مجله جهانی جراحی پلاستیک
مجله جهانی جراحی پلاستیک
دوشنبه 10 آذر 1404
[Archive]
چکیده: (795 مشاهده)
Background: Obstruction of the upper airways may lead to dental and skeletal changes. Nasal septal deviation (NSD) and concha bullosa (CB) are associated with nasal airway obstruction. Mouth breathing is also linked to alterations in maxillary growth and palatal dimensions. This study aimed to compare palatal dimensions in Iranian individuals with and without NSD and CB using cone-beam computed tomography (CBCT).
Methods: This retrospective study analyzed 204 CBCT scans obtained with a large field of view. Scans were categorized into four groups based on the presence or absence of CB and NSD. The deviated septal curve angle (DSCA), palatal inter-alveolar length (PIL), palatal arch depth (PAD), and maxillopalatal arch angle (MPAA) were measured. Group comparisons were performed using one-way ANOVA, followed by post hoc pairwise tests.
Results: presence of CB was significantly associated with changes in mean PIL in both males and females (P=0.02). Only mean PIL showed significant sex differences, being longer in males than females (P=0.01). No significant differences in palatal dimensions were observed between individuals with and without NSD. The four groups differed significantly in mean PIL, MPAA, and DSCA (P<0.05).
Conclusion: CB may significantly alter palatal dimensions and could be associated with skeletal malocclusion. No significant differences in palatal depth and length were found between individuals with and without NSD.
Methods: This retrospective study analyzed 204 CBCT scans obtained with a large field of view. Scans were categorized into four groups based on the presence or absence of CB and NSD. The deviated septal curve angle (DSCA), palatal inter-alveolar length (PIL), palatal arch depth (PAD), and maxillopalatal arch angle (MPAA) were measured. Group comparisons were performed using one-way ANOVA, followed by post hoc pairwise tests.
Results: presence of CB was significantly associated with changes in mean PIL in both males and females (P=0.02). Only mean PIL showed significant sex differences, being longer in males than females (P=0.01). No significant differences in palatal dimensions were observed between individuals with and without NSD. The four groups differed significantly in mean PIL, MPAA, and DSCA (P<0.05).
Conclusion: CB may significantly alter palatal dimensions and could be associated with skeletal malocclusion. No significant differences in palatal depth and length were found between individuals with and without NSD.
نوع مطالعه: مقالات اصيل |
موضوع مقاله:
تخصصي
فهرست منابع
1. Thilander B. Dentoalveolar development in subjects with normal occlusion. A longitudinal study between the ages of 5 and 31 years. Eur J Orthod 2009;31(2):109-20. [DOI:10.1093/ejo/cjn124]
2. Hassanali J, Odhiambo JW. Analysis of dental casts of 6-8-and 12-year-old Kenyan children. Eur J Orthod 2000;22(2):135-42. [DOI:10.1093/ejo/22.2.135]
3. Eslami Amirabadi G, Golshah A, Derakhshan S, Khandan S, Saeidipour M, Nikkerdar N. Palatal dimensions at different stages of dentition in 5 to 18-year-old Iranian children and adolescent with normal occlusion. BMC Oral Health 2018;18:1-6. [DOI:10.1186/s12903-018-0538-y]
4. Kanehira T, Takehara J, Takahashi D, Honda O, Morita M. Prevalence of oral malodor and the relationship with habitual mouth breathing in children. J Clin Pediatr Dent 2004;28(4):285-8. [DOI:10.17796/jcpd.28.4.xp213r6534322m58]
5. Farid M, Metwalli N. Computed tomographic evaluation of mouth breathers among paediatric patients. Dentomaxillofac Radiol 2010;39(1):1-10. [DOI:10.1259/dmfr/80778956]
6. Aktas D, Kalcioglu MT, Kutlu R, Ozturan O, Oncel S. The relationship between the concha bullosa, nasal septal deviation and sinusitis. Rhinology 2003;41(2):103-6.
7. Neskey D, Eloy JA, Casiano RR. Nasal, septal, and turbinate anatomy and embryology. Otolaryngologic Clinics of North America 2009;42(2):193-205. [DOI:10.1016/j.otc.2009.01.008]
8. Balikci HH, Gurdal MM, Celebi S, Ozbay I, Karakas M. Relationships among concha bullosa, nasal septal deviation, and sinusitis: Retrospective analysis of 296 cases. Ear, Nose & Throat Journal 2016;95(12):487-91. [DOI:10.1177/014556131609501209]
9. Alper F, Karasen RM, Kantarci M. A massive superior concha bullosa: case report and literature review. Rhinology 2004;42(1):38-40.
10. Uygur K, TÜz M, Doğru H. The correlation between septal deviation and concha bullosa. Otolaryngology-Head and Neck Surgery 2003;129(1):33-6. [DOI:10.1016/S0194-59980300479-0]
11. Yiğit Ö, Acıoğlu E, Çakır ZA, Şişman AS, Barut AY. Concha bullosa and septal deviation. European archives of oto-rhino-laryngology 2010;267:1397-401. [DOI:10.1007/s00405-010-1228-9]
12. Johal A, Conaghan C. Maxillary morphology in obstructive sleep apnea: a cephalometric and model study. The Angle Orthodontist 2004;74(5):648-56.
13. Gungor AY, Turkkahraman H. Effects of airway problems on maxillary growth: a review. European journal of dentistry 2009;3(03):250-4. [DOI:10.1055/s-0039-1697440]
14. Giudice AL, Spinuzza P, Rustico L, Messina G, Nucera R. Short-term treatment effects produced by rapid maxillary expansion evaluated with computed tomography: A systematic review with meta-analysis. Korean Journal of Orthodontics 2020;50(5):314-23. [DOI:10.4041/kjod.2020.50.5.314]
15. Tsolakis IA, Venkat D, Hans MG, Alonso A, Palomo JM. When static meets dynamic: Comparing cone-beam computed tomography and acoustic reflection for upper airway analysis. American Journal of Orthodontics and Dentofacial Orthopedics 2016;150(4):643-50. [DOI:10.1016/j.ajodo.2016.03.024]
16. Kajan ZD, Khademi J, Nemati S, Niksolat E. The effects of septal deviation, concha bullosa, and their combination on the depth of posterior palatal arch in cone-beam computed tomography. J Dent 2016;17(1):26.
17. Shetty SR, Al Bayatti SW, Al-Rawi NH, et al. The effect of concha bullosa and nasal septal deviation on palatal dimensions: a cone beam computed tomography study. BMC Oral Health 2021;21:1-10. [DOI:10.1186/s12903-021-01974-6]
18. Orhan I, Ayd1n S, Ormeci T, Y1ilmaz F. A radiological analysis of inferior turbinate in patients with deviated nasal septum by using computed tomography. Am J Rhinol Allergy 2014;28(1):e68-e72. [DOI:10.2500/ajra.2014.28.4007]
19. Stallman JS, Lobo JN, Som PM. The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. Am J Neuroradiol 2004;25(9):1613-8.
20. Naidoo N, Maria S, Flanagan B, Van Noordenburg A, Ho V, Mansour V. A multiphase mixed-methods participatory approach to Paramedicine educators' identity, intersectionality, and impediments to professional emergence. 2024. [DOI:10.21203/rs.3.rs-3881655/v1]
21. Al-Zubair NM. Determinant factors of Yemeni maxillary arch dimensions. The Saudi Dental Journal 2015;27(1):50-4. [DOI:10.1016/j.sdentj.2014.08.005]
22. Nasereslami F, Razi T, Banakar E, Emamverdizadeh P, Razi S. Comparison of Dimensions of the Palate Between Individuals With and Without Nasal Septum Deviation on Cone-Beam Computed Tomography Images in an Iranian Population. Avicenna Journal of Dental Research 2022;14(4):160-4. [DOI:10.34172/ajdr.2022.499]
23. Akbay E, Cokkeser Y, Yilmaz O, Cevik C. The relationship between posterior septum deviation and depth of maxillopalatal arch. Auris Nasus Larynx 2013;40(3):286-90. [DOI:10.1016/j.anl.2012.07.016]
24. Ghasempour M, Mohammadzadeh I, Garakani S. Palatal arch diameters of patients with allergic rhinitis. Iran J Allergy Asthma Immunol 2009;8(1):63-4.
25. Keles B, Öztürk K, Ünaldı D, Arbag H, Özer B. Is there any relationship between nasal septal deviation and concha bullosa? Eur J General Med 2010;7(4):359-64. [DOI:10.29333/ejgm/82886]
26. Erbek S. Dursun E. Konka bülloza nedenli orta konka baş ağrısı sendromu Kulak Burun Boğaz ve Baş Boyun Cerrahisi Dergisi 2002;10:150-5.
27. Cellina M, Gibelli D, Cappella A, Martinenghi C, Belloni E, Oliva G. Nasal cavities and the nasal septum: Anatomical variants and assessment of features with computed tomography. Neuroradiol J 2020;33(4):340-7. [DOI:10.1177/1971400920913763]
28. Cukurova I, Yaz A, Gumussoy M, Yigitbasi OG, Karaman Y. A patient presenting with concha bullosa in another concha bullosa: a case report. Journal of Medical Case Reports 2012;6:1-4. [DOI:10.1186/1752-1947-6-87]
29. Karataş D, Yüksel F, Koç A. Volumetric correlation between concha bullosa and paranasal sinuses. J Anat Soc India 2017;66(2):131-4. [DOI:10.1016/j.jasi.2017.05.011]
30. Berwig LC, Silva AMTd, Côrrea ECR, Moraes ABd, Montenegro MM, Ritzel RA. Hard palate dimensions in nasal and mouth breathers from different etiologies. Jornal da Sociedade Brasileira de Fonoaudiologia 2011;23:308-14. [DOI:10.1590/S2179-64912011000400004]
31. Indiarti IS, Setyanto D, Kusumaningrum A, Budiardjo SB. Changes in the palatal dimensions of mouth breathing children caused by nasal obstruction. Journal of Physics: Conference Series 2017: IOP Publishing; 2017. p. 012036. [DOI:10.1088/1742-6596/884/1/012036]
32. Leonardi R, Ronsivalle V, Lagravere MO, Barbato E, Isola G, Lo Giudice A. Three-dimensional assessment of the spheno-occipital synchondrosis and clivus after tooth-borne and bone-borne rapid maxillary expansion: a retrospective CBCT study using voxel-based superimposition. The Angle Orthodontist 2021;91(6):822-9. [DOI:10.2319/013021-86.1]
33. Lo Giudice A, Ronsivalle V, Lagravere M, Leonardi R, Martina S, Isola G. Transverse dentoalveolar response of mandibular arch after rapid maxillary expansion (RME) with tooth-borne and bone-borne appliances: A CBCT retrospective study. The Angle Orthodontist 2020;90(5):680-7. [DOI:10.2319/042520-353.1]
| بازنشر اطلاعات | |
 |
این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است. |
