Pharyngeal width comparison in different skeletal malocclusions and growth patterns of Nepalese population

Nabin Kumar Chaudhary, J. Giri, R. Gyawali, Prabhat Ranjan Pokharel
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Abstract

Regarding the relationship between the size of the pharynx and several sagittal skeletal malocclusions and patterns of growth, contradictory findings have been documented. The intent of this research was to analyze the size of the pharynx in various sagittal malocclusions and growth patterns in the Nepalese population. An analytic cross-sectional research was undertaken on patients who attended the Orthodontics Division of BPKIHS. A total of 135 patients’ lateral cephalometric radiographs were gathered. Medians and interquartile ranges of pharyngeal widths according to McNamara airway analysis and Arnett/Gunson FAB airway analysis adapted by Santiago et al. in different skeletal malocclusions and growth patterns were compared. There was not any discernible statistically noteworthy variation within the upper pharynx size, lower pharyngeal width, nasopharyngeal width (WNP), oropharyngeal width, hypopharyngeal width (WHP), and deep pharyngeal width (WDP) in different skeletal malocclusions. A statistically significant variation was discovered in nasopharyngeal size (P = 0.010), hypopharyngeal size (P = 0.027), and deep pharyngeal size (P < 0.001) in various patterns of growth, i.e. hypodivergent versus normodivergent, and in hypodivergent versus hyperdivergent, not in normodivergent versus hyperdivergent group of patients. There was not anything statistically noteworthy variation in the pharyngeal widths of the participants with respect to the various skeletal malocclusions. WNP, WHP, and WDP showed a statistically significant variation between hypodivergent versus normodivergent and hypodivergent versus hyperdivergent growth patterns.
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不同骨骼畸形和尼泊尔人口生长模式的咽部宽度比较
关于咽部大小与几种矢状骨骼畸形和生长模式之间的关系,有文献记载了相互矛盾的研究结果。 本研究旨在分析咽部大小与尼泊尔人口中各种矢状骨骼错位和生长模式之间的关系。 本研究对 BPKIHS 正畸科就诊的患者进行了横断面分析。 共收集了 135 名患者的头颅侧位X光片。根据麦克纳马拉气道分析法和圣地亚哥等人改编的阿内特/贡森FAB气道分析法,比较了不同骨骼畸形和生长模式的咽部宽度的中位数和四分位数范围。 在不同的骨骼畸形中,上咽尺寸、下咽宽度、鼻咽宽度(WNP)、口咽宽度、下咽宽度(WHP)和深咽宽度(WDP)在统计学上没有明显的差异。在鼻咽尺寸(P = 0.010)、下咽尺寸(P = 0.027)和咽深部尺寸(P < 0.001)方面,不同生长模式的患者(即低分化组与正常分化组、低分化组与高分化组,而非正常分化组与高分化组)的差异具有统计学意义。 参试者的咽部宽度与各种骨骼畸形之间没有任何统计学上值得注意的差异。WNP、WHP和WDP在低分化与正常分化、低分化与高分化的生长模式之间有显著的统计学差异。
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