Postoperative Skeletal Stability and Pharyngeal Airway: Counterclockwise versus Clockwise Rotation during Mandibular Setback Surgery
Joint Authors
Chen, Chun-Ming
Tseng, Yu-Chuan
Hsu, Kun-Jung
Cheng, Jung-Hsuan
Hsiao, Szu-Yu
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-01-30
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Purpose.
To compare the effects of counterclockwise rotation (CCR) and clockwise rotation (CR) of the mandible on the pharyngeal airway during mandibular setback surgery.
Materials and Methods.
Serial cephalograms of 40 patients with mandibular prognathism, including 20 who underwent CCR and 20 who underwent CR, were taken at the following time intervals: preoperatively (T1), immediately postoperatively (T2), >1 year after surgery (T3), final surgical changes (T31), postoperative stability (T32), and immediate surgical change (T21).
Changes in menton (Me) and hyoid (H) positions, soft palate width, soft palate length, soft palate angle and craniovertebral angle (C2C4-SN), and pharyngeal airway spaces (nasal pharyngeal airway (NOP), uvula pharyngeal airway (UOP), tongue pharyngeal airway (TOP), and epiglottis pharyngeal airway (EOP)) were evaluated.
Results.
The mean Me (T31) setback for CCR and CR was 12.56 and 13.06 mm, respectively, with 2.41 mm upward and 3.29 mm downward, respectively.
The vertical Me position of CR exhibited significant downward movement compared with that of CCR.
The mean H setback results for CCR and CR were 4.42 and 5.75 mm, respectively, with 1.47 mm downward and 2.97 mm downward, respectively.
The C4C2-SN angles for CCR and CR increased by 2.68° and 3.65°, respectively, whereas their palatal angles increased by 2.35° and 5.25°, respectively.
Pearson’s correlation analysis (T31) revealed that for CCR, no pharyngeal airway spaces were significantly correlated with any measured variables.
In CR, NOP was significantly correlated (r = 0.58) with the vertical Me position.
Significant relapse (T32) was observed after CR in the horizontal (r = −0.72) and vertical (r = −0.82) Me positions.
Conclusion.
Pharyngeal airway space narrowed postoperatively, and its patency was appropriately maintained through natural physiological regulation of the craniovertebral angle (C2C4-SN).
Significant postoperative relapse was correlated with CR.
American Psychological Association (APA)
Tseng, Yu-Chuan& Hsiao, Szu-Yu& Cheng, Jung-Hsuan& Hsu, Kun-Jung& Chen, Chun-Ming. 2020. Postoperative Skeletal Stability and Pharyngeal Airway: Counterclockwise versus Clockwise Rotation during Mandibular Setback Surgery. BioMed Research International،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1133126
Modern Language Association (MLA)
Tseng, Yu-Chuan…[et al.]. Postoperative Skeletal Stability and Pharyngeal Airway: Counterclockwise versus Clockwise Rotation during Mandibular Setback Surgery. BioMed Research International No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1133126
American Medical Association (AMA)
Tseng, Yu-Chuan& Hsiao, Szu-Yu& Cheng, Jung-Hsuan& Hsu, Kun-Jung& Chen, Chun-Ming. Postoperative Skeletal Stability and Pharyngeal Airway: Counterclockwise versus Clockwise Rotation during Mandibular Setback Surgery. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1133126
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1133126