Three-Dimensional Assessment of the Pharyngeal Airway in Growing versus Non-Growing Subjects with/without Cleft Lip and Palate

Autor: Ahmed Z. Abdelkarim, Ayman R. Khalifa, Mohamed G. Hassan, Ahmed Abdou, Suayip Burak Duman, Nader N. Rezallah, Abdelrahman Elsaid Abdraboh, Ahmed Ghoneima
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Anatomia, Vol 2, Iss 3, Pp 192-205 (2023)
Druh dokumentu: article
ISSN: 2813-0545
DOI: 10.3390/anatomia2030018
Popis: Clefts of the lip or palate (CLPs) are the most common craniofacial birth defect, with a worldwide incidence of ~1 in 700 live births. The objective of this study is to assess the characteristics of the nasopharyngeal airway in growing vs. non-growing cleft lip/palate subjects and compare them with normal subjects. This retrospective study analyzed eighty-seven scans of three groups from cone beam computed tomography (CBCT). The cone beam computed tomography (CBCT) scans were coded and landmarks were identified using a Dolphin three-dimensional (3D) imaging software server (version 11.7; Patterson Dental Supply, Chatsworth, Calif). All values showed strong measurement reliability (>80), except for the nasopharynx measurement. Regarding gender difference, for the nasopharynx, female subjects (1261.32 ± 713.94) showed the lowest significant values in non-growing unilateral compared to males (6496.8 ± 2987) at p = 0.008. For oropharynx, in the growing bilateral cleft group, male subjects (13,046.79 ± 5521.89) showed a significant difference (p = 0.046) compared to females (8468.98 ± 4279.99). MP-SN, B, A, SNA., SN.B., and ANS-ME showed significant differences for cephalometric parameters (p < 0.05). Despite significant differences in linear and angular measurements, volumetric airway measurements showed no significant differences in the growing groups. For non-growing cleft subjects, the cleft anomaly significantly affected the nasal cavity and left maxillary sinus volumes.
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