A study to compare nasopharyngeal airway space in skeletal Class I, Class II, and Class III malocclusion

V. Tanpure, S. Kalavani, F. Palagiri, K. Bhagyalakshmi, Satish Devaki
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Abstract

Background: Studies in the past have assessed relation between airway and type of malocclusion and found no association between rhinomanometric measures of airway adequacy and type of malocclusion or craniofacial morphology. Hence, the present study was undertaken to test whether there is any association between pharyngeal airway and type of malocclusion. Methodology: The subjects were divided into 3 groups based on skeletal pattern with 20 subjects in each group: Group 1 with Class I skeletal pattern, Group 2 with Class II skeletal pattern, and Group 3 with Class III skeletal pattern. All the cephalograms were taken in natural head position. Results: There is no significant difference found in total nasopharyngeal area between 3 groups. However, aerial area was significantly reduced in Group 3 (398.4 mm2) than that of Group 2 (485.737 mm2) (P = 0.012). Whereas, significant reduction in adenoidal area was observed in Group 2 (184.021 mm2) when compared with that of Group 3 (286.183 mm2). Conclusion: There was no statistically significant relationship between different skeletal groups and nasopharyngeal soft-tissue characteristics, except for two measurements i.e. aerial and adenoidal area of Group 2 and Group 3.
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一项比较骨骼I类、II类和III类错牙合鼻咽气道间隙的研究
背景:过去的研究已经评估了气道与错牙合类型之间的关系,并没有发现气道充分性的鼻测测量与错牙合类型或颅面形态之间的关联。因此,本研究旨在检验咽气道与错颌合类型之间是否存在关联。方法:将受试者按骨型分为3组,每组20人,第1组为ⅰ类骨型,第2组为ⅱ类骨型,第3组为ⅲ类骨型。所有患者均采用自然头位拍摄。结果:三组患者鼻咽总面积差异无统计学意义。3组的空中面积(398.4 mm2)明显小于2组(485.737 mm2) (P = 0.012)。然而,与3组(286.183 mm2)相比,2组腺样体面积明显减少(184.021 mm2)。结论:不同骨骼组与鼻咽部软组织特征之间除2组和3组的气管和腺样体面积两项测量外,无统计学意义。
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