en تخصصي Special مروری Review Article <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Background:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> Maxillofacial trauma presents unique airway management challenges due to anatomical disruptions, soft tissue compromise, edema, hemorrhage, and emesis. While isolated mandibular fractures are typically non-emergent, specific fracture patterns can precipitate airway obstruction secondary to bony fragment displacement. There is a paucity of data on airway changes after unilateral mandibular fractures. This prompted us to conduct the present study.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Methods:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> This prospective, quasi-experimental study enrolled patients with isolated unilateral mandibular fractures requiring surgical reduction between December 2023 and December 2024. Airway changes were assessed via lateral cephalometric analysis pre-operatively and at a 3-month post-operative interval. </span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Specifically, the distances of the posterior nasal spine (PSP), the intersection of the inferior border of the mandible with the posterior tongue (PTO), and the highest point of the epiglottis (E) from the PRL reference line (a vertical line connecting the Porion (PO) to the Frankfort plane) were measured and compared on pre- and post-operative cephalometric radiographs. Descriptive and bivariate statistics were employed, with statistical significance defined as <i>P</i> < 0.05.</span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Results:</span></span></span></b> <span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Twenty eight patients, including 18 males and 10 females with a mean age of 34.4&plusmn; 14.1 years, were investigated. </span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Post-treatment, the average airway space increased slightly at all measured points: PSP (23.6 mm to 23.8 mm, <i>P</i>=0.222), PTO (22.0 mm to 22.1 mm, <i>P</i>=0.366), and E (12.6 mm to 12.9 mm, <i>P</i>=0.590). </span></span></span><span style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> Although slight increases in airway space were observed post-treatment at all measured points (PSP, PTO, and E), none of these changes were statistically significant.</span></span></span></span></span></span><br> &nbsp; Mandibular fracture, Airway changes, Trauma 79 85 http://wjps.ir/browse.php?a_code=A-10-636-6&slc_lang=en&sid=1 Moosa Mahmoudi 100319475328460017541 100319475328460017541 No Department of Oral and Maxillofacial Surgery, Kerman University of Medical Sciences, Kerman, Iran Sara Samiei 100319475328460017542 100319475328460017542 No Department of Oral and Maxillofacial Surgery, Kerman University of Medical Sciences, Kerman, Iran Sarina Hassanpour Dargah 100319475328460017543 100319475328460017543 No Department of Oral and Maxillofacial Surgery, Kerman University of Medical Sciences, Kerman, Iran Ali Labafchi labafchiali@yahoo.com 100319475328460017544 100319475328460017544 Yes Department of Oral and Maxillofacial Surgery, Kerman University of Medical Sciences, Kerman, Iran