Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies

Yıl 2023, Cilt: 57 Sayı: 1, 1 - 9, 31.01.2023

Saliha Koç , Nurver Karslı , Mehmet Birol Özel , Yavuz Tolga Korkmaz , Saadettin Kayıpmaz

https://doi.org/10.26650/eor.20231056459

Öz

Purpose: The aims of our study were to determine the changes in the pharyngeal airway after treating patients with Class III malocclusion who received double jaw surgery, to determine the hard tissue and soft tissue parameters and the hyoid bone and tongue positions after surgery, to determine the changes to compare the pre-treatment and post-treatment measurements of the patients in the double jaw group with the measurements of the control group patients, and to evaluate post-operative patient satisfaction. Materials and Methods: The study included thirty-two Class III adult patients that received double jaw surgery and twenty-five Class I patients. Cephalometric records were taken before treatment (T1) and after treatment (T2). Results: After double jaw orthognathic surgery, there were statistically significant changes in all pharyngeal airway linear and areal parameters (p<0.001). There were significant superior and posterior movements of the tongue and hyoid bone post-surgery. The post-treatment analysis of the double jaw surgery group and control group were compared, with statistically significant differences in the mandibular dental parameters and pharyngeal airway measurements in patients in the double jaw surgery group. Conclusion: Despite the narrowings detected, high satisfaction scores were observed in the patient satisfaction questionnaire and the patients did not experience respiratory problems.

Anahtar Kelimeler

Orthognathic Surgery, Class III Malocclusion, Pharyngeal Airway, Patient Satisfaction, Cephalometric.

Kaynakça

• 1. Ellis III E, McNamara Jr JA. Components of adult Class III malocclusion. Journal of Oral and Maxillofacial Surgery 1984;42(5):295-305.
• 2. Wolford L, Fields R. Diagnosis and treatment planning for orthognathic surgery. Oral and maxillofacial surgery 2000;2:24-55.
• 3. 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.
• 4. Saitoh K. Long-term changes in pharyngeal airway morphology after mandibular setback surgery. American journal of orthodontics and dentofacial orthopedics 2004;125(5):556-61.
• 5. Riley RW, Powell NB, Guilleminault C, Ware W. Obstructive sleep apnea syndrome following surgery for mandibular prognathism. Journal of oral and maxillofacial surgery 1987;45(5):450-2.
• 6. Gokce S, Gorgulu S, Gokce H, Bengi O, Sabuncuoglu F, Ozgen F, et al. Changes in posterior airway space, pulmonary function and sleep quality, following bimaxillary orthognathic surgery. International journal of oral and maxillofacial surgery 2012;41(7):820-9.
• 7. Park JH, Kim H-S, Choi S-H, Jung Y-S, Jung H-D. Changes in position of the hyoid bone and volume of the pharyngeal airway after mandibular setback: three-dimensional analysis. British Journal of Oral and Maxillofacial Surgery 2019;57(1):29-35.
• 8. Marşan G, Kuvat SV, Öztaş E, Cura N, Süsal Z, Emekli U. Oropharyngeal airway changes following bimaxillary surgery in Class III female adults. Journal of Cranio-Maxillofacial Surgery 2009;37(2):69-73.
• 9. Pereira-Filho VA, Castro-Silva LM, de Moraes M, Gabrielli MFR, Campos JADB, Juergens P. Cephalometric evaluation of pharyngeal airway space changes in class III patients undergoing orthognathic surgery. Journal of oral and maxillofacial surgery 2011;69(11):e409-e15.
• 10. 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.
• 11. Sears CR, Miller AJ, Chang MK, Huang JC, Lee JS. Comparison of pharyngeal airway changes on plain radiography and cone-beam computed tomography after orthognathic surgery. Journal of Oral and Maxillofacial Surgery 2011;69(11):e385-e94.
• 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.
• 13. Marşan G, Öztaş E, Kuvat S, Cura N, Emekli U. Changes in soft tissue profile after mandibular setback surgery in Class III subjects. International journal of oral and maxillofacial surgery 2009;38(3):236-40.
• 14. Park JG, Ramar K, Olson EJ, editors. Updates on definition, consequences, and management of obstructive sleep apnea. Mayo Clinic Proceedings; 2011: Elsevier.
• 15. Guilleminault C, Riley R, Powell N. Sleep apnea in normal subjects following mandibular osteotomy with retrusion. Chest 1985;88(5):776-8.
• 16. 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. American journal of orthodontics and dentofacial orthopedics 2007;131(3):372-7.
• 17. 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):180-90.
• 18. Dahy K, Takahashi K, Saito K, Kiso H, Rezk I, Oga T, et al. Gender differences in morphological and functional outcomes after mandibular setback surgery. Journal of Cranio-Maxillofacial Surgery 2018;46(6):887-92.
• 19. 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.
• 20. 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. International journal of oral and maxillofacial surgery 2009;38(6):647-52.
• 21. Mouakeh M. Cephalometric evaluation of craniofacial pattern of Syrian children with Class III malocclusion. American Journal of Orthodontics and Dentofacial Orthopedics 2001;119(6):640-9.
• 22. Dhopatkar A, Bhatia S, Rock P. An Investigation Into the Relationship Between theCranial Base Angle and Malocclusion. The Angle Orthodontist 2002;72(5):456-63.
• 23. Cheng J-H, Chen C-M, Chen P-H, Chou S-T, Pan C-Y, Tseng Y-C. Comparison of pharyngeal airway between mandibular setback surgery patients (skeletal class III) and nonsurgery patients (skeletal classes I and II). BioMed research international 2019;2019.
• 24. 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.
• 25. Troy BA, Shanker S, Fields HW, Vig K, Johnston W. Comparison of incisor inclination in patients with Class III malocclusion treated with orthognathic surgery or orthodontic camouflage. American Journal of Orthodontics and Dentofacial Orthopedics 2009;135(2):146. e1-. e9.
• 26. An J-S, Jeong W, Sonnesen L, Baek S-H, Ahn S-J. Effects of Presurgical Mandibular Incisor Decompensation on Long-Term Outcomes of Class III Surgical Orthodontic Treatment. Journal of Clinical Medicine 2021;10(13):2870.
• 27. Cakarne D, Urtane I, Skagers A. Pharyngeal airway sagittal dimension in patients with Class III skeletal dentofacial deformity before and after bimaxillary surgery. Stomatologija 2003;5(1):13-6.
• 28. Vural A, İleri Z, Mehmet A. İskeletsel sınıf III maloklüzyonlu ortognatik cerrahi hastalarında sefalometrik değişimlerin yaşam kalitesinin ve postoperatif memnuniyetin değerlendirilmesi. Selcuk Dental Journal 2018;7(3):428-34.
• 29. Asada K, Motoyoshi M, Tamura T, Nakajima A, Mayahara K, Shimizu N. Satisfaction with orthognathic surgery of skeletal Class III patients. American Journal of Orthodontics and Dentofacial Orthopedics 2015;148(5):827-37.
• 30. Kiyak HA, McNeill RW, West RA. The emotional impact of orthognathic surgery and conventional orthodontics. American journal of orthodontics 1985;88(3):224-34.