2015, Number 3
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Rev Mex Ortodon 2015; 3 (3)
Cephalometric assessment of changes in the upper airway after orthognathic surgery in patients with unilateral cleft lip and palate sequelae treated at the «Dr. Manuel Gea González» General Hospital
Arrington BL, Yudovich BM, Quiroz BJC, Herrera MM
Language: Spanish
References: 26
Page: 170-175
PDF size: 246.61 Kb.
ABSTRACT
A cephalometric analysis of the upper airway in patients with cleft lip and palate sequelae who underwent orthognathic surgery was performed. The study aims to determine if changes in upper airway morphology occur. Study design: A retrospective, descriptive, open, comparative, and cross-sectional study with a sample of 28 patients with unilateral cleft lip and palate sequelae (UCLPS) was performed. The study sample consisted of 50% male and 50% female patients whose ages ranged between 16 and 29 years of age and averaged 19.32 years. Measurements were made on pre- and post-surgical lateral headfilms. A total of 672 cephalometric measurements were made. The study’s findings indicate that changes in the upper airway after bone mobilization techniques in orthognathic surgery do exist. Statistical significance was set at p ‹ 0.05 and was met on three of the assessed variables: upper pharynx (p = 0.001), bony pharynx dimension (p = .000), and nasopharyngeal depth (p = .000).
REFERENCES
Carter CO. Genetics in common disorders. Br Med Bull. 1969; 25: 52-57.
Calzolari E et al. Epidemiological and genetics study of 200 cases of oral cleft in the Emiliaromagna, region of northern Italy. Teratology. 1988; 38: 559-564.
Gregg T et al. The incidence of cleft lip and palate in Northern Ireland from 1980-1990. Br J Orthod. 1994; 21: 387-392.
Kozel V. Epidemiology of orofacial clefts in Slovenia, 1973-1993; comparison of the incidence in six European countries. J Craniomaxillofacial Surg. 1996; 24: 378-382.
Murray JC, Daack-Hirsh S, Buetow KH, Munger R, Espina L, Paglinawan N et al. Clinical and epidemiologic studies of cleft lip and palate in the Philippines. Cleft Palate Craniofac J. 1997; 34: 7-10.
Neel JV. A study of major congenital defects in Japanese infants. Am J Hum Gen. 1958; 10: 398-402.
Tolarova MM, Croen LA, Shaw GM, Wasserman CR. Racial and ethnic variations in the prevalence of orofacial clefts in California, 1983-1992. Am J Med Genet. 1998; 79: 42-47.
Armendares S, Lisker R. Análisis genético del labio y paladar hendido y paladar hendido solo. Estudio en población mexicana. Rev Invest Clin. 1974; 26: 317-332.
Jones MC. Facial clefting: etiology and developmental pathogenesis. Clin Plast Surg. 1993; 20: 599-611.
Jones MC. Facial clefting: etiology and developmental pathogenesis. Clin Plast Surg. 1985; 12: 533-541.
Ortiz MF, Serrano RA. Cephalometric measurements on adult patients with nonoperated cleft palates. Plast Reconstr Surg. 1959; 7 (1): 24.
Graber, Vanarsdall, Vig. Ortodoncia. Principios y Técnicas actuales. 4a ed. Mosby, 2006. pp. 117-143.
Phillips C, Snow MD, Turvey TA et al. The effect of orthognathic surgery on head posture. Eur J Orthod. 1991; 13: 397-403.
Katakura N, Umino M, Kubota Y. Morphologic airway changes after mandibular setback osteotomy for the mandibular prognathism with and without cleft palate. AnesthPain Control Dent. 1993; 2: 22-26.
Hochbahn W, Schurmann R, Brandenburg U. Mandibular setback for surgical correction of mandibular hyperplasia. Does it provoke sleep-related breathing disorders? Int J Oral Maxillofac Surg. 1996; 25: 333-338.
Li KK, Guilleminault C, Riley RW, Powell NB. Obstructive sleep apnea and maxillomandibular advancement: an assessment of airway changes using radiographic and nasopharyngoscopic examinations. J Oral Maxillofac Surg. 2002; 60 (5): 526-530.
Linder-Aronson S. Effects of adenoidectomy on dentition and nasopharynx. Am J Orthod. 1974; 65: 177-186.
Linder-Aronson S. Adenoids. Their effect on mode of breathing and nasal airflow and their relationship to characteristics of the facial skeleton and dentition. Acta Otolaryngol Suppl. 1970; 265: 1-132.
Harvold EP, Vangervick K, Chierice G. Primate experiments on oral sensation and dental malocclusion. Am J Orthod. 1973; 63: 494-508.
Achilleos S, Krogstad O, Lyberg T. Surgical mandibular setback and changes in uvuloglossopharyngeal morphology and head posture: a short and long-term cephalometric study in males. Eur J. 2000; 22: 383-394.
Wenzel A, Williams S, Ritzau M. Changes in head posture and nasopharyngeal airway following surgical correction of mandibular prognathism. Eur J Orthod. 1989; 11: 37-42.
Mena Ayala JC, Gloria ML, Coss O, Aguilar y Campazaro MR. Pronóstico rehabilitatorio integral del paciente con labio y paladar hendido. An Otorrinolaringol Mex. 1996; 41 (2): 85-90.
Reid RR. Facial skeletal growth and timing of surgical intervention. Clinics in Plastic Surgery. 2007; 34: 356-367.
Felemovicius J, Ortiz-Monasterio F. Management of the impaired adult cleft patient: the last chance. Cleft Palate Craniofacial J. 2004; 41: 550-558.
Posnick JC, Thompson B. Cleft-orthognathic surgery: complications and long-term results. Plast Reconstr Surg. 1995; 96: 255-256.
Miloslavich MS, de Ciola EG. Estructura esqueletal de la rinofaringe y modo de respirar. Ortod Esp. 2006; 46 (1): 4-8.