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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한악안면성형재건외과학회 Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제35권 제4호
- 발행연도
- 2013.7
- 수록면
- 211 - 220 (10page)
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Purpose: The purpose of this study was to compare the changes in the pharyngeal airway space, tongue and hyoid bone positions according to the orthognathic surgical methods of mandibular prognathism.
Methods: The subjects included 30 patients (16 males, 14 females) with the skeletal class III malocclusion. Group 1 (10patients) underwent bilateral sagittal split ramus osteotomy (BSSRO) only; group 2 (10 patients) underwent BSSRO with genioplasty;and group 3 (10 patients) underwent BSSRO, Le Fort I osteotomy. We measured the lines between the selected upper air way, hyoid bone and tongue landmarks on the lateral cephalometric x-ray films of skeletal class III. The measurements were made preoperation, within 1 week after the operation, 3∼6 months after the operation and 1 year after the operation.
We compared and analyzed the measurements with matched paired t-test and independent samples t-test.
Results: There were no postoperative changes in the nasopharyngeal airway space in group 3. The measurements of group 3 also increased during the follow-up period as compared to the preoperative measurements. In group 1, 2 and 3, the immediate postoperative oropharyngeal and hypopharyngeal airway spaces were decreased. In the following period, the hypopharyngeal airway space returned to the preoperative positions, but the oropharyngeal airway space was not significantly changed. The upper and lower tongue was posteriorly repositioned immediately after the surgery. During the follow-up period, the lower tongue position returned to the preoperative position, and the upper tongue position was not significantly changed. Immediately after the surgery, the B point was moved to the posterior position, and a slight anterior advancement was found in the follow-up period.
Conclusion: Patients who received the mandibular setback surgery showed a decrease in the posterior airway space, and those who underwent maxillary advancement showed a significant increase of the nasopharyngeal airway space, which remained stable during the evaluation period. The change of the airway space, position of the hyoid bone and tongue did not differ according to the presence or absence of genioplasty.
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참고문헌 (24)
참고문헌 신청
Lew KK / 1993 / Changes in tongue and hyoid bone positions followinganterior mandibular subapical osteotomy in patients withClass III malocclusion / Int J Adult Orthodon Orthognath Surg 8:123~128
Rix RE / 1953 / Some observations upon the environment of theincisors / Dent Rec 73:427~441
Ballard CF / 1957 / The etiology of malocclusion, an assessment / Dent Practit 8:42
Greco JM / 1990 / Long-term airwayspace changes after mandibular setback using bilateral sagittalsplit osteotomy / Int J Oral Maxillofac Surg 19:103~105
Athanasiou AE / 1991 / Alterations of hyoid bone position and pharyngealdepth and their relationship after surgical correction of mandibularprognathism / Am J Orthod Dentofacial Orthop 100:259~265
Rix RE / 1953 / Some observations upon the environment of theincisors / Dent Rec 73:427~441
Ballard CF / 1957 / The etiology of malocclusion, an assessment / Dent Practit 8:42
Greco JM / 1990 / Long-term airwayspace changes after mandibular setback using bilateral sagittalsplit osteotomy / Int J Oral Maxillofac Surg 19:103~105
Athanasiou AE / 1991 / Alterations of hyoid bone position and pharyngealdepth and their relationship after surgical correction of mandibularprognathism / Am J Orthod Dentofacial Orthop 100:259~265
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