharyngeal airway area (UOA), minimum upper oropharyngeal airway area (MUOA), lower oropharyngeal airway area (LOA), minimum lower oropharyngeal airway area (MLOA), anatomical structures (orbitale, Or; porion, Po; pogonion, Pog; hyoid, H; second cervical vertebra, C2; fourth cervical vertebra, C4), and relevant angles. Statistical analysis was performed using analysis of variance and Pearson's test. Results. Compared with patients in Class II, those in Class III and Class I exhibited a significantly anterior position of H and Pog. The vertical positions of H and Pog revealed no significant difference between the three skeletal patterns. Patients in skeletal Class III exhibited significantly larger oropharyngeal area (UOA, MUOA, LOA, MLOA) and oropharyngeal airway (UOV and LOV) than those in skeletal Class II did. The horizontal position of Pog had a moderately significant correlation with UOA (r = 0.471) and MUOA (r = 0.455). Conclusion. Patients in skeletal Class II had significantly smaller oropharyngeal airway areas and volumes than those in Class III did. The minimum oropharyngeal cross-sectional area had a 67% probability of occurrence in the upper oropharyngeal airway among patients in Class I and Class II and a 50% probability of occurrence among patients in Class III.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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