Prediction of the Pharyngeal Airway Space Change after Bilateral Sagittal Split Ramus Osteotomy (BSSRO) Setback in Patients with Skeletal Class III Deformity

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Published: Mar 15, 2024
Keywords:
Prediction Pharyngeal airway space (PAS) Skeletal class III deformity Orthognathic surgery BSSRO

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Wipas Tangjunyatam
Resident training program in Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Khon Kaen University.
Supaporn Kongsomboon
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Khon Kaen University.
Wilawan Weraarchakul
Division of Dental Public Health, Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University.
Niphon Klai-on
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Khon Kaen University,

Abstract

The patients with skeletal class III deformity who underwent bilateral sagittal split ramus osteotomy (BSSRO) setback procedure may have the changes of the pharyngeal airway space (PAS). The purposes of the study were to determine the factors and create regression equations to predict PAS changes using these factors. This was a retrospective analytical cross-sectional study. Lateral cephalometric radiographs were analyzed from 40 patients before surgery (T0, within 3 months pre-operation) and > 6 months after surgery (T2, long-term follow-up). The PAS changes at level of retropalatal airway space (PAS-p) showed the greatest correlation with C3-Me changes (r=0.819, p<0.01), while the changes at the level of retrolingual airway space (PAS-t) demonstrated the greatest correlation with C3-I changes (r=0.693, p<0.01). Regression analysis was used to create predictive equations for PAS changes using these correlated factors

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1.
Tangjunyatam W, Kongsomboon S, Weraarchakul W, Klai-on N. Prediction of the Pharyngeal Airway Space Change after Bilateral Sagittal Split Ramus Osteotomy (BSSRO) Setback in Patients with Skeletal Class III Deformity. Khon Kaen Dent J [Internet]. 2024 Mar. 15 [cited 2024 May 3];27(1):24-3. Available from: https://he01.tci-thaijo.org/index.php/KDJ/article/view/260194
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Vol. 27 No. 1 (2024): Jan-April
Section
Research Articles
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น

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References

Riley RW, Powell NB, Guilleminault C, W Ware. Obstructive sleep apnea syndrome following surgery for mandibular prognathism. J Oral Maxillofac Surg 1987;45(5):450-2.

Riley RW, Powell NB. Maxillofacial surgery & obstructive sleep apnea syndrome. Otolaryngol Clin North Am 1990;23(4):809-26.

Guilleminault C, Riley R, Powell N. Sleep apnea in normal subjects following mandibular osteotomy with retrusion. Chest 1985;88(5):776-8.

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.Int J Oral Maxillofac Surg 2011; 40(6):584-92.

Suresh KP, Chandrashekara S. Sample size estimation and power analysis for clinical research studies. J Hum Reprod Sci 2012;5(1):7-13.

Nguyen MT, Visuttiwattanakorn S, Wongsirichat N. Prediction of pharyngeal airway changes in skeletal class III deformity patients after orthognathic surgery. J Oral Maxillofac Surg Med Pathol 2015;27(6):796-803.

Muto T, Yamazaki A, Takeda S, Sato Y. Accuracy of predicting the pharyngeal airway space on the cephalogram after mandibular setback surgery. J Oral Maxillofac Surg 2008;66(6):1099-103.

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(3):180-90.

Degerliyurt K, Ueki K, Hashiba Y, Marukawa K, Nakagawa K, Yamamoto E. A comparative CT evaluation of pharyngeal airway changes in class III patients receiving bimaxillary surgery or mandibular setback surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105(4):495-502.

Eggensperger N, Raditsch T, Taghizadeh F, lizuka T. Mandibular setback by sagittal split ramus osteotomy: a 12-year follow-up.Acta Odontol Scand 2005;63(3): 183-8.

Pereira-Flibo V, Castro-Silva L, Moraes M, Gabrlell M, Campos J, Juergens P. Cephalometric evaluation of pharyngeal airways space changes in Class III patients Undergoing orthognathic surgery. J oral maxillofac surg 2011;69(11):409-15.

Marsan G, Vasfikuvat S, Öztas E, Cura N, Susal Z, Emekli U. Oropharyngeal airway changes following bimaxillary surgery in Class III female adults. J Craniomaxillofac Surg 2009;37(2):69-73.

Khaghaninejad MS, Khojastehpour L, Danesteh H, Changizi M, Ahrari F. Changes in the pharyngeal airway after different orthognathic procedures for correction of class III dysplasia. Maxillofac Plast Reconstr Surg 2022;44(1):23.

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(6):647-52.

Uesugi T, Kobayashi D, Hasebe D, Tanaka R, Ike M, Saito C. Effects of orthognathic surgery on pharyngeal airway and respiratory function during sleep in patients with mandibular prognathism. Int J Oral Maxillofac Surg 2014;43(9):1082-90.

Stradling JR, Crosby JH. Predictors and prevalence of obstructive sleep apnoea and snoring in 1001 middle aged men. Thorax 1991 46(2):85-90.

Du W, He D, Wang Y, Liu H, Liao C, Fei W, et al. Upper Airway Changes After Mandibular Setback and/or Advancement Genioplasty in Obese Patients. J Oral Maxillofac Surg 2017;75(10):2202-10.

Greco JM, Frohberg U, Van Sickels JE: Long-term airway space changes after mandibular setback using bilateral sagittal split osteotomy. Int J Oral Maxillofac Surg 1990;19(2):103-5.

Greco JM, Frohberg U, Van Sickels JE. Cephalometric analysis of long-term airway space changes with maxillary osteotomies. Oral Surg Oral Med Oral Pathol 1990;70(5):552-4.

Saitoh K. Long-term changes in pharyngeal airway morphology after mandibular setback surgery. Am J Orthod Dentofacial Orthop 2004;125(5):556-61.

Güven O, Saraçoglu U. Changes in pharyngeal airway space and hyoid bone positions after body ostectomies and sagittal split ramus osteotomies. J Craniofac Surg 2005;16(1):23-30.

Kitagawara K, Kobayashi T, Goto H, Yokobayashi T, Kitamura N, Saito C. Effects of mandibular setback surgery on oropharyngeal airway and arterial oxygen saturation. Int J Oral Maxillofac Surg 2008;37(4):328-33.

Muto T, Yamazaki A, Takeda S, Sato Y. Effect of bilateral sagittal split ramus osteotomy setback on the soft palate and pharyngeal airways space. Int J oral maxillofac surg. 2008;37(5):419-23.

Muto T, Yamazaki A, Takeda S. A cephalometric evaluation of the pharyngeal airway space in patients with mandibular retrognathia and prognathia, and normal subjects. Int J Oral Maxillofac Surg 2008; 37(3):228-31.

Achilleos S, Krogstad O, Lyberg T. Surgical mandibular setback and changes in uvuloglossopharyngeal morphology and head posture: a short and long term cephalometric study in male. Eur J orthog 2000;22(4): 383-94.

Chen CM, Lai S, Chen KK, Lee HE. Correlation between the pharyngeal airway space and head posture after surgery for mandibular prognathism. Biomed Res Int 2015;2015:251021.

Popovic RM, White DP. Influence of gender on waking genioglossal electromyogram and upper airway resistance. Am J Respir Crit Care Med 1995;152(2): 725-31.

Hochban W, Schürmann R, Brandenburg U, Conradt R. Mandibular setback for surgical correction of mandibular hyperplasia: Does it provoke sleep-related breathing disorders? Int J Oral Maxillofac Surg 1996; 25(5):333-8.

Liukkonen M, Vähätalo K, Peltomäki T, Tiekso J, Happonen RP. Effect of mandibular setback surgery on the posterior airway size. Int J Adult Orthodon Orthognath Surg 2002;17(1):41–6.

El H, Palomo JM.Airway volume for different dentofacial skeletal patterns. Am J Orthod Dentofacial Orthop 2011;139(6):511-21.

Partinen M, Guilleminault C, Quera-Salva MA, Jamieson A. Obstructive sleep apnea and cephalometric roentgenograms: The role of anatomic upper airway abnormalities in the definition of abnormal breathing during sleep. Chest 1988;93(6):1199-205.

Uesugi T, Kobayashi T, Hasebe D, Tanaka R, Ike M, Saito C. Effects of orthognathic surgery on pharyngeal airway and respiratory function during sleep in patients with mandibular prognathism. Int J Oral Maxillofac Surg 2014;43(9):1082-90.

Yang HJ, Jung YE, Kwon IJ, Lee JY, Hwang SJ. Airway changes and prevalence of obstructive sleep apnoea after bimaxillary orthognathic surgery with large mandibular setback. Int J Oral Maxillofac Surg 2020;49(3):342-49.

Canellas JV, Barros HL, Medeiros PJ, Ritto FG. Sleep-disordered breathing following mandibular setback: a systematic review of the literature. Sleep Breath 2016;20(1):387-94.

On SW, Kim HJ, Cho DH, Moon YR, Il Song S. Silent changes in sleep quality following mandibular setback surgery in patients with skeletal class III malocclusion: a prospective study. Sci Rep 2019;9(1):9737.

Canellas JV, Barros HL, Medeiros PJ, Ritto FG. Effects of surgical correction of class III malocclusion on the pharyngeal airway and its influence on sleep apnoea. Int J Oral Maxillofac Surg 2016;45(12):1508-12.

Lee ST, Park JH, Kwon TG. Influence of mandibular setback surgery on three-dimensional pharyngeal airway changes. Int J Oral Maxillofac Surg 2019;48(8): 1057-65.

Tauman R, Gozal D. Obesity and obstructive sleep apnea in children. Paediatr Respir Rev 2006;7(4):247-59.

da Silva RP, Martinez D, Pedroso MM, Righi CG, Martins EF, Silva LM, et al. Exercise, occupational activity, and risk of sleep apnea: a cross-sectional study. J Clin Sleep Med 2017;13(2):197-204.

Chen F, Terada K, Hanada K, Saito I. Predicting the pharyngeal airway space after mandibular setback surgery. J Oral Maxillofac Surg 2005;63(10):1509-14.

Mcnamara JA. A methog of cephalometric evaluation. Am J Orthog 1984;86(6):449-69.

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(3):372-7.

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(3):278-87.

Savoldi F, Xinyue G, McGrath CP, Yang Y, Chow SC, Tsoi JKH, Gu M. Reliability of lateral cephalometric radiographs in the assessment of the upper airway in children: A retrospective study. Angle Orthod 2020; 90(1):47-55.

Anegawa E, Tsuyama H, Kusukawa J. Lateral cephalometric analysis of the pharyngeal airway space affected by head posture. Int J Oral Maxillofac Surg 2008;37(9):805-9.