2012, Number 3
<< Back Next >>
AMC 2012; 16 (3)
Threedimensional assessment of airw ay through cone beam computed tomography
Bravo F, Navarrete A, Niño A, Rodríguez E, Ardila CM, Guzmán CL
Language: Spanish
References: 17
Page: 273-281
PDF size: 147.67 Kb.
ABSTRACT
Background: changes in the normal function of the airway during the active process
of facial growth may have a significant influence on its development.
Objective: to present the usefulness of the airway assessment by cone beam
computed tomography.
Method: images of 250 women and 128 men through the Sidexis program for
Galileans were reviewed. The selection of areas to be measured was determined by the
coordinates that pass through the nasopalatine canal in the sagittal plane and
interproximal area of the upper central incisors in the coronal plane.
Results: a moderate negative correlation, but statistically significant between
patient´s age and airway area in both sexes was found. There was a moderate positive
correlation, statistically significant between the length of the
velum palatinum and the
age in both sexes. A correlation of transverse area and length of the soft palate was
also showed.
Conclusions: cone beam computed tomography provides a reliable threedimensional
image of the spatial relationship between the teeth, face and their surrounding
anatomical structures allowing adequate assessment of tissues.
REFERENCES
Aboudara C, Nielsen Ib, Huang JC. Comparison of airway space with conventional lateral headfilms and 3dimensional reconstruction from cone beam computed tomography. Am J Orthod Dentofac Orthop. 2009; 135:465479.
Ogawa T, Enciso R, Shintaku W, Clark G. Evaluation of crosssection airway configuration of obstructive sleep apnea. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 103:102108.
Dalessandri D, Laffranchi L, Tonni I, Zotti F, Piancino M, Paganelli C, et al. Advantages of cone beam computed tomography (CBCT) in the orthodontic treatment planning of cleidocranial dysplasia patients: a case report. Head Face Med. 2011;7:6.
Kagan D, Koichiro U, Yukari H. A comparative CT evaluation of pharyngeal airway changes in class III patients receiving bimaxillary surgery or mandibular setback surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 105:495502.
Schwab JR, Pasirstein M, Pierson R. Identification of upper airway anatomic risk factors for obstructive sleep apnea with volumetric magnetic resonance imaging. Am J Respir Crit Care Med. 2003; 168:522530
Osorio F, Perilla M, Doyle DJ, Palomo JM. Cone Beam computed tomography: an innovative tool for airway assessment. Anesth Analg. 2008; 106:18031807.
Abramson Z, Susarla SM, Lawler M, Bouchard C, Troulis M, Kaban LB. Threedimensional computed tomographic airway analysis of patients with obstructive sleep apnea treated by maxillomandibular advancement. J Oral Maxillofac Surg. 2011;69:677686.
Cha JY, Mah J, Sinclair P. Incidental findings in the maxillofacial area with 3dimensional conebeam imaging. Am J Orthod Dentofacial Orthop. 2007; 132:714.
Hsiag H, Lee J, Huang J. Evaluation of the human airway using conebeam computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 108: 768776.
Enciso R, Nguyen M, Shigeta Y. Comparison of conebeam CT parameters and sleep questionnaires in sleep apnea patients and control subjects. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 109: 285293.
Kim YJ, Hong JS, Hwang YI, Park YH. Threedimensional analysis of pharyngeal airway in preadolescent children with different anteroposterior skeletal patterns. Am J Orthod Dentofacial Orthop. 2010;137:306.e111
Madani M, Madani F. Epidemiology, pathophysiology, and clinical features of obstructive sleep apnea. Oral Maxillofac Surg Clin North Am. 2009;214:369375
Mohsenin V. Gender differences in the expression of sleepdisordered breathing: role of upper airway dimensions. Chest. 2001;120:14421447
Songu M, Adibelli ZH, Tuncyurek O, Adibelli H. Agespecific size of the upper airway structures in children during development. Ann Otol Rhinol Laryngol. 2010;119:541546.
Cuccia AM, Campisi G, Cannavale R, Colella G. Obesity and craniofacial variables in subjects with obstructive sleep apnea syndrome: comparisons of cephalometric values. Head Face Med. 2007;3:41.
Fajdiga I. Snoring imaging: could Bernoulli explain it all? Chest 2005;128:896901.
Koren A, Groselj LD, Fajdiga I. CT comparison of primary snoring and obstructive sleep apnea syndrome: role of pharyngeal narrowing ratio and soft palatetongue contact in awake patient. Eur Arch Otorhinolaryngol. 2009; 266:727734.