Yıl: 2023 Cilt: 57 Sayı: 1 Sayfa Aralığı: 1 - 9 Metin Dili: İngilizce DOI: 10.26650/eor.20231056459 İndeks Tarihi: 05-05-2023

Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies

Öz:
Purpose The aims of our study were to determine the changes in the pharyngeal airway after treating patients with Class III malocclusion who received double jaw surgery, to determine the hard tissue and soft tissue parameters and the hyoid bone and tongue positions after surgery, to determine the changes to compare the pretreatment and post-treatment measurements of the patients in the double jaw group with the measurements of the control group patients, and to evaluate postoperative patient satisfaction. Materials and Methods The study included thirty-two Class III adult patients that received double jaw surgery and twenty-five Class I patients. Cephalometric records were taken before treatment (T1) and after treatment (T2). Results After double jaw orthognathic surgery, there were statistically significant changes in all pharyngeal airway linear and areal parameters (p<0.001). There were significant superior and posterior movements of the tongue and hyoid bone post-surgery. The post-treatment analysis of the double jaw surgery group and control group were compared, with statistically significant differences in the mandibular dental parameters and pharyngeal airway measurements in patients in the double jaw surgery group. Conclusion Despite the narrowings detected, high satisfaction scores were observed in the patient satisfaction questionnaire and the patients did not experience respiratory problems.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Ellis III E, McNamara Jr JA. Components of adult Class III malocclusion. Journal of Oral and Maxillofac Surg 1984;42:295- 305. [CrossRef ]
  • 2. Wolford L, Fields R. Diagnosis and treatment planning for orthognathic surgery. Oral Maxillofac Surg 2000;2:24-55.
  • 3. Kawakami M, Yamamoto K, Fujimoto M, Ohgi K, Inoue M, Kirita T. Changes in tongue and hyoid positions, and posterior airway space following mandibular setback surgery. J Craniomaxillofac Surg 2005;33:107-10. [CrossRef ]
  • 4. Saitoh K. Long-term changes in pharyngeal airway morphology after mandibular setback surgery. Am J Orthod Dentofacial Orthop 2004;125:556-61. [CrossRef ]
  • 5. Riley RW, Powell NB, Guilleminault C, Ware W. Obstructive sleep apnea syndrome following surgery for mandibular prognathism. J Oral Maxillofac Surg 1987;45:450-2. [CrossRef ]
  • 6. Gokce S, Gorgulu S, Gokce H, Bengi O, Sabuncuoglu F, Ozgen F, et al. Changes in posterior airway space, pulmonary function and sleep quality, following bimaxillary orthognathic surgery. Int J Oral Maxillofac Surg 2012;41:820-9. [CrossRef ]
  • 7. Park JH, Kim H-S, Choi S-H, Jung Y-S, Jung H-D. Changes in position of the hyoid bone and volume of the pharyngeal airway after mandibular setback: three-dimensional analysis. Br J Oral Maxillofac Surg 2019;57:29-35. [CrossRef ]
  • 8. Marşan G, Kuvat SV, Öztaş E, Cura N, Süsal Z, Emekli U. Oropharyngeal airway changes following bimaxillary surgery in Class III female adults. J Craniomaxillofac Surg 2009;37:69-73. [CrossRef ]
  • 9. Pereira-Filho VA, Castro-Silva LM, de Moraes M, Gabrielli MFR, Campos JADB, Juergens P. Cephalometric evaluation of pharyngeal airway space changes in class III patients undergoing orthognathic surgery. J Oral Maxillofac Surg 2011;69:e409-e15. [CrossRef ]
  • 10. Demetriades N, Chang DJ, Laskarides C, Papageorge M. Effects of mandibular retropositioning, with or without maxillary advancement, on the oro-naso-pharyngeal airway and development of sleep-related breathing disorders. J Oral Maxillofac Surg 2010;68(:2431-6. [CrossRef ]
  • 11. Sears CR, Miller AJ, Chang MK, Huang JC, Lee JS. Comparison of pharyngeal airway changes on plain radiography and conebeam computed tomography after orthognathic surgery. J Oral Maxillofac Surg 2011;69:e385-e94. [CrossRef ]
  • 12. Cakarne D, Urtane I, Skagers A. Pharyngeal airway sagittal dimension in patients with Class III skeletal dentofacial deformity before and after bimaxillary surgery. Stomatologija 2003;5:13-6.
  • 13. Kawamata A, Fujishita M, Ariji Y, Ariji E. Three-dimensional computed tomographic evaluation of morphologic airway changes after mandibular setback osteotomy for prognathism. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:278- 87. [CrossRef ]
  • 14. Marşan G, Öztaş E, Kuvat S, Cura N, Emekli U. Changes in soft tissue profile after mandibular setback surgery in Class III subjects. Int J Oral Maxillofac Surg 2009;38:236-40. [CrossRef ]
  • 15. Park JG, Ramar K, Olson EJ, editors. Updates on definition, consequences, and management of obstructive sleep apnea. Mayo Clinic Proc 2011;86:549-555. [CrossRef ]
  • 16. Guilleminault C, Riley R, Powell N. Sleep apnea in normal subjects following mandibular osteotomy with retrusion. Chest 1985;88:776-8. [CrossRef ]
  • 17. Chen F, Terada K, Hua Y, Saito I. Effects of bimaxillary surgery and mandibular setback surgery on pharyngeal airway measurements in patients with Class III skeletal deformities. Am J Orthod Dentofacial Orthop 2007;131:372-7. [CrossRef ]
  • 18. Samman N, Tang SS, Xia J. Cephalometric study of the upper airway in surgically corrected class III skeletal deformity. Int J Adult Orthodon Orthognath Surg 2002;17:180-90.
  • 19. Dahy K, Takahashi K, Saito K, Kiso H, Rezk I, Oga T, et al. Gender differences in morphological and functional outcomes after mandibular setback surgery. J Craniomaxillofac Surg 2018;46:887-92. [CrossRef ]
  • 20. On SW, Han MW, Hwang DY, Song SI. Retrospective study on change in pharyngeal airway space and hyoid bone position after mandibular setback surgery. J Korean Assoc Oral Maxillofac Surg 2015;41:224. [CrossRef ]
  • 21. Degerliyurt K, Ueki K, Hashiba Y, Marukawa K, Simsek B, Okabe K, et al. The effect of mandibular setback or two-jaws surgery on pharyngeal airway among different genders. Int J Oral Maxillofac Surg 2009;38:647-52. [CrossRef ]
  • 22. Mouakeh M. Cephalometric evaluation of craniofacial pattern of Syrian children with Class III malocclusion. Am J Orthod Dentofacial Orthop 2001;119:640-9. [CrossRef ]
  • 23. Dhopatkar A, Bhatia S, Rock P. An Investigation Into the Relationship Between theCranial Base Angle and Malocclusion. Angle Orthod 2002;72:456-63.
  • 24. Cheng J-H, Chen C-M, Chen P-H, Chou S-T, Pan C-Y, Tseng Y-C. Comparison of pharyngeal airway between mandibular setback surgery patients (skeletal class III) and nonsurgery patients (skeletal classes I and II). BioMed Res Int 2019;2019. [CrossRef ]
  • 25. Kitahara T, Hoshino Y, Maruyama K, In E, Takahashi I. Changes in the pharyngeal airway space and hyoid bone position after mandibular setback surgery for skeletal Class III jaw deformity in Japanese women. Am J Orthod Dentofacial Orthop 2010;138:708. e1-. e10. [CrossRef ]
  • 26. Troy BA, Shanker S, Fields HW, Vig K, Johnston W. Comparison of incisor inclination in patients with Class III malocclusion treated with orthognathic surgery or orthodontic camouflage. Am J Orthod Dentofacial Orthop 2009;135:146. e1-. e9. [CrossRef ]
  • 27. An J-S, Jeong W, Sonnesen L, Baek S-H, Ahn S-J. Effects of Presurgical Mandibular Incisor Decompensation on Long-Term Outcomes of Class III Surgical Orthodontic Treatment. J Clin Med 2021;10:2870. [CrossRef ]
  • 28. Vural A, İleri Z, Mehmet A. İskeletsel sınıf III maloklüzyonlu ortognatik cerrahi hastalarında sefalometrik değişimlerin yaşam kalitesinin ve postoperatif memnuniyetin değerlendirilmesi. Selcuk Dental J 2018;7:428-34.
  • 29. Asada K, Motoyoshi M, Tamura T, Nakajima A, Mayahara K, Shimizu N. Satisfaction with orthognathic surgery of skeletal Class III patients. Am J Orthod Dentofacial Orthop 2015;148:827- 37. [CrossRef ]
  • 30. Kiyak HA, McNeill RW, West RA. The emotional impact of orthognathic surgery and conventional orthodontics. Am J Orthod Dentofacial Orthop 1985;88:224-34. [CrossRef ]
APA Koc S, KARSLI N, Özel M, Korkmaz Y, Kayıpmaz S (2023). Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies. , 1 - 9. 10.26650/eor.20231056459
Chicago Koc Saliha,KARSLI NURVER,Özel Mehmet Birol,Korkmaz Yavuz Tolga,Kayıpmaz Saadettin Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies. (2023): 1 - 9. 10.26650/eor.20231056459
MLA Koc Saliha,KARSLI NURVER,Özel Mehmet Birol,Korkmaz Yavuz Tolga,Kayıpmaz Saadettin Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies. , 2023, ss.1 - 9. 10.26650/eor.20231056459
AMA Koc S,KARSLI N,Özel M,Korkmaz Y,Kayıpmaz S Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies. . 2023; 1 - 9. 10.26650/eor.20231056459
Vancouver Koc S,KARSLI N,Özel M,Korkmaz Y,Kayıpmaz S Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies. . 2023; 1 - 9. 10.26650/eor.20231056459
IEEE Koc S,KARSLI N,Özel M,Korkmaz Y,Kayıpmaz S "Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies." , ss.1 - 9, 2023. 10.26650/eor.20231056459
ISNAD Koc, Saliha vd. "Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies". (2023), 1-9. https://doi.org/10.26650/eor.20231056459
APA Koc S, KARSLI N, Özel M, Korkmaz Y, Kayıpmaz S (2023). Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies. European oral research (Online), 57(1), 1 - 9. 10.26650/eor.20231056459
Chicago Koc Saliha,KARSLI NURVER,Özel Mehmet Birol,Korkmaz Yavuz Tolga,Kayıpmaz Saadettin Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies. European oral research (Online) 57, no.1 (2023): 1 - 9. 10.26650/eor.20231056459
MLA Koc Saliha,KARSLI NURVER,Özel Mehmet Birol,Korkmaz Yavuz Tolga,Kayıpmaz Saadettin Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies. European oral research (Online), vol.57, no.1, 2023, ss.1 - 9. 10.26650/eor.20231056459
AMA Koc S,KARSLI N,Özel M,Korkmaz Y,Kayıpmaz S Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies. European oral research (Online). 2023; 57(1): 1 - 9. 10.26650/eor.20231056459
Vancouver Koc S,KARSLI N,Özel M,Korkmaz Y,Kayıpmaz S Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies. European oral research (Online). 2023; 57(1): 1 - 9. 10.26650/eor.20231056459
IEEE Koc S,KARSLI N,Özel M,Korkmaz Y,Kayıpmaz S "Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies." European oral research (Online), 57, ss.1 - 9, 2023. 10.26650/eor.20231056459
ISNAD Koc, Saliha vd. "Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies". European oral research (Online) 57/1 (2023), 1-9. https://doi.org/10.26650/eor.20231056459