Changes of nasal and oronasopharyngeal airway morphologies and nasal respiratory function following orthognathic surgery

Asai, Yusuke; Hasebe, Daichi; Saito, Isao; Kobayashi, Tadaharu

doi:10.1016/j.ajoms.2017.11.011

Cited by 1 publication

(2 citation statements)

References 31 publications

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“…There have been some reports of sleep‐disordered breathing caused by mandibular setback surgery 1,2 . There are also various studies on the changes in the pharyngeal airway space after orthognathic surgery 7–11 . Uesugi et al 9 and Al et al 10 showed that the airway space was narrowed significantly after mandibular setback, and Asai et al 11 reported the same phenomenon in 2 J surgery.…”

Section: Discussionmentioning

confidence: 97%

“…There are also various studies on the changes in the pharyngeal airway space after orthognathic surgery 7–11 . Uesugi et al 9 and Al et al 10 showed that the airway space was narrowed significantly after mandibular setback, and Asai et al 11 reported the same phenomenon in 2 J surgery. They were unable to show the relationship between pharyngeal space and apnoea, however.…”

Section: Discussionmentioning

confidence: 98%

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Effects of jaw movement in bimaxillary orthognathic surgery on the upper airway: Computational fluid dynamics analysis

Nomura

Sasaki

Fujimoto

et al. 2022

Orthod Craniofacial Res

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Maxillomandibular repositioning in orthognathic surgeries has both morphologic and functional effects. These surgeries are thought to change the pharyngeal space and cause obstructive sleep apnoea syndrome, however. The primary purpose of this study is to evaluate the effects of jaw movement in bimaxillary orthognathic surgery on airway function and to identify the morphometric factors that can predict postoperative airway function. The subjects were 11 males and 12 females who had undergone orthognathic surgeries of the maxilla and mandible. The results of cephalometric analysis, cross‐sectional area of the pharynx (CSA), pharyngeal volume and computational fluid dynamics (CFD) were compared. The CSA of the nasal (CSA1), total volume and total nasal volume decreased after surgery with statistical significance. Velocity at the oropharyngeal space (V2) increased after surgery with statistical significance. V2, CSA of the oropharyngeal space (CSA2) and PV were correlated with the horizontal posterior movement of point B, point Menton and overjet. V2 and CSA2 were correlated with SNB before and after surgery in all 46 analyses. Changes in pharyngeal airflow were more affected by pressure drop in the pharyngeal space (ΔPp) than by pressure drop in the nasal space (ΔPn). The relationship between the actual amount of change in the cephalometric reference point and the airway function is evident. CFD may thus be very useful as morphological analysis in preoperative treatment decision making.

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