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http://dx.doi.org/10.5933/JKAPD.2021.48.1.1

Factors Influencing Upper Airway Dimensions in Skeletal Class II Children and Adolescents: A CBCT Study  

Kim, Byounghwa (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University)
Lee, Jewoo (Department of Pediatric Dentistry and Dental Research Institute, College of Dentistry, Wonkwang University)
Ra, Jiyoung (Department of Pediatric Dentistry and Dental Research Institute, College of Dentistry, Wonkwang University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.48, no.1, 2021 , pp. 1-11 More about this Journal
Abstract
The purpose of this study is to investigate factors influencing the upper airway dimensions in skeletal Class II children and adolescents. In total, 67 patients were selected. Airway volume and minimal cross-sectional area were three-dimensionally assessed. Craniofacial morphology and skeletal maturity were assessed on generated two-dimensional cephalograms. The measurements were analyzed using Mann-Whitney test, one-way ANOVA, Pearson's correlation, and multiple regression analysis. Upper airway dimensions were significantly smaller in pre-peak stage group, and positively associated with age. Anterior facial height and age were the most relevant factors for airway volume. Mandibular width and age were the most relevant factors for minimal cross-sectional area. Upper airway dimensions were significantly associated with age, skeletal maturity and craniofacial morphology in all three planes.
Keywords
Upper airway dimensions; Skeletal Class II pattern; Cone-beam computed tomography;
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1 Del Santo M : Influence of occlusal plane inclination on ANB and Wits assessments of anteroposterior jaw relationships. Am J Orthod Dentofacial Orthop, 129:641-648, 2006.   DOI
2 El H, Palomo JM : An airway study of different maxillary and mandibular sagittal positions. Eur J Orthod, 35:262-270, 2013.   DOI
3 Schendel SA, Jacobson R, Khalessi S : Airway growth and development: a computerized 3-dimensional analysis. J Oral Maxillofac Surg, 70:2174-2183, 2012.   DOI
4 Kim YI, Kim SS, Son WS, Park SB : Pharyngeal airway analysis of different craniofacial morphology using cone-beam computed tomography (CBCT). Korean J Orthod, 39:136-145, 2009.   DOI
5 Anandarajah S, Dudhia R, Sandham A, Sonnesen L : Risk factors for small pharyngeal airway dimensions in preorthodontic children: A three-dimensional study. Angle Orthod, 87:138-146, 2017.   DOI
6 El H, Palomo JM : Three-dimensional evaluation of upper airway following rapid maxillary expansion: a CBCT study. Angle Orthod, 84:265-273, 2014.   DOI
7 Cheon MK, Yang SM, Choi NK, et al. : Pharyngeal Airway Dimensions in Skeletal Class II Young Adolescents: Cephalometric Study. J Korean Acad Pediatr Dent, 45:98-108, 2018.
8 Donner MW, Bosma JF, Robertson DL : Anatomy and physiology of the pharynx. Gastrointest Radiol, 10:196-212, 1985.
9 Ishikawa H, Nakamura S, Iwasaki H, Kitazawa S : Seven parameters describing anteroposterior jaw relationships: post-pubertal prediction accuracy and interchangeability. Am J Orthod Dentofacial Orthop, 117:714-720, 2000.   DOI
10 Tourne LP : Growth of the pharynx and its physiologic implications. Am J Orthod Dentofacial Orthop, 99:129-139, 1991.   DOI
11 Alves M, Baratieri C, Ruellas AC, et al. : Three-dimensional assessment of pharyngeal airway in nasal- and mouth-breathing children. Int J Pediatr Otorhinolaryngol, 75:1195-1199, 2011.   DOI
12 Alves PV, Zhao L, Bolognese AM, et al. : Three-dimensional cephalometric study of upper airway space in skeletal class II and III healthy patients. J Craniofac Surg, 19:1497-1507, 2008.   DOI
13 Chiang CC, Jeffres MN, Miller A, Hatcher DC : Three-dimensional airway evaluation in 387 subjects from one university orthodontic clinic using cone beam computed tomography. Angle Orthod, 82:985-992, 2012.   DOI
14 Lee YS, Kim JC : A cephalometric study on the airway size according to the types of the malocclusion. Korean J Orthod, 25:19-29, 1995.
15 de Freitas MR, Alcazar NMPV, Henriques JFC, et al. : Upper and lower pharyngeal airways in subjects with Class I and Class II malocclusions and different growth patterns. Am J Orthod Dentofac, 130:742-745, 2006.   DOI
16 Di Carlo G, Polimeni A, Melsen B, Cattaneo PM : The relationship between upper airways and craniofacial morphology studied in 3D: A CBCT study. Orthod Craniofac Res, 18:1-11, 2015.
17 Ronen O, Malhotra A, Pillar G : Influence of gender and age on upper-airway length during development. Pediatrics, 120:1028-1034, 2007.
18 Oh KM, Hong JS, Park YH, et al. : Three-dimensional analysis of pharyngeal airway form in children with anteroposterior facial patterns. Angle Orthod, 81:1075-1082, 2011.   DOI
19 Arens R, McDonough JM, Pack AI, et al. : Upper airway size analysis by magnetic resonance imaging of children with obstructive sleep apnea syndrome. Am J Respir Crit Care Med, 167:65-70, 2003.   DOI
20 Baccetti T, Franchi L, McNamara JA : The cervical vertebral maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics. Semin Orthod, 11:119-129, 2005.   DOI
21 Mayer P, Pepin J, Deschaux C, et al. : Relationship between body mass index, age and upper airway measurements in snorers and sleep apnea patients. Eur Respir J, 9:1801-1809, 1996.   DOI
22 Hussels W, Nanda RS : Analysis of factors affecting angle ANB. Am J Orthod, 85:411-423, 1984.   DOI
23 Alves M, Franzotti ES, Ruellas AC, et al. : Evaluation of pharyngeal airway space amongst different skeletal patterns. Int J Oral Maxillofac Surg, 41:814-819, 2012.   DOI
24 Guijarro Martinez R, Swennen GR : Cone-beam computerized tomography imaging and analysis of the upper airway: a systematic review of the literature. Int J Oral Maxillofac Surg, 40:1227-1237, 2011.   DOI
25 Flores Mir C, Korayem M, Major PW, et al. : Craniofacial morphological characteristics in children with obstructive sleep apnea syndrome: a systematic review and meta-analysis.J Am Dent Assoc, 144:269-277, 2013.   DOI
26 Kim YJ, Hong JS, Hwang YI, Park YH : Three-dimensional analysis of pharyngeal airway in preadolescent children with different anteroposterior skeletal patterns. Am J Orthod Dentofacial Orthop, 137:1-11, 2010.   DOI
27 Zheng ZH, Yamaguchi T, Maki K, et al. : Three-dimensional evaluation of upper airway in patients with different anteroposterior skeletal patterns. Orthod Craniofac Res, 17:38-48, 2014.   DOI
28 Kim DY, Lee DW, Kim JG, Yang YM : Relationship between Upper Airway and Sleep-Disordered Breathing in Children with Mouth Breathing. J Korean Acad Pediatr Dent, 46:38-47, 2019.
29 Anandarajah S, Abdalla Y, Dudhia R, Sonnesen L : Proposal of new upper airway margins in children assessed by CBCT. Dentomaxillofac Radiol, 44:20140438, 2015.   DOI
30 Block AJ, Faulkner JA, Thach B, et al. : Clinical conference in pulmonary disease. Factors influencing upper airway closure. Chest, 86:114-122, 1984.   DOI