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The correlation of maxillomandibular advancement and airway volume change in obstructive sleep apnea using cone beam computed tomography.
Kongsong, W; Waite, P D; Sittitavornwong, S; Schibler, M; Alshahrani, F.
Afiliación
  • Kongsong W; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand; Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: wichuda.k@chula.ac.th.
  • Waite PD; Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Sittitavornwong S; Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Schibler M; Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Alshahrani F; Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, AL, USA; King Fahad Medical City, Riyadh, Saudi Arabia.
Int J Oral Maxillofac Surg ; 50(7): 940-947, 2021 Jul.
Article en En | MEDLINE | ID: mdl-33334638
The purpose of this retrospective study was to evaluate the correlation of maxillomandibular advancement (MMA) and airway volume changes in patients with obstructive sleep apnea (OSA), and to determine the surgical skeletal movements necessary to achieve an increase in total airway volume (TAV) of ≥70%. Thirty patients with OSA treated by MMA were evaluated. Pre- and postoperative cone beam computed tomography images were used to determine the horizontal distance and angular changes in surgical parameters and linear, area, and volumetric airway parameters. Postoperatively, the horizontal distance of surgical parameters (A-point, UI, B-point, pogonion, and menton) and craniofacial angulation (SNA and SNB) increased significantly, similar to total surface area, TAV, and minimum cross-sectional area of the airway (p<0.0001). The total airway length decreased significantly (p<0.0001). The mean increase in TAV was 67.2%. There were positive correlations between linear surgical changes and the percentage change in TAV. All surgical parameters were predictive of a change in TAV ≥70%. The optimal surgical change was 6mm for A-point, 7.9mm for UI, 7.6mm for B-point, 11.2mm for pogonion, and 10mm for menton. In conclusion, maxillary advancement of less than 10mm was adequate in this study to obtain an increase in the TAV of at least 70%.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Avance Mandibular / Apnea Obstructiva del Sueño Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Int J Oral Maxillofac Surg Asunto de la revista: ODONTOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Dinamarca
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Avance Mandibular / Apnea Obstructiva del Sueño Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Int J Oral Maxillofac Surg Asunto de la revista: ODONTOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Dinamarca