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Brazilian Journal of Oral Sciences
Piracicaba Dental School - UNICAMP
EISSN:
Vol. 14, No. 2, 2015, pp. 112-115
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Bioline Code: os15018
Full paper language: English
Document type: Research Article
Document available free of charge
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Brazilian Journal of Oral Sciences, Vol. 14, No. 2, 2015, pp. 112-115
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Pharyngeal airspace in patients undergoing orthognathic surgery for mandibular advancement
Trento, Guilherme dos Santos; Santos, Fernando Anunziato Ogg de Salles; Klüppel, Leandro Eduardo; da Costa, Delson João; Rebellato, Nelson Luis Barbosa & Scariot, Rafaela
Abstract
Aim: To evaluate the increase of pharyngeal airway space (PAS) in patients undergoing mandibular
advancement. Methods: A retrospective cross-sectional study was performed in thirteen patients
who underwent mandibular advancement and were evaluated by cephalometric tracing in pre
and postoperative lateral radiographs. In cephalometric tracing, the PAS was assessed by
measuring the distance from the lower portion of the soft palate to the posterior pharyngeal wall
(UP-PHW) and from the tongue base to the posterior pharyngeal wall (TB-PHW). Results:
Patients’ age ranged from 22 to 42 years with an average of 28.54 ± 2.23 years. A preoperative
mean of 9.20 ± 4.56 mm in the UP-PHW measure and 10.53 ± 5.84 mm in the TB-PHW measure
were obtained. The mean values found for those measurements in the postoperative period were
11.61 mm and 13.95 mm, respectively. There was an average increase of 2.4 mm in the UP-PHW
and of 2.95 mm in the TB-PHW. The mean mandibular advancement in evaluated patients was 5
mm. There was no statistical correlation between PAS increase and the amount of mandibular
advancement for UP-PHW (p=0.058) and TB-PHW (p=0.53), as there was no such correlation
either between PAS increase and the age of patients for UP-PHW (p=0.16) and TB-PHW (p=0.26).
A greater effect of the retrolingual dimension in mandibular advancement was observed, with an
average increase of 24.52% while in the retropalatal dimension an average increase of 20.75%
was obtained. Conclusions: Surgical advancement of the mandible increases the size of the
pharyngeal airway space.
Keywords
mandible; pharynx; tongue; orthognathic surgery
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