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A RADIOGRAPHIC STUDY OF CHANGES OF UPPER RESPIRATORY AIRWAY SPACE AFTER ORTHOGNATHIC SURGERY OF BOTH JAWS IN PATIENTS WITH SKELETAL CLASS III MALOCCLUSION  

Joo, Bum-Ki (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University (Yongdong Severance Dental Hospital))
Kim, Jin-Tae (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University (Yongdong Severance Dental Hospital))
Cho, Myung-Chul (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University (Yongdong Severance Dental Hospital))
Huh, Jong-Ki (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University (Yongdong Severance Dental Hospital))
Kim, Hyung-Gon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University (Yongdong Severance Dental Hospital))
Park, Kwang-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University (Yongdong Severance Dental Hospital))
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.29, no.2, 2007 , pp. 148-156 More about this Journal
Abstract
Purpose: The aim of this study is the changes of upper respiratory airway space in patients with mandibular prognathism after 2-jaw orthognathic surgery in patients with skeletal classs III malocclusion. Method: We measured the lines between selected upper airway landmarks on lateral cephalometric x-ray films of skeletal class III 64 persons who had not been operated yet, were 6 months after operation. The test subjects were divided into 3 groups according to maxillary movement, as follows; maxillary advancement (MA) group, maxillary posterior impaction (MPI) group, maxillary posterior impaction and superior repositioning (MPI+MSR) group. Result: In this study, nasopharyngeal airway space in MPI+MSR group was significantly increased after operation (p<0.05). Oropharygeal and hypopharyngeal airway space in MA group and MPI group were significantly decreased after operation (p<0.05). From hyoid bone to anterior mandible point distance in MA group and MPI group were significantly decreased after operation (p<0.05). Conclusion: Oropharygeal and hypopharyngeal airway space were influenced more by mandibular set-back than maxillary movement. Maxillary movement surgery as well as mandibular setback surgery should be taken into consideration in order to minimize symptoms related to obstructive sleep apnea syndrome after operation.
Keywords
Orthognathic surgery; Upper respiratory airway space; Cephalometric study;
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1 Myung-Kuk Kim : Head and neck anatomy 3 : 171, 1995
2 Sang-Han Lee : A study of relapse and position of hyoid bone following orthognathic surgery. J Kor Acad Maxillofac Plast Reconstr Surg 13 : 8, 1991
3 Greco JM, Frohberg U, Van Sickels JE : Long-term airway space changes after mandibular setback using bilateral sagittal split osteotomy. Int J Oral Maxillofac Surg 19 : 103, 1990   DOI   ScienceOn
4 Kwang-Ho Park, Jong-Ki Huh, Jae-Hyung Lim et al : Change of the hyoid bone position and the upper airway dimension after orthognathic surgery in skeletal class III patients. J of Korean Associacion of Maxillofacial Plastic & Reconstructive surgery 28 : 27, 2005
5 Holmberg H, Linder-Aronson S : Cephalometric radiographs as a means of evaluating the capacity of the nasal and nasopharyngeal airway. Am J Orthod 76 : 479, 1979   DOI   ScienceOn
6 Wickwire NA, White RP jr, Proffit WR : The effect of mandibular osteotomy on tongue position. J Oral Surg 30 : 184, 1972   PUBMED
7 Hochban W, Brandenburg U : Morphology of the viscerocranium in obstructive sleep apnoea syndrome-cephalometric evaluation of 400 patients. J Craniomaxillofac Surg 22 : 205, 1994   DOI   PUBMED   ScienceOn
8 Takagi Y, Gambe JW, Proffit WR et al : Postual change of the hyoid bone following osteotomy of the mandible. Oral Surg Oral Med Oral Pathol 23 : 688, 1967   DOI   ScienceOn
9 Riley RW, Powell NB, Guilleminault C : Current surgical concepts for treating obstructive sleep apnea syndrome. J Oral Maxillofac Surg 45 : 149, 1987   DOI   ScienceOn
10 Athanasiou AE, Toutountzakis N, Mavreas D et al : Alterations of hyoid bone position and pharyngeal depth and their relationship after surgical correction of Mandibular prognathism. Am J Orthod 100 : 259, 1991   DOI
11 Wenzel NA, Williams S, Ritau M : Relationships of changes in craniofacial morphology, head posture, and nasopharyngeal airway size following mandibular osteotomy. Am J Orthod Dentofac Orthop 96 : 138, 1989   DOI   ScienceOn
12 Pae EK, Lowe AA, Sasaki K et al : A cephalometric and electromyographic study of upper airway structures in the upright and supine positions. Am J Orthod Dentofac Orthop 106 : 52, 1994   DOI   ScienceOn
13 Henriksson C-O, Linder-Aronson S, Westborg B : Roentgenological changes in anteroposterior nasopharyngeal dimensions in 6 to 15 year old. Dentomaxillofac Radiol 4 : 19, 1975   DOI
14 Hochban W, Shurmann R, Brandenburg U et al : Mandibular setback for surgical correction of mandibular hyperplasia-does it provoke sleep-related breathing disorders. Int J Oral Maxillofac surg 25 : 333, 1996   DOI   ScienceOn
15 Dong-Hee Chung, Ki-Soo Lee : A study on changes of airway, tongue and hyoid position following orthognathic surgery. Kor J Orthodontics 28 : 487, 1998
16 Enacar A, Aksoy AU : Changes in hypopharyngeal airway space and in tongue and hyoid bone positions following the surgical correction of mandibular prognathism. Int J Adult Orthod Orthognathic Surg 9 : 285, 1994
17 Se-Jong Cho, Yeo-Gab Kim : A study on relation of position of hyoid bone and upper airway dimensional change according to chin movement in persons with skeletal class III facial pattern after orthognathic surgery. J of Korean Associacion of Maxillofacial Plastic & Reconstructive surgery 22 : 343, 2000
18 DePonte FS, Brunelli A, Marchetti E : Cephalometric study of posterior airway space in patient affected by Class II occlusion and treated with orthognathic surgery. J Craniofac Surg 10 : 252, 1999   DOI   PUBMED   ScienceOn