Cephalometric Assessment of the Posterior Airway Space in Patients with Cleft Palate after Palatoplasty
Autor: | Jörg-Elard Otten, Ulrike Thissen, Irmtrud E. Jonas, Edmund Rose |
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Rok vydání: | 2003 |
Předmět: |
Male
Adolescent Cephalometry medicine.medical_treatment Oral Surgical Procedures Dentistry Mouth breathing Craniofacial Abnormalities 03 medical and health sciences 0302 clinical medicine Maxilla medicine Humans Child 030223 otorhinolaryngology Sleep Apnea Obstructive business.industry Pharynx Hyoid Bone 030206 dentistry Airway obstruction medicine.disease Cleft Palate Radiography medicine.anatomical_structure Palatoplasty Uvula Otorhinolaryngology Cohort Bilateral cleft palate Regression Analysis Female medicine.symptom Oral Surgery business Airway Body mass index Follow-Up Studies |
Zdroj: | The Cleft Palate-Craniofacial Journal. 40:498-503 |
ISSN: | 1545-1569 1055-6656 |
DOI: | 10.1597/1545-1569_2003_040_0498_caotpa_2.0.co_2 |
Popis: | Objective Upper airway obstruction and mouth breathing influence facial growth and development, which may result in breathing disorders while asleep. The purpose of the present investigation was to analyze cephalometric alterations between patients with cleft palate and a noncleft control group in an obstructive sleep disordered breathing-specific tracing. Setting The study was conducted in the cleft palate clinic of a university hospital. Participants Fifty-three subjects with a mean age of 12.3 ± 3.7 years (range 6.3 to 17.2 years). The cohort included 33 subjects (13 females, 20 males; mean age 12.1 ± 3.8 years, mean body mass index 17.5 ± 2.9 kg/m2) with surgical closure of a unilateral or bilateral cleft palate and a matched control of noncleft participants. None of the subjects suffered from sleep disordered breathing syndrome. Results Compared with the controls, patients with cleft palate had a significant narrow anterior-posterior dimension of the pharynx at the level of the maxillary plane and the narrowest width, a more downward hyoid position, and a longer uvula. Conclusions Patients with cleft palate appear to present pharyngeal and craniofacial distinctive features that characterize patients with obstructive sleep disordered breathing and differ from those of a noncleft control. |
Databáze: | OpenAIRE |
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