EFFECT OF MANDIBULAR DISTRACTION OSTEOGENESIS ON AIRWAY IN PATIENTS WITH TEMPOROMANDIBULAR JOINT ANKYLOSIS.

Autor: ur Rehman, Atta, Rehman, Basheer, Ahmad, Tariq, Khan, Muslim, Shafi, Hassan, Ali, Farhad, Ayaz, Hira, Rehman, Neelofer, Bilal, Saira, Jehan, Farrukh
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Zdroj: Journal of Medical Sciences (1997-3438); Oct2022, Vol. 30 Issue 4, p270-274, 5p
Abstrakt: Objectives: To assess clinically and cephalometrically the pharyngeal airway following distraction osteogenesis of the mandible in patients with Temporomandibular joint (TMJ) ankylosis and retrognathic mandible. Material and Methods: A total of ten patients were included in this study. These patients were thoroughly evaluated pre-operatively and post-operatively both clinically and radiologically using McNamara analysis allowing comparison of pre-op and post-op findings. Results: Out of 10 patients seven were females while three were male (Mean age 13.40±5.358 SD). The mean pre-operative UPPER airway width was 6.20±3.155 SD as compared to the mean post-operative upper airway (7.30±2.907 SD) with a statistically significant p-value (0.003). Mean The mean operative LOWER airway width was 4.90±1.969 SD as compared to the mean post-operative lower airway (7.10±2.9282 SD) with a statistically non-significant p-value (0.013). There was a negative correlation between post-operative lower airway and age (r= -0.26, sig=0.48). Conclusion: Distraction Osteogenesis of the mandible can be used successfully in TMJ ankylosis patients with retrognathic mandible for the improvement of pharyngeal airway dimensions and relief from symptoms of obstructive sleep apnea due to decreased pharyngeal space. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index