Correlation Analysis between Three-Dimensional Changes in Pharyngeal Airway Space and Skeletal Changes in Patients with Skeletal Class II Malocclusion following Orthognathic Surgery.

Introduction. Studies on the pharyngeal airway space (PAS) changes using three-dimensional computed tomography (CT) have shed more light on patients with Class III than Class II malocclusion. This paper focuses on analyzing the long-term changes in the PAS and evaluating the postoperative associatio...

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Publicado en:BioMed Research International pp. 1 - 16
Autores principales: Kim, Moonhwan, Hwang, Chung-Ju, Cha, Jung-Yul, Lee, Sang-Hwy, Kim, Young Joon, Yu, Hyung-Seog
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell 1/11/2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1/11/2022
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2022/3995690
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        atl: Correlation Analysis between Three-Dimensional Changes in Pharyngeal Airway Space and Skeletal Changes in Patients with Skeletal Class II Malocclusion following Orthognathic Surgery.
      aug:
        au:
          Kim, Moonhwan
          Hwang, Chung-Ju
          Cha, Jung-Yul
          Lee, Sang-Hwy
          Kim, Young Joon
          Yu, Hyung-Seog
        affil: Department of Orthodontics, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea
      sug:
        subj:
          Malocclusion Classification
          Orthognathic Surgery
          Pharynx Physiology
          Imaging, Three-Dimensional
          Tomography, X-Ray Computed
          Jaw Physiopathology
          Malocclusion Physiopathology
          Human
          Retrospective Design
          T-Tests
          Spearman's Rank Correlation Coefficient
          Analysis of Variance
          Linear Regression
          Mann-Whitney U Test
          Cephalometry
      ab: Introduction. Studies on the pharyngeal airway space (PAS) changes using three-dimensional computed tomography (CT) have shed more light on patients with Class III than Class II malocclusion. This paper focuses on analyzing the long-term changes in the PAS and evaluating the postoperative association between these PAS and skeletal changes in patients with skeletal Class II malocclusion who have undergone orthognathic surgery. Methods. The records of 21 patients with skeletal Class II malocclusion who had undergone orthognathic surgery were included. The anatomical modifications in both jaws, changes in volume, sectional area (SA), minimum sectional area (MSA), and anterior-posterior (AP) and transverse (TV) width in the airway at one month before surgery (T 0), and one month (T 1) and one year (T 2) after surgery were analyzed using CT images. The association between the skeletal and airway changes was evaluated between T 0 , T 1 , and T 2. Results. After surgery, the ANS, A point, and PNS demonstrated significant posterior and superior movement. The B point and the pogonion exhibited substantial anterior and superior movement. The total and inferior oropharyngeal volumes (vol 3, vol 4) notably increased, while the nasopharyngeal volume (vol 1) decreased. The anterior-posterior movement at the ANS and PNS after surgery was significantly associated with the total volume, vol 2, vol 3, SA 1, MSA, and TV width 1, while substantial association with the total volume was found at the pogonion. Conclusion. Thus, an ideal treatment plan can be formulated for patients with skeletal Class II malocclusion by considering the postoperative PAS changes.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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