Assessment of pharyngeal airway in Korean adolescents according to skeletal pattern, sex, and cervical vertebral maturation: A cross-sectional CBCT study
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Objective: To investigate airway volumes using cone-beam computed tomography (CBCT) by skeletal patterns, sex, and cervical vertebral maturation (CVM) stages in Korean adolescents. Methods: The sample consisted of pretreatment CBCT and cephalograms of 95 adolescents (aged 12–19) obtained out of 1,611 patients examined for orthodontic treatment from 2018 to 2020 in Kyungpook National University Dental Hospital. The samples were classified into two sex groups; three skeletal pattern groups, four chronological age groups and four CVM stages. Nasopharyngeal volumes (NPV), oropharyngeal volumes (OPV), total pharyngeal airway volume (TAV) and minimum cross-sectional area (MCA) measurements were taken from the CBCT. Multiple linear regression analyses to find out which one of the independent variables are good predictors for airway variables. Significant factors were analyzed by two-way multivariate analysis of variance (MANOVA) then multiple comparisons were analyzed using a t-test, and Fisher least significant difference. Results: Age, sex, CVM, and Sella-Nasion-B point have significant influence on airway variable. Males and females showed similar patterns of change in chronological age groups 1–3; however, males had larger NPV, OPV, and MCA at CVM in group 4. According to CVM stages, males had larger OPV, TAV, and MCA at CVM stage 6 (p-value: 0.019, 0.021, 0.015, respectively) and no sex differences at CVM stages 3, 4, and 5. Conclusions: Skeletal patterns have an effect on airway volume. Sex differences were found in CVM 6.
Abstract
Objective: To investigate airway volumes using cone-beam computed tomography (CBCT) by skeletal patterns, sex, and cervical vertebral maturation (CVM) stages in Korean adolescents. Methods: The sample consisted of pretreatment CBCT and cephalograms of 95 adolescents (aged 12–19) obtained out of 1,611 patients examined for orthodontic treatment from 2018 to 2020 in Kyungpook National University Dental Hospital. The samples were classified into two sex groups; three skeletal pattern groups, four chronological age groups and four CVM stages. Nasopharyngeal volumes (NPV), oropharyngeal volumes (OPV), total pharyngeal airway volume (TAV) and minimum cross-sectional area (MCA) measurements were taken from the CBCT. Multiple linear regression analyses to find out which one of the independent variables are good predictors for airway variables. Significant factors were analyzed by two-way multivariate analysis of variance (MANOVA) then multiple comparisons were analyzed using a t-test, and Fisher least significant difference. Results: Age, sex, CVM, and Sella-Nasion-B point have significant influence on airway variable. Males and females showed similar patterns of change in chronological age groups 1–3; however, males had larger NPV, OPV, and MCA at CVM in group 4. According to CVM stages, males had larger OPV, TAV, and MCA at CVM stage 6 (p-value: 0.019, 0.021, 0.015, respectively) and no sex differences at CVM stages 3, 4, and 5. Conclusions: Skeletal patterns have an effect on airway volume. Sex differences were found in CVM 6.
참고문헌 (26)
- Silva MA, "Cone-beam computed tomography for routine orthodontic treatment planning : a radiation dose evaluation", Am J Orthod Dentofacial Orthop, 133, pp.640~ (2008)
- Quan SF, "The role of dentists in the diagnosis and treatment of obstructive sleep apnea : consensus and controversy", J Clin Sleep Med, 13, pp.1117~1119 (2017)
- Huynh NT, "Associations between sleep-disordered breathing symptoms and facial and dental morphometry, assessed with screening examinations", Am J Orthod Dentofacial Orthop, 140, pp.762~770 (2011)
- Behrents RG, "Obstructive sleep apnea and orthodontics : an American Association of Orthodontists White Paper", Am J Orthod Dentofacial Orthop, 156, pp.13~28 (2019)
- Joy A, "Airway and cephalometric changes in adult orthodontic patients after premolar extractions", Angle Orthod, 90, pp.39~46 (2020)
- Katyal V, "Craniofacial and upper airway morphology in pediatric sleep-disordered breathing : systematic review and meta-analysis", Am J Orthod Dentofacial Orthop, 143, pp.20~30 (2013)
- Angle EH, "Treatment of malocclusion of the teeth. Angle's system. 7th ed., greatly enl. and entirely rewritten, with six hundred and forty-one illustrations" (1907), S.S. White dental manufacturing Co
- Feng X, "Comparative analysis of upper airway volume with lateral cephalograms and cone-beam computed tomography", Am J Orthod Dentofacial Orthop, 147, pp.197~204 (2015)
- Claudino LV, "Pharyngeal airway characterization in adolescents related to facial skeletal pattern : a preliminary study", Am J Orthod Dentofacial Orthop, 143, pp.799~809 (2013)
- Hong JS, "Threedimensional analysis of pharyngeal airway volume in adults with anterior position of the mandible", Am J Orthod Dentofacial Orthop, 140, pp.e161~e169 (2011)
- El H, "Airway volume for different dentofacial skeletal patterns", Am J Orthod Dentofacial Orthop, 139, pp.e511~e521 (2011)
- Brito FC, "Three-dimensional study of the upper airway in different skeletal Class II malocclusion patterns", Angle Orthod, 89, pp.93~101 (2019)
- Zheng ZH, "Three-dimensional evaluation of upper airway in patients with different anteroposterior skeletal patterns", Orthod Craniofac Res, 17, pp.38~48 (2014)
- Chiang CC, "Threedimensional airway evaluation in 387 subjects from one university orthodontic clinic using cone beam computed tomography", Angle Orthod, 82, pp.985~992 (2012)
- Chan L, "A cross-sectional retrospective study of normal changes in the pharyngeal airway volume in white children with 3 different skeletal patterns from age 9 to 15 years : part 1", Am J Orthod Dentofacial Orthop, 158, pp.710~721 (2020)
- McNamara JA Jr, "The cervical vertebral maturation method : a user's guide", Angle Orthod, 88, pp.133~143 (2018)
- Srinivasan B, "Constancy of cervical vertebral maturation indicator in adults : a cross-sectional study", Int Orthod, 16, pp.486~498 (2018)
- Fernandes-Retto P, "Cervical vertebral maturation and its relationship to circum-pubertal phases of the dentition in a cohort of Portuguese individuals", J Clin Exp Dent, 11, pp.e642~e649 (2019)
- Schendel SA, "Airway growth and development : a computerized 3-dimensional analysis", J Oral Maxillofac Surg, 70, pp.2174~2183 (2012)
- Abdalla Y, "Effects of a fixed functional appliance on upper airway volume : a 3-dimensional cone-beam computed tomography study", Am J Orthod Dentofacial Orthop, 158, pp.40~49 (2020)
- Vuong L, "A cross-sectional retrospective study of normal changes in the pharyngeal airway volume in white children with different skeletal patterns. Part 2: cervical vertebral maturation method and hyoid bone", Am J Orthod Dentofacial Orthop, 159, pp.e377~e388 (2021)
- Akarsu-Guven B, "Upper airway features of unilateral cleft lip and palate patients in different growth stages", Angle Orthod, 89, pp.575~582 (2019)
- Kim JY, "Classification of the skeletal variation in normal occlusion", Angle Orthod, 75, pp.311~319 (2005)
- Cho HJ, "A three-dimensional cephalometric analysis", J Clin Orthod, 43, pp.235~252 (2009)
- Dalmau E, "A comparative study of the pharyngeal airway space, measured with cone beam computed tomography, between patients with different craniofacial morphologies", J Craniomaxillofac Surg, 43, pp.1438~1446 (2015)
- Fishman LS, "Chronological versus skeletal age, an evaluation of craniofacial growth", Angle Orthod, 49, pp.181~189 (1979)