Volume 10, Issue 2 (2-2021)                   WJPS 2021, 10(2): 46-54 | Back to browse issues page


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Moghaddam H H, Labafchi A, Mortazavi S, Khorasanchi M, Tohidi E, Hoseini-zarch S et al . The Effect of Orthognathic Surgery on the Hyoid Bone Position in Skeletal Class III Patients: An Evaluation Using Cephalometric Analysis. WJPS. 2021; 10 (2) :46-54
URL: http://wjps.ir/article-1-780-en.html
Associate Professor, Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract:   (596 Views)
BACKGROUND
This study aimed to investigate the positional changes of the hyoid bone following orthognathic surgery in skeletal class III patients.
METHODS
This double-blinded quasi-experimental study was carried out in Mashhad University of Medical Sciences, Iran, from Apr 2019 to Jun 2020. All skeletal Class III patients who were candidates for orthogenetic surgery were included. They underwent mandibular setback surgery using bilateral sagittal split osteotomy. Cephalometric assessments in relation to hyoid bone position and posterior airway space (PAS) were conducted one day preoperatively (T0), as well as one week (T1), six months (T2) and one year (T3) postoperatively, determining the parameters like the Long axis of the hyoid bone (LAH), Retrognation (RGn), Hyoidale (H), Palatal plane (PP), Mandibular plane (MP) and C3 Vertebrae (C3). All cephalograms were examined using AudaxCeph, Planmeca software. The data analysis was performed via SPSS-19
(P<0.05)
RESULTS
25 class III patients, including 18 females (72%) and 7 males (28%) with a mean age of 24.32±5.87, were studied. The cephalometric analysis demonstrated significant decreases in variable angles during the follow-up periods, except for LAH-MP angle (P<0.001). The hyoid bone moved downward and backward relative to its original position following the mandibular setback surgery. However, the bone gradually returned to the preoperative location between 6 to 12 months postoperatively.
CONCLUSION
The findings revealed the downward and backward movement of the hyoid bone following the mandibular setback surgery, returned near to its  preoperative position after 1 year, postoperatively.
Full-Text [PDF 498 kb]   (283 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2021/05/29 | Accepted: 2021/02/22 | Published: 2021/06/25

References
1. Eshghpour M, Mianbandi V, Samieirad S. Intra-and postoperative complications of Le Fort I maxillary osteotomy. Journal of Craniofacial Surgery. 2018;29(8):e797-e803. [DOI:10.1097/SCS.0000000000004828]
2. Fernández-Ferrer L, Montiel-Company JM, Pinho T, Almerich-Silla JM, Bellot-Arcis C. Effects of mandibular setback surgery on upper airway dimensions and their influence on obstructive sleep apnoea-A systematic review. Journal of Cranio-Maxillofacial Surgery. 2015;43(2):248-53. [DOI:10.1016/j.jcms.2014.11.017]
3. Yavari N, Samieirad S, Labafchi A, Rezaeetalab F, Eshghpour M. Is There an Increase in the Risk of Obstructive Sleep Apnea After Isolated Mandibular Setback Surgery? An Evaluation Using the STOP-BANG Questionnaire. Journal of Oral and Maxillofacial Surgery. 2020. 4. Hasebe D, Kobayashi T, Hasegawa M, Iwamoto T, Kato K, Izumi N, et al. Changes in oropharyngeal airway and respiratory function during sleep after orthognathic surgery in patients with mandibular prognathism. International journal of oral and maxillofacial surgery. 2011;40(6):584-92. https://doi.org/10.1016/j.ijom.2011.01.011 [DOI:10.1016/j.joms.2020.07.008]
4. Mattos C, Vilani G, Sant'Anna E, Ruellas A, Maia L. Effects of orthognathic surgery on oropharyngeal airway: a meta-analysis. International journal of oral and maxillofacial surgery. 2011;40(12):1347-56. [DOI:10.1016/j.ijom.2011.06.020]
5. Mortazavi S, Asghari-Moghaddam H, Dehghani M, Aboutorabzade M, Yaloodbardan B, Tohidi E, et al. Hyoid bone position in different facial skeletal patterns. Journal of clinical and experimental dentistry. 2018;10(4):e346. [DOI:10.4317/jced.54657]
6. Shin J-H, Kim M-A, Park I-Y, Park Y-H. A 2-year follow-up of changes after bimaxillary surgery in patients with mandibular prognathism: 3-dimensional analysis of pharyngeal airway volume and hyoid bone position. Journal of Oral and Maxillofacial Surgery. 2015;73(2):340. e1-. e9. [DOI:10.1016/j.joms.2014.10.009]
7. Güven O, Saraçoglu U. Changes in pharyngeal airway space and hyoid bone positions after body ostectomies and sagittal split ramus osteotomies. Journal of Craniofacial Surgery. 2005;16(1):23-30. [DOI:10.1097/00001665-200501000-00007]
8. 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. Journal of Cranio-Maxillofacial Surgery. 2005;33(2):107-10. [DOI:10.1016/j.jcms.2004.10.005]
9. 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. American Journal of Orthodontics and Dentofacial Orthopedics. 2010;138(6):708. e1-. e10. [DOI:10.1016/j.ajodo.2010.06.014]
10. On SW, Han MW, Hwang DY, Song SI. Retrospective study on change in pharyngeal airway space and hyoid bone position after mandibular setback surgery. Journal of the Korean Association of Oral and Maxillofacial Surgeons. 2015;41(5):224-31. [DOI:10.5125/jkaoms.2015.41.5.224]
11. dos Santos Canellas JV, Barros HLM, Medeiros PJDA, Ritto FG. Sleep-disordered breathing following mandibular setback: a systematic review of the literature. Sleep and Breathing. 2016;20(1):387-94. [DOI:10.1007/s11325-015-1274-z]
12. Kawamata A, Fujishita M, Ariji Y, Ariji E. Three-dimensional computed tomographic evaluation of morphologic airway changes after mandibular setback osteotomy for prognathism. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2000;89(3):278-87. [DOI:10.1016/S1079-2104(00)70089-8]
13. 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. Journal of Oral and Maxillofacial Surgery. 2010;68(10):2431-6. [DOI:10.1016/j.joms.2010.02.033]
14. Foltán R, Hoffmannová J, Donev F, Vlk M, Šedý J, Kufa R, et al. The impact of Le Fort I advancement and bilateral sagittal split osteotomy setback on ventilation during sleep. International journal of oral and maxillofacial surgery. 2009;38(10):1036-40. [DOI:10.1016/j.ijom.2009.06.001]
15. Kitagawara K, Kobayashi T, Goto H, Yokobayashi T, Kitamura N, Saito C. Effects of mandibular setback surgery on oropharyngeal airway and arterial oxygen saturation. International journal of oral and maxillofacial surgery. 2008;37(4):328-33. [DOI:10.1016/j.ijom.2007.12.005]
16. Samman N, Tang SS, Xia J. Cephalometric study of the upper airway in surgically corrected class III skeletal deformity. The International journal of adult orthodontics and orthognathic surgery. 2002;17(3):180.
17. Setoudehmaram S, Masoumi S, Danaei SM, Zamiri B. Assessment of Changes in the Hyoid Bone Position Following Orthognathic Surgery in Class III Patients. Avicenna Journal of Dental Research. 2017;9(2):e60701-e. [DOI:10.5812/ajdr.60701]
18. Aydemir H, Memikoğlu U, Karasu H. Pharyngeal airway space, hyoid bone position and head posture after orthognathic surgery in Class III patients. The Angle orthodontist. 2012;82(6):993-1000. [DOI:10.2319/091911-597.1]
19. Efendiyeva R, Aydemir H, Karasu H, Toygar-Memikoğlu U. Pharyngeal airway space, hyoid bone position, and head posture after bimaxillary orthognathic surgery in Class III patients: long-term evaluation. The Angle Orthodontist. 2014;84(5):773-81. [DOI:10.2319/072213-534.1]
20. Marşan G, Öztaş E, Cura N, Kuvat SV, Emekli U. Changes in head posture and hyoid bone position in Turkish Class III patients after mandibular setback surgery. Journal of Cranio-Maxillofacial Surgery. 2010;38(2):113-21. [DOI:10.1016/j.jcms.2009.03.009]
21. Gokce SM, Gorgulu S, Gokce HS, Bengi AO, Karacayli U, Ors F. Evaluation of pharyngeal airway space changes after bimaxillary orthognathic surgery with a 3-dimensional simulation and modeling program. American Journal of Orthodontics and Dentofacial Orthopedics. 2014;146(4):477-92. [DOI:10.1016/j.ajodo.2014.06.017]
22. Gonçales ES, Rocha JF, Gonçales AGB, Yaedú RYF, Sant'Ana E. Computerized Cephalometric Study of the Pharyngeal Airway Space in Patients Submitted to Orthognathic Surgery. Journal of Maxillofacial and Oral Surgery. 2014;13(3):253-8. [DOI:10.1007/s12663-013-0524-5]
23. Muto T, Takeda S, Kanazawa M, Yamazaki A, Fujiwara Y, Mizoguchi I. The effect of head posture on the pharyngeal airway space (PAS). International journal of oral and maxillofacial surgery. 2002;31(6):579-83. [DOI:10.1054/ijom.2002.0279]
24. Muto T, Yamazaki A, Takeda S, Kawakami J, Tsuji Y, Shibata T, et al. Relationship between the pharyngeal airway space and craniofacial morphology, taking into account head posture. International journal of oral and maxillofacial surgery. 2006;35(2):132-6. [DOI:10.1016/j.ijom.2005.04.022]
25. Liukkonen M, Vähätalo K, Peltomäki T, Tiekso J, Happonen R-P. Effect of mandibular setback surgery on the posterior airway size. The International journal of adult orthodontics and orthognathic surgery. 2002;17(1):41.
26. Tselnik M, Pogrel MA. Assessment of the pharyngeal airway space after mandibular setback surgery. Journal of oral and maxillofacial surgery. 2000;58(3):282-5. [DOI:10.1016/S0278-2391(00)90053-3]
27. Kim M-A, Kim B-R, Choi J-Y, Youn J-K, Kim Y-JR, Park Y-H. Three-dimensional changes of the hyoid bone and airway volumes related to its relationship with horizontal anatomic planes after bimaxillary surgery in skeletal Class III patients. The Angle orthodontist. 2013;83(4):623-9. [DOI:10.2319/083112-700.1]

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