Yüz Maskesi Uygulanan Çift Taraflı Dudak Damak Yarıklı Bireylerde Hava Yolu Boyutlarındaki Değişiklikler

Year 2025, Volume: 12 Issue: 1, 7 - 13, 21.04.2025

Esra Ulusoy Mutluol , Hatice Kök , Zehra İleri , Mehmet Akın

https://doi.org/10.15311/selcukdentj.1561905

Abstract

Amaç: Bu çalışmanın amacı, hızlı üst çene genişletmesiyle (HÜG) birlikte uygulanan yüz maskesi (YM) tedavisinin, çift taraflı dudak damak yarıklı (ÇDDY) bireylerde hava yolu boyutlarına etkisini değerlendirmektir.
Gereç ve Yöntemler: Çalışmaya 2013-2022 yılları arasında Selçuk Üniversitesi Diş Hekimliği Fakültesi Ortodonti Anabilim Dalı’nda HÜG ve YM tedavisi görmüş ÇDDY bireyler (n=16, yaş ortalaması:11.4 ± 1.5; 9 kız, 7 erkek) dahil edilmiştir. Retrospektif olarak yürütülen çalışmada, hastaların arşiv kayıtları değerlendirilmiştir. Çalışmanın materyalini tedavi başlangıcı ve sonunda rutin olarak alınan lateral sefalogramlar oluşturmuştur. Hava yolu değerlendirmesi, Quick Ceph yazılımı kullanılarak, sefalometrik analiz ile yapılmış; 8 nazofarengeal, 7 orofarengeal, 2 hipofarengeal hava yolu ölçümü gerçekleştirilmiştir. Shapiro-Wilks ve Kolmogorov-Smirnov testlerine göre verilerin parametrik olmayan dağılım gösterdiği tespit edilmiştir. Verilerin istatistiksel analizinde anlamlılık düzeyi p ≤ 0.05 kabul edilmiş, Wilcoxon işaretli sıralar testi kullanılmıştır.
Bulgular: HÜG ve YM tedavisi sonucunda SNA, ANB ve konveksite açılarında artış, SNB'de ise azalma görülmüştür. Nazofarengeal parametrelerde; AD1-PNS, AD2-PNS, PNS-Ba, PNS-Ho ve PPS'de artış tespit edilmiştir. Vertikal hava yolu uzunluğu (PNS-Ep) ve üst hava yolu uzunluğundaki artış dışında, diğer orofarengeal ve hipofarengeal parametrelerde istatistiksel olarak anlamlı bir değişiklik bulunmamıştır (p ≤ 0.05).
Sonuçlar: ÇDDY bireylerde, HÜG ve YM tedavisi, Sınıf III maloklüzyonun düzeltilmesinde ve profil iyileşmesinde etkili olmaktadır. Bu tedavi ile nazofarengeal hava yolu boyutlarında artış elde edilebilir.

Keywords

Yüz maskesi, hızlı üst çene genişletme, hava yolu boyutları

Ethical Statement

Araştırma için etik onayı, Selçuk Üniversitesi Rektörlüğü Klinik Araştırmalar Etik Kurul’undan (2024/51) alınmıştır. Bu çalışmanın hazırlanmasında bilimsel ve etik kurallara riayet edilmiş olup, yararlanılan tüm kaynaklar kaynakçada belirtilmiştir.

Airway Dimension Changes in Bilateral Cleft Lip and Palate Patients Under Face Mask Therapy

Abstract

Aim: The aim of this study is to evaluate the effects of face mask (FM) trerapy combined with rapid maxillary expansion (RME) on airway dimensions in individuals with bilateral cleft lip and palate (BCLP).
Methods: Individuals with BCLP who underwent RME and FM treatment (n=16, mean age: 11.4 ± 1.5 years; 9 females, 7 males) were included in the study. In this study, the archival records of the patients, including routine lateral cephalograms taken at the beginning and end of the treatment, were evaluated. Airway assessment was performed using Quick Ceph software. The Shapiro-Wilks and Kolmogorov-Smirnov tests revealed that the data did not show a parametric distribution. The significance level for the statistical analysis of the data was set at p ≤ 0.05, and the Wilcoxon Signed Rank Test was used.
Results: After RME and FM trerapy, an increase in SNA, ANB, and convexity angles, and a decrease in SNB were observed. In nasopharyngeal parameters, an increase was found in AD1-PNS, AD2-PNS, PNS-Ba, PNS-Ho, and PPS. Except for the increase in PNS-Ep and upper airway length, no statistically significant changes were observed in other oropharyngeal and hypopharyngeal parameters.
Conclusion: In individuals with BCLP, RME and FM threapy may lead to an increase in nasopharyngeal airway dimensions.
Keywords: Face mask, rapid maxillary expansion, airway dimensions.

Keywords

Face mask, rapid maxillary expansion, airway dimensions

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