[KSCI] Korea Science Citation Index Service

http://dx.doi.org/10.13065/jksdh.20180048

Changes of airway after orthognathic surgery for patients with skeletal class III malocclusion

Lee, Seung-Hun (Department of Dental hygiene, Cheongam College)
Kim, Jeong-Jae (Department of Dental hygiene, Cheongam College)

Publication Information

Journal of Korean society of Dental Hygiene / v.18, no.4, 2018 , pp. 525-533 More about this Journal

Abstract

Objectives: This retrospective study evaluated the changes in the airway width after the orthognathic surgery associated with the skeletal Class III malocclusion. Methods: The lateral cephalograms of 30 adult patients were taken before and immediately after the operation, and after the orthodontic treatment. The angles and distances of them were measured and compared. Results: Before the surgery, the mean value of mandibular (S-B) setback was 9.66 mm, and moved by 1.56 mm anteriorly after the orthodontic treatment. The ANB increased by 5.42 degrees, since then it decreased by 0.68 degree. The hyoid bone (S-APH) moved by 5.05 mm posteriorly, but then moved by 2.26 mm anteriorly. The soft tissue width of laryngeal pharynx (apw2-ppw2) was narrowed by 1.04 mm, and decreased by additional 0.83 mm after the orthodontic treatment. Conclusions: As the mandible was moved back, the location of hyoid bone and laryngeal pharynx were moved backward.

Keywords

Airway; Malocclusion; Orthodontic treatment; Orthognathic surgery;

Citations & Related Records

Times Cited By KSCI : 1 (Citation Analysis)

Reference
Cited By KSCI

1	Hwang YI, Lee KH, Lee KJ, Kim SC, Cho HJ, Cheon SH, et al. Effect of airway and tongue in facial morphology of prepubertal Class I,II children. Korean J Orthod 2008;38(2):74-82. https://doi.org/10.4041/kjod.2008.38.2.74 DOI
2	Park SH, Yu HS. A comparison study of the effects of hypertrophied adenoid tissue on jaws morphology. Korean J Orthod 2002;32(1):19-31.
3	Lee MJ, Kim JG, Yang YM, Baik BJ. Effects of mouth breathing on facial skeletal morphology. J Korean Acad Pediatr Dent 2012;39(4):339-47. https://doi.org/10.5933/JKAPD.2012.39.4.339 DOI
4	Lee YS, Han SJ. Comparison of the change in the pharyngeal airway apace, tongue and hyoid bone positions according to the orthognathic surgical methods of mandibular prognathism. J Korean Assoc Maxillofac Plast Reconstr Surg 2013;35(4):211-20. https:// doi.org/10.14402/jkamprs.2013.35.4.211 DOI
5	Choi YH, Kim BK, Choi BJ, Kim YG, Lee BS, Kwon YD, et al. An investigation of hyoid bone position and airway space in class 3 malocclusion after orthognathic surgery. J Korean Assoc Maxillofac Plast Reconstr Surg 2011;33(5):401-6.
6	Kim BS, Jung SG, Han MS, Jeoung YW, Kook MS, Park HJ, et al. Changes of pharyngeal airway space after mandibular setback surgery in computed tomography images. J Korean Assoc Maxillofac Plast Reconstr Surg 2011;33(1):36-43.
7	Chang HH, Kim JS, Yi CK. A study on the change of airway space and cranial, cervical angulation after mandibular setback operation. J Korean Assoc Oral Maxillofac Surg 2000;26(2):115-31. https://doi.org/10.1016/s0901-5027(97)81025-9 DOI
8	Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical science. Behavior Research Methods 2007;39(2):175-91. https://doi.org/10.3758/bf03193146 DOI
9	Kawakami M, Yamamoto K, Noshi T, Miyawaki S, Kirita T. Effect of surgical reduction of the tongue on dentofacial structure following mandibular setback. J Oral Maxillofac Surg 2004;62(10):1188-92. https://doi.org/10.1016/j.joms.2004.06.032 DOI
10	Lee JH, Paeng JY, Myoung H, Hwang SJ, Seo BM, Choi JY, et al. The three dimensional analysis of volumetric airway change in orthognathic surgery of mandibular prognathism. J Korean Assoc Maxillofac Plast Reconstr Surg 2005;27(6):552-8.
11	Cohen J. Statistical power analysis for behavioral sciences. 2nd ed. Hillsdale: Elsevier;1988:553-8.
12	Kang H. Sample size determination for repeated measures design using G Power software. Anesth Pain Med 2015;10(1):6-15. https://doi.org/10.17085/apm.2015.10.1.6 DOI
13	Broadbent BH. A new x-ray technique and its application to orthodontia. Angle Orthodontist 1931;1(2):45-66.
14	Lee SH. Study on airway size in class iii malocclusion by the gender. Korean J Phys Anthropol 2017;30(4):145-51. https://doi.org/10.11637/kjpa.2017.30.4.145 DOI
15	King EW. A roentgenographic study of pharyngeal growth. Angle Orthodontist 1952;22(1):23-37.