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

Yıl 2019, , 550 - 555, 25.12.2019

Mevlüde Polat İsmail Ceylan Mehmet Emrah Polat

https://doi.org/10.35440/hutfd.626686

Öz

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

Anahtar Kelimeler

Havayolu hacmi, Segmentasyon, Dentofasiyal deformiteler

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

Öz

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.

Anahtar Kelimeler

Airway volume, Segmentation, Dentofacial deformities

Kaynakça

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