Türk toplumunda farklı dik yön büyüme paternine sahip iskeletsel Sınıf 1 bireylerde farengeal havayolunun ve hyoid kemik pozisyonunun değerlendirilmesi

Yıl 2022, , 69 - 76, 07.09.2022

Gökhan Türker , Emin Serhat Arıkan

https://doi.org/10.17214/gaziaot.950613

Öz

Amaç: Bu araştırmada, iskeletsel Sınıf 1 ilişkiye sahip bireylerde dik yön büyüme paterninin farengeal havayolu boyutlarına ve hyoid kemik pozisyonuna etkisinin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntem: Bu retrospektif araştırmaya, ANB açısı temel alınarak iskeletsel Sınıf 1 ilişkiye sahip toplam 72 birey (36 kadın, 36 erkek; ortalama yaş: 17.78 ± 1.39 yıl) dahil edildi. Bireyler dik yön büyüme paternine göre; normodiverjan, hipodiverjan ve hiperdiverjan olmak üzere 3 gruba ayrıldı. Lateral sefalometrik radyografiler üzerinde farengeal havayolu ve hyoid kemik pozisyonu ölçümleri, 1 açısal ve 10 lineer ölçüm kullanılarak yapıldı. Verilerin analizinde bağımsız örneklem t-testi ve tek yönlü varyans analizi (ANOVA) kullanılarak grup içi ve gruplar arası farklılıklar değerlendirildi (p<0.05).
Bulgular: Verilerin grup içi karşılaştırmalarında farengeal havayolu boyutlarına ait ölçümlerin cinsiyetler arasında benzer olduğu (p˃0.05) ve tüm gruplarda hyoid kemiğin servikal vertebralara ve mandibular düzleme olan uzaklıklarının kızlarda anlamlı düzeyde daha az olduğu görüldü (p<0.05). Normodiverjan, hipodiverjan ve hiperdiverjan bireylerin farengeal havayolu boyutları ve hyoid kemik pozisyonunda istatistiksel olarak anlamlı farklılıklar olmadığı belirlendi.
Sonuç: Normodiverjan, hipodiverjan ve hiperdiverjan bireylerde farengeal havayolu boyutlarının ve hyoid kemik pozisyonlarının benzer olduğu görüldü. Bununla birlikte, tüm gruplarda erkeklerde hyoid kemiğinin kızlara göre daha aşağıda ve daha önde pozisyonlandığı belirlendi.

Anahtar Kelimeler

Dik yön büyüme paterni, farengeal havayolu, hyoid kemik, sefalometri

Destekleyen Kurum

-

Proje Numarası

-

Teşekkür

-

Evaluation of pharyngeal airway and hyoid bone position in skeletal Class 1 individuals with different vertical growth patterns in Turkish population

Öz

Objective: In this study, it was aimed to evaluate the effect of vertical growth pattern on pharyngeal airway dimensions and hyoid bone position in individuals with skeletal Class 1 relationship.
Materials and Method: A total of 72 individuals (36 female, 36 male, mean age: 17.78 ± 1.39 years) with skeletal Class I relationship based on ANB angle were included in this retrospective study. Subjects were divided into 3 groups as normodivergent, hypodivergent and hyperdivergent according to the vertical growth pattern evaluation. Pharyngeal airway and hyoid bone position measurements were made using 1 angular and 10 linear measurements on lateral cephalometric radiographs. Intragroup and intergroup differences were evaluated using independent samples t-test and one-way analysis of variance (ANOVA) (p<0.05).
Results: According to the intragroup comparisons of the data, it was observed that the measurements of the pharyngeal airway dimensions were similar between the genders (p˃0.05) and the distance of the hyoid bone to the cervical vertebrae and the mandibular plane in all groups was significantly less in females (p<0.05). In the comparison between groups of individuals with different vertical growth patterns, it was determined that there were no statistically significant differences in pharyngeal airway dimensions and hyoid bone positions of normodivergent, hypodivergent, and hyperdivergent subjects.
Conclusion: It was observed that pharyngeal airway dimensions and hyoid bone positions were similar in normodivergent, hypodivergent, and hyperdivergent subjects. However, it was determined that the hyoid bone of males was positioned lower and more anteriorly than females in all groups.

Anahtar Kelimeler

Vertical growth pattern, pharyngeal airway, hyoid bone, cephalometry

Proje Numarası

-

Kaynakça

• 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;135:468-79.
• Alhammadi MS, Almashraqi AA, Halboub E, Almahdi S, Jali T, Atafi A, et al. Pharyngeal airway spaces in different skeletal malocclusions: a CBCT 3D assessment. Cranio 2021;39:97-106.
• Lopatienė K, Dabkutė A, Juškevičiūtė V. Vertical and sagittal morphology of the facial skeleton and the pharyngeal airway. Stomatologija 2016;18:21-5.
• Sprenger R, Martins LAC, Dos Santos JCB, de Menezes CC, Venezian GC, Degan VV. A retrospective cephalometric study on upper airway spaces in different facial types. Prog Orthod 2017;18:1-7.
• Kocakara G, Buyukcavus MH, Orhan H. Evaluation of pharyngeal airway dimensions and hyoid bone position according to craniofacial growth pattern. Cranio 2020; https://doi.org/10.1080/08869634.2020.1796060
• Claudino LV, Mattos CT, de Oliveira Ruellas AC, Sant'Anna EF. Pharyngeal airway characterization in adolescents related to facial skeletal pattern: a preliminary study. Am J Orthod Dentofacial Orthop 2013;143:799-809.
• Shokri A, Miresmaeili A, Ahmadi A, Amini P, Falah-Kooshki S. Comparison of pharyngeal airway volume in different skeletal facial patterns using cone beam computed tomography. J Clin Exp Dent 2018;10:e1017-e28.
• Lopatienė K, Šidlauskas A, Vasiliauskas A, Čečytė L, Švalkauskienė V, Šidlauskas M. Relationship between malocclusion, soft tissue profile, and pharyngeal airways: A cephalometric study. Medicina 2016;52:307-14.
• Gholinia F, Habibi L, Boyouki MA. Cephalometric evaluation of the upper airway in different skeletal classifications of jaws. J Craniofac Surg 2019;30:e469-e74.
• Gul Amuk N, Kurt G, Baysal A, Turker G. Changes in pharyngeal airway dimensions following incremental and maximum bite advancement during Herbst-rapid palatal expander appliance therapy in late adolescent and young adult patients: a randomized non-controlled prospective clinical study. Eur J Orthod 2019;41:322-30.
• Kaygısız E, Kurnaz M, Yüksel S, Tortop T. Modifiye tandem traksiyon yüz arkı apareyinin hava yolu boyutuna etkisi. Acta Odontol Turc 2019;36:47-52.
• Kaygısız E, Tuncer BB, Yüksel S, Tuncer C, Yıldız C. Effects of maxillary protraction and fixed appliance therapy on the pharyngeal airway. Angle Orthod 2009;79:660-7.
• Yamashita AL, Iwaki Filho L, Leite PCC, de Lima Navarro R, Ramos AL, Previdelli ITS, et al. Three-dimensional analysis of the pharyngeal airway space and hyoid bone position after orthognathic surgery. J Craniomaxillofac Surg 2017;45:1408-14.
• Tarkar JS, Parashar S, Gupta G, Bhardwaj P, Maurya RK, Singh A, et al. An evaluation of upper and lower pharyngeal airway width, tongue posture and hyoid bone position in subjects with different growth patterns. J Clin Diagn Res 2016;10:79-83.
• Pae E-K, Blasius JJ, Nanda R. Heterogeneity in vertical positioning of the hyoid bone in relation to genioglossal activity in men. Angle Orthod 2004;74:343-8.
• Mortazavi S, Asghari-Moghaddam H, Dehghani M, Aboutorabzade M, Yaloodbardan B, Tohidi E, et al. Hyoid bone position in different facial skeletal patterns. J Clin Exp Dent 2018;10:e346-e51.
• Jena AK, Duggal R. Hyoid bone position in subjects with different vertical jaw dysplasias. Angle Orthod 2011;81:81-5.
• 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;37:228-31.
• Zhong Z, Tang Z, Gao X, Zeng XL. A comparison study of upper airway among different skeletal craniofacial patterns in nonsnoring Chinese children. Angle Orthod 2010;80:267-74.
• Celikoglu M, Bayram M, Sekerci AE, Buyuk SK, Toy E. Comparison of pharyngeal airway volume among different vertical skeletal patterns: a cone-beam computed tomography study. Angle Orthod 2014;84:782-7.
• Ucar FI, Uysal T. Orofacial airway dimensions in subjects with Class I malocclusion and different growth patterns. Angle Orthod 2011;81:460-8.
• Ansar J, Singh RK, Bhattacharya P, Agarwal DK, Verma SK, Maheshwari S. Cephalometric evaluation of the airway dimensions in subjects with different growth patterns. J Orthod Res 2015;3:108-12.
• Shastri D, Tandon P, Nagar A, Singh A. Pharyngeal airway parameters in subjects with Class I malocclusion with different growth patterns. J Orthod Res 2015;3:11-6.
• Flores-Blancas AP, Carruitero MJ, Flores-Mir C. Comparison of airway dimensions in skeletal class I malocclusion subjects with different vertical facial patterns. Dental Press J Orthod 2017;22:35-42.
• de Freitas MR, Alcazar NMPV, Janson G, de Freitas KMS, Henriques JFC. Upper and lower pharyngeal airways in subjects with Class I and Class II malocclusions and different growth patterns. Am J Orthod Dentofacial Orthop 2006;130:742-5.
• Hassel B, Farman AG. Skeletal maturation evaluation using cervical vertebrae. Am J Orthod Dentofacial Orthop 1995;107:58-66.
• Büyükçavuş MH, Orhan H, Kocakara G. İskeletsel Sınıf I maloklüzyona sahip hastalarin farengeal havayolu boyutlari ve hyoid kemik pozisyonunun cinsiyete göre incelenmesi. Atatürk Üniv Diş Hek Fak Derg 2020;30:599-606.
• Savoldi F, Xinyue G, McGrath CP, Yang Y, Chow SC, Tsoi JK, et al. Reliability of lateral cephalometric radiographs in the assessment of the upper airway in children: A retrospective study. Angle Orthod 2020;90:47-55.
• Sheng CM, Lin LH, Su Y, Tsai HH. Developmental changes in pharyngeal airway depth and hyoid bone position from childhood to young adulthood. Angle Orthod 2009;79:484-90.
• Farman AG. ALARA still applies. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;4:395-7.