Adults With Unilateral Cleft Lip and Palate Present Reduced Internal Nasal Volumes: Findings of a Three-Dimensional Morphometric Assessment in Cone-Beam Computed Tomography Scans.

Autor: Dos Inocentes RJM; Sleep Unit/Functional Imaging Unit, Laboratory of Physiology, Hospital for Rehabilitation of Craniofacial Anomalies (HRAC), University of São Paulo (USP), Bauru, Brazil., Marzano-Rodrigues MN; Sleep Unit/Functional Imaging Unit, Laboratory of Physiology, Hospital for Rehabilitation of Craniofacial Anomalies (HRAC), University of São Paulo (USP), Bauru, Brazil., de Espíndola GG; Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo (USP), Bauru, Brazil., García-Usó M; Sleep Unit/Functional Imaging Unit, Laboratory of Physiology, Hospital for Rehabilitation of Craniofacial Anomalies (HRAC), University of São Paulo (USP), Bauru, Brazil., Yatabe-Ioshida MS; Department of Orthodontics and Pediatric Dentistry, University of Michigan. Arbor, MI, USA., Trindade IEK; Sleep Unit/Functional Imaging Unit, Laboratory of Physiology, Hospital for Rehabilitation of Craniofacial Anomalies (HRAC), University of São Paulo (USP), Bauru, Brazil.; Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo (USP), Bauru, Brazil., Trindade-Suedam IK; Sleep Unit/Functional Imaging Unit, Laboratory of Physiology, Hospital for Rehabilitation of Craniofacial Anomalies (HRAC), University of São Paulo (USP), Bauru, Brazil.; Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo (USP), Bauru, Brazil.
Jazyk: angličtina
Zdroj: The Journal of craniofacial surgery [J Craniofac Surg] 2021 Jan-Feb 01; Vol. 32 (1), pp. e15-e19.
DOI: 10.1097/SCS.0000000000006820
Abstrakt: Abstract: The main purpose was to assess and compare nasal cavity (NC) volumes among adults with unilateral (UCLP) and bilateral cleft lip and palate (BCLP) and in noncleft controls (CON), by means of cone-beam computed tomography (CBCT) three-dimensional reconstructions. Forty-five scans of individuals with class III skeletal pattern, matched by age, were gathered in 3 groups: UCLP (n = 15), BCLP (n = 15) and (CON) (n = 15). The NC volume was assessed three-dimensionally, using Dolphin 11.8 software. Descriptive normally distributed data was presented as mean (±SD). Comparisons of NC volume among groups was performed using ANOVA test (P ≤ 0.05). The NC mean volumes corresponded to 14.7(±2.2) cm3 (UCLP), 17.1(±2.2) cm3 (BCLP) and 18.1(±3.8) cm3 (CON), respectively. UCLP individuals presented a significantly reduced NC volume when compared to controls (P = 0.006). No differences were observed between UCLP versus BCLP or BCLP versus CON. The intraclass correlation coefficient suggested a high intra- and inter-examiners agreement (>.075). Individuals with unilateral cleft lip and palate presented reduced NC when compared to individuals without cleft lip and palate. CBCT scans can be considered a highly accurate tool for morphometric assessments of craniofacial structures.
Competing Interests: The authors report no conflicts of interest.
(Copyright © 2020 by Mutaz B. Habal, MD.)
Databáze: MEDLINE