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ORTODONTİDE HAVA YOLU ÖLÇÜM

Year 2020, Volume: 6 Issue: 2, 105 - 114, 01.10.2020

Abstract

Nazofaringeal ve orofaringeal hava yolu problemlerinin büyüme-gelişim döneminde çene-yüz bölgesindeki gelişimi olumsuz etkilediği bilinmektedir. Nazal konka hipertrofisi, adenoid hipertrofisi ve tonsiller hipertrofiler gibi nazal obstrüksiyonlar sonucu burun solunumunun engellendiği durumlarda ağız solunumunun devreye girmesiyle alt çenenin aşağı ve geriye rotasyonu ve dilin aşağıda konumlanması; dik yön gelişiminde artma, açık kapanış, yan çapraz kapanış, üst çenede darlık ve üst dişlerde ileri itim gibi kapanış bozukluklarını doğurabilmektedir. Hava yolunun değerlendirilmesi, solunum bozukluğu olan hastalar için önemli bir tanı aracı olmakta birlikte büyüme-gelişim dönemindeki hastalarda, kraniyofasiyal anomalinin tedavisi ve sonucunun stabilitesi için kritik öneme sahiptir. Ortodontik tedavinin ağız solunumu ile ilişkili olan malokluzyonlarının tanısı, klinik ve radyolojik hava yolu ölçümlerinin doğru bir şekilde incelenmesini gerektirmekte ve hava yolu ölçüm tekniklerinin kullanımı önemli bir konu haline gelmektedir. Bu derlemede bu hususlar hakkında güncel gelişmelerin incelenmesi amaçlanmıştır.

References

  • 1. McNamara Jr, J. A.Influence of respiratory pattern on craniofacial growth. The Angle Orthodontist, 1981;51(4):269-300.
  • 2. El H, Palomo J. M. Airway volume for different dentofacial skeletal patterns. American journal of orthodontics and dentofacial orthopedics, 2011;39(6):e511-e521.
  • 3. Solow B, Siersbzek-Nielsen S, Greve E. Airway adequacy, head posture, and craniofacial morphology. Am J Orthod, 1984; 86:214-23.
  • 4. Ricketts R. M. Respiratory obstruction syndrome. Am J Orthod, 1968:54:495-514.
  • 5. Subtelny, J. D. Effects of diseases of tonsils and adenoids on dentofacial morphology. Ann.Otol.Laryngol. 1975:84: 50-54.
  • 6. Kim YJ, Hong JS, Hwang YI, Park YH. Three-dimensional analysis of pharyngeal airway in preadolescent children with different anteroposterior skeletal patterns. Am J Orthod Dentofacial Orthop. 2010;137(3):306.e1–307.
  • 7. Capitanio MA, Kirkpatrick JA. Nasopharyngeal lymphoid tissue. Roentgen observations in 257 children two years of age or less. Radiology, 1970;96:389-91.
  • 8. Oulis CJ, Vadiakas GP, Ekonomides J, Dratsa J. The effect of hypertrophic adenoids and tonsils on the development of posterior crossbite and oral habits. J Clin Pediatr Dent, 1994;18:197-201.
  • 9. Feng X, Li G, Qu Z, Liu L, Näsström K, Shi XQ. Comparative analysis of upper airway volume with lateral cephalograms and conebeam computed tomography. Am J Orthod Dentofacial Orthop. 2015;147(2):197–204.
  • 10. Angle E. Treatment of malocclusion of the teeth. 1907. SS White Manufacturing Company, Philadelphia.
  • 11. Kirjavainen M, Kirjavainen T. Upper airway dimensions in Class II malocclusion. Effects of headgear treatment. Angle Orthodontist, 2007:77:1046–1053.
  • 12. Restrepo C, Santamaría A, Peláez S, Tapias A. Oropharyngeal airway dimensions after treatment with functional appliances in class II retrognathic children. J Oral Rehabil. 2011;38(8):588–594.
  • 13. Ozbek MM, Memikoglu TU, Gögen H, Lowe AA, Baspinar E. Oropharyngeal airway dimensions and functionalorthopedic treatment in skeletal Class II cases. Angle Orthod. 1998;68(4):327–336.
  • 14. Agarwal A. Digestive system, Respiratory system. 2018: 16/3/2018.
  • 15. Schab R, Goldberg A. Upper airway assessment: radiographic and other imaging techniques. Otolaryngol Clin North Am, 1998: 31(6):931-968.
  • 16. Şakul B, Bilecenoğlu B. Baş ve Boynun Klinik Bölgesel Anatomisi. 2009. Ankara: Özkan Matbaacılık.
  • 17. Buck LM, Dalci O, Darendeliler MA, Papageorgiou SN, Papadopoulou AK. Volumetric upper airway changes after rapid maxillary expansion: a systematic review and meta-analysis. European Journal of Orthodontics, 2017: 39(5):463-473.
  • 18. Sökücü O, Doruk C, Uysal Öİ; Comparison of the effects of RME and fan-type RME on nasal airway by using acoustic rhinometry. Angle Orthod, 1 September 2010; 80 (5): 870–875.
  • 19. Gross TF, Peters A. Fluid mechanical interpretation of hysteresis in rhinomanometry. ISRN Otolaryngology. 2011: 126520:1–6.
  • 20. Nivatvongs W, Earnshaw J, Roberts D, Hopkins C. Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the highest level of evidence. Clinical Otolaryngology, 2011:36: 181-182.
  • 21. McNamara J A. Nasorespiratory function and craniofacial growth. Monograph number 9, craniofacial growth series, Center for human growth and development, The University of Michigan, Ann Arbor, Michigan. 1979: 87-119.
  • 22. Kamal I. Test-retest validity of acoustic pharyngometry measurements. Otolaryngol Head Neck Surg. 2004;130(2):223-228.
  • 23. Battagel, J. M., Johal, A., Smith, A. M., Kotecha, B. Postural variation in oropharyngeal dimensions in subjects with sleep disordered breathing: a cephalometric study. The European Journal of Orthodontics, 2002;24(3):263–276.
  • 24. Jiang C, Yi Y, Jiag C, Fang S, Wang J. Pharyngeal airway space and hyoid bone positioning after different orthognathic surgeries in skeletal Class II patients. J Oral Maxillofac Surg. 2017: 75(7):1482-1490.
  • 25. Kochel J, Meyer-Marcotty P, Sıckel F, Lındorf H, Stellzıg-Eısenhauer A. Short term pharyngeal airway changes after mandibular advancement surgery in adult Class II-patients: A three-dimensional retrospective study. J Orofac Orthop. 2013:74:137-52.
  • 26. Vizzotto MB, Liedke GS, Delamare EL, Silveira HD, Dutra V, Silveira HE. A comparative study of lateral cephalograms and cone-beam computed tomographic images in upper airway assessment. Eur J Orthod. 2012;34(3):390-393.
  • 27. Martins LS, Liedke GS, Heraldo LDDS, et al. Airway volume analysis: is there a correlation between two and threedimensions?. Eur J Orthod. 2018;40(3):262- 267.
  • 28. Aboudara C, Nielsen I, Huang JC, Maki K, Miller AJ, Hatcher D. Comparison of airway space with conventional lateral headfilms and 3-dimensional reconstruction from cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2009;135(4):468-479.
  • 29. Mello Junior C. F., Guimaraes Filho H. A., Gomes C. A. ve Paiva C. C. Radiological findings in patients with obstructive sleep apnea. J Bras Pneumol, 2013: 39 (1), 98- 101.
  • 30. Cavalcanti MG, Rocha SS, Vannier MW. Craniofacial measurements based on 3DCT volume rendering: implications for clinical applications. Dentomaxillofac Radiol, 2004; 33: 170–176.
  • 31. Wu Z, Chen W, Khoo MC, Davidson Ward SL, Nayak KS. Evaluation of upper airway collapsibility using real-time MRI. J Magn Reson Imaging. 2006: 44(1):158-67.
  • 32. Weissheimer, A., de Menezes, L. M., Sameshima, G. T., Enciso, R., Pham, J., Grauer, D.Imaging software accuracy for 3-dimensional analysis of the upper airway. American Journal of Orthodontics and Dentofacial Orthopedics, 2012;142(6):801- 813.

AIRWAY MEASUREMENT IN ORTHODONTICS

Year 2020, Volume: 6 Issue: 2, 105 - 114, 01.10.2020

Abstract

It is known that nasopharyngeal and
oropharyngeal airway problems negatively
affect the development of the maxillofacial
region during the growth-development period.
In cases where nasal breathing is blocked as
a result of nasal obstructions such as nasal
concha hypertrophy, adenoid hypertrophy, and
tonsillar hypertrophies, the lower and back
rotation of the lower jaw and the positioning of
the tongue below; Increase in vertical direction
development, open bite, lateral cross bite,
stenosis in the upper jaw and bite disorders
can be seen. The evaluation of the airway
is an important diagnostic tool for patients
with respiratory disorders, but it is critical for
the treatment of craniofacial anomalies and
the stability of its outcome in patients in the
growth-developmental period. The diagnosis of
malocclusions associated with mouth breathing
in orthodontic treatment requires an accurate
examination of clinical and radiological
airway measurements, and the use of airway
measurement techniques becomes an important
issue. In this review, it is aimed to examine
contemporary developments on these issues.

References

  • 1. McNamara Jr, J. A.Influence of respiratory pattern on craniofacial growth. The Angle Orthodontist, 1981;51(4):269-300.
  • 2. El H, Palomo J. M. Airway volume for different dentofacial skeletal patterns. American journal of orthodontics and dentofacial orthopedics, 2011;39(6):e511-e521.
  • 3. Solow B, Siersbzek-Nielsen S, Greve E. Airway adequacy, head posture, and craniofacial morphology. Am J Orthod, 1984; 86:214-23.
  • 4. Ricketts R. M. Respiratory obstruction syndrome. Am J Orthod, 1968:54:495-514.
  • 5. Subtelny, J. D. Effects of diseases of tonsils and adenoids on dentofacial morphology. Ann.Otol.Laryngol. 1975:84: 50-54.
  • 6. Kim YJ, Hong JS, Hwang YI, Park YH. Three-dimensional analysis of pharyngeal airway in preadolescent children with different anteroposterior skeletal patterns. Am J Orthod Dentofacial Orthop. 2010;137(3):306.e1–307.
  • 7. Capitanio MA, Kirkpatrick JA. Nasopharyngeal lymphoid tissue. Roentgen observations in 257 children two years of age or less. Radiology, 1970;96:389-91.
  • 8. Oulis CJ, Vadiakas GP, Ekonomides J, Dratsa J. The effect of hypertrophic adenoids and tonsils on the development of posterior crossbite and oral habits. J Clin Pediatr Dent, 1994;18:197-201.
  • 9. Feng X, Li G, Qu Z, Liu L, Näsström K, Shi XQ. Comparative analysis of upper airway volume with lateral cephalograms and conebeam computed tomography. Am J Orthod Dentofacial Orthop. 2015;147(2):197–204.
  • 10. Angle E. Treatment of malocclusion of the teeth. 1907. SS White Manufacturing Company, Philadelphia.
  • 11. Kirjavainen M, Kirjavainen T. Upper airway dimensions in Class II malocclusion. Effects of headgear treatment. Angle Orthodontist, 2007:77:1046–1053.
  • 12. Restrepo C, Santamaría A, Peláez S, Tapias A. Oropharyngeal airway dimensions after treatment with functional appliances in class II retrognathic children. J Oral Rehabil. 2011;38(8):588–594.
  • 13. Ozbek MM, Memikoglu TU, Gögen H, Lowe AA, Baspinar E. Oropharyngeal airway dimensions and functionalorthopedic treatment in skeletal Class II cases. Angle Orthod. 1998;68(4):327–336.
  • 14. Agarwal A. Digestive system, Respiratory system. 2018: 16/3/2018.
  • 15. Schab R, Goldberg A. Upper airway assessment: radiographic and other imaging techniques. Otolaryngol Clin North Am, 1998: 31(6):931-968.
  • 16. Şakul B, Bilecenoğlu B. Baş ve Boynun Klinik Bölgesel Anatomisi. 2009. Ankara: Özkan Matbaacılık.
  • 17. Buck LM, Dalci O, Darendeliler MA, Papageorgiou SN, Papadopoulou AK. Volumetric upper airway changes after rapid maxillary expansion: a systematic review and meta-analysis. European Journal of Orthodontics, 2017: 39(5):463-473.
  • 18. Sökücü O, Doruk C, Uysal Öİ; Comparison of the effects of RME and fan-type RME on nasal airway by using acoustic rhinometry. Angle Orthod, 1 September 2010; 80 (5): 870–875.
  • 19. Gross TF, Peters A. Fluid mechanical interpretation of hysteresis in rhinomanometry. ISRN Otolaryngology. 2011: 126520:1–6.
  • 20. Nivatvongs W, Earnshaw J, Roberts D, Hopkins C. Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the highest level of evidence. Clinical Otolaryngology, 2011:36: 181-182.
  • 21. McNamara J A. Nasorespiratory function and craniofacial growth. Monograph number 9, craniofacial growth series, Center for human growth and development, The University of Michigan, Ann Arbor, Michigan. 1979: 87-119.
  • 22. Kamal I. Test-retest validity of acoustic pharyngometry measurements. Otolaryngol Head Neck Surg. 2004;130(2):223-228.
  • 23. Battagel, J. M., Johal, A., Smith, A. M., Kotecha, B. Postural variation in oropharyngeal dimensions in subjects with sleep disordered breathing: a cephalometric study. The European Journal of Orthodontics, 2002;24(3):263–276.
  • 24. Jiang C, Yi Y, Jiag C, Fang S, Wang J. Pharyngeal airway space and hyoid bone positioning after different orthognathic surgeries in skeletal Class II patients. J Oral Maxillofac Surg. 2017: 75(7):1482-1490.
  • 25. Kochel J, Meyer-Marcotty P, Sıckel F, Lındorf H, Stellzıg-Eısenhauer A. Short term pharyngeal airway changes after mandibular advancement surgery in adult Class II-patients: A three-dimensional retrospective study. J Orofac Orthop. 2013:74:137-52.
  • 26. Vizzotto MB, Liedke GS, Delamare EL, Silveira HD, Dutra V, Silveira HE. A comparative study of lateral cephalograms and cone-beam computed tomographic images in upper airway assessment. Eur J Orthod. 2012;34(3):390-393.
  • 27. Martins LS, Liedke GS, Heraldo LDDS, et al. Airway volume analysis: is there a correlation between two and threedimensions?. Eur J Orthod. 2018;40(3):262- 267.
  • 28. Aboudara C, Nielsen I, Huang JC, Maki K, Miller AJ, Hatcher D. Comparison of airway space with conventional lateral headfilms and 3-dimensional reconstruction from cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2009;135(4):468-479.
  • 29. Mello Junior C. F., Guimaraes Filho H. A., Gomes C. A. ve Paiva C. C. Radiological findings in patients with obstructive sleep apnea. J Bras Pneumol, 2013: 39 (1), 98- 101.
  • 30. Cavalcanti MG, Rocha SS, Vannier MW. Craniofacial measurements based on 3DCT volume rendering: implications for clinical applications. Dentomaxillofac Radiol, 2004; 33: 170–176.
  • 31. Wu Z, Chen W, Khoo MC, Davidson Ward SL, Nayak KS. Evaluation of upper airway collapsibility using real-time MRI. J Magn Reson Imaging. 2006: 44(1):158-67.
  • 32. Weissheimer, A., de Menezes, L. M., Sameshima, G. T., Enciso, R., Pham, J., Grauer, D.Imaging software accuracy for 3-dimensional analysis of the upper airway. American Journal of Orthodontics and Dentofacial Orthopedics, 2012;142(6):801- 813.
There are 32 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Review
Authors

Nourtzan Kechagia This is me 0000-0001-9572-5829

Publication Date October 1, 2020
Submission Date May 7, 2020
Published in Issue Year 2020 Volume: 6 Issue: 2

Cite

Vancouver Kechagia N. ORTODONTİDE HAVA YOLU ÖLÇÜM. Aydin Dental Journal. 2020;6(2):105-14.

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