Evaluation of Airway Volume in Cleft Lip and Palate Following Nasoalveolar Molding
| Autor: | Sirin Nevzatoglu, Seyed Amirhossein Astani, Zeynep Ahu Acar, Arzu Arı Demirkaya, Hanife Nuray Yilmaz |
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| Rok vydání: | 2018 |
| Předmět: |
Male
animal structures Cleft Lip Dentistry Computed tomography Mouth breathing 03 medical and health sciences 0302 clinical medicine Medicine Humans In patient 030223 otorhinolaryngology Child health care economics and organizations Retrospective Studies medicine.diagnostic_test business.industry medicine.medical_device food and beverages Mean age 030206 dentistry General Medicine Organ Size Cone-Beam Computed Tomography medicine.disease Nasopharyngeal airway Cleft Palate Cross-Sectional Studies Otorhinolaryngology Pharynx Surgery Female medicine.symptom business Airway Hypopnea Inspiratory Capacity |
| Zdroj: | The Journal of craniofacial surgery. 29(8) |
| ISSN: | 1536-3732 |
| Popis: | Patients with cleft lip and palate (CLP) have commonly reduced nasal airways and are more prone to snoring, mouth breathing and hypopnea during sleep. Therefore, the morphometric evaluation of pharyngeal airway in patients with CLP is crucial. The purpose of this study is to evaluate the pharyngeal airway volumes of patients with CLP who underwent nasoalveolar molding (NAM) and to compare them with a well-matched control group without NAM. The study consisted of 40 patients with CLP divided into 2 main groups (26 with NAM; 14 without NAM) and 4 subgroups (15 unilateral CLP [UCLP] with NAM, mean age: 10.13 ± 1.30 years; 11 bilateral CLP [BCLP] with NAM, mean age: 10.55 ± 1.51 years; 7 UCLP without NAM, mean age: 9.86 ± 1.68 years; 7 BCLP without NAM, mean age: 10.28 ± 1.89 years). Nasopharyngeal, oropharyngeal, and total airway volumes of all the patients were calculated 3-dimensionally with cone-beam computed tomography. There were statistically significant differences in nasopharyngeal volume (P 0.05) of NAM group compared to control group; however, volumetric differences in oropharyngeal and total pharyngeal airway were not significant (P 0.05). The amount of nasopharyngeal, oropharyngeal, and total pharyngeal airway size in the BCLP with NAM group was significantly larger compared to BCLP without NAM group (P 0.05). However, UCLP did not show any significant difference in NAM group (P 0.05). This study implies that NAM can effectively enlarge the nasopharyngeal airway size in patient with CLP. In addition, the pharyngeal airway volume enlargement is more apparent in BCLP than UCLP individuals. |
| Databáze: | OpenAIRE |
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