Farengeal Havayolu Ölçümlerinde Toplam Havayolu Hacmi İle Bölgesel Havayolları Arasındaki Korelasyonun Değerlendirilmesi

Abstract

Amaç: Bu çalışmanın amacı, dentofasiyal anomali tanılı hastaların total farengeal havayolu hacimleri ile nazofarengeal, retropalatal ve retroglossal havayolu hacimleri arasındaki korelasyonu değerlendirmektir.

Materyal ve Metod: Yaşları 9.1 ile 13.8 aralığında olan 26 kız ve 34 erkek olmak üzere toplam 60 dentofasiyal deformite tanısı konulmuş bireyin CBCT kayıtları çalışma kapsamına alınmıştır. Kayıtlar üzerinden hastaların yaş, cinsiyet, nazofarengeal, retropalatal, retroglossal ve total havayolu hacimleri kaydedilmiştir. Solunum yolları ile ilgili ölçümler hacimsel parametreler kullanılarak karşılaştırılmıştır. Hasta verileri cinsiyetler üzerinden ve cinsiyetten bağımsız olarak iki aşamada istatistik analiz programı ile yapılmıştır.

Bulgular: Nazofarenks, retropalatal, retroglossal hacimler ile total hacim değişkenleri arasında istatistiksel olarak anlamlı ilişkiler bulunmaktadır (p<0.05).Sonuçlar incelendiğinde, nazofarengeal hacim ile total hacim arasında %59,9 retropalatal hacim ile total hacim arasında yaklaşık %84,2 ve retroglossal hacim ile total hacim arasında %73,1 düzeyinde aynı yönlü ilişki bulunmaktadır. Ayrıca nazofarengeal hacim ile retropalatal hacim arasında yaklaşık %27,1; retropalatal hacim ile retroglossal hacim arasında %48,7 düzeyinde aynı yönlü ilişki mevcuttur. Korelasyon fark testi bulgularına göre, kızlarda retropalatal-total hacim arasında ilişki erkeklere göre yaklaşık %13 oranında daha fazladır. Cinsiyet değerlendirmeye alınmadan yapılan korelasyon değerlendirilmesinde ise total hacim ile nazofarenks, retropalatal ve retroglossal hacimler arasında güçlü korelasyon varlığı saptanmıştır. Bu kolerasyonların içinde en güçlü ilişki total hacim ile  retropalatal hacim arasında bulunmuştur (%84,2).

Sonuç: Çalışmamız sonucunda, her üç anatomik bölgenin de total havayolu hacmi için önemli olduğu, klinik olarak önemli bulunmasa da nazofarengeal havayolu ölçümlerinin de total havayolu hacmi ile güçlü bir kolerasyon gösterdiği, retropalatal havayolu hacminin total havayolu hacmi ile en güçlü korelasyonu gösterdiği ve cinsiyetler arası segmental ve total havayolu hacimleri arasında retropalatal-total hacim hariç istatistiksel olarak anlamlı bir fark bulunmadığı sonuçları kaydedilmiştir

Keywords

• Havayolu hacmi,Segmentasyon,Dentofasiyal deformiteler

Evaluation of Correlation Between Total Airway Volume and Regional Airway Volumes in Pharyngeal Airway Measurements

Abstract

Background: The aim of this study was to evaluate the correlation between total pharyngeal airway volumes and nasopharyngeal, retro-palatinal and retro-glossal airway volumes of patients with dentofacial anomaly.

Materials and Methods: CBCT records of 60 dentofacial deformities, 26 females and 34 males aged between 9.1-13.8, were included in the study. Age, sex, nasopharyngeal, retropalatal, retroglossal and total nasopharyngeal airway volumes of the patients were recorded. respiratory tract measurements were compared using volumetric parameters. The patients were evaluated in two stages according to gender and independent of gender and statistical analyzes were performed with R project (R Core Team, 2019) statistical analysis program.

Results: There are statistically significant relationships between nasopharynx, retropalatal, retroglossal volumes and total volume variables (p<0.05). When the results were examined, there was a same-way relationship between nasopharyngeal volume and total volume at 59.9% retropalatal volume and total volume at approximately 84.2% and between retroglossal volume and total volume at 73.1%. In addition, the same directional relationship exists between nasopharyngeal volume and retropalatal volume at approximately 27.1%; and between retropalatal volume and retroglossal volume at 48.7%. According to the correlation difference test findings, the association between retropalatal-total volume in girls was approximately 13% greater than in boys. The correlation between the total volume and the nasopharynx, retropalatal and retroglossal volumes was determined. Among these cholerations, the strongest relationship was found between total volume and retropalatal volume (84.2%).

Conclusion: As a result of our study, it was found that all three anatomic regions were important for total airway volume, although it is not clinically important nasopharyngeal airway measurements showed a strong correlation with total airway volume, retropalatal airway volume showed the strongest correlation with total airway volume and no statistically significant difference was found between segmental and total airway volumes except for retropalatal and total airway volume between genders.

Keywords

• Airway volume,Segmentation,Dentofacial deformities

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