Evaluation of the nasal septum and depth of palatal arch in different facial vertical patterns: A Cone-Beam Computed Tomography Study

Awuapara, Shereen; Liñan, Carlos; Solis, Gilmer; López, Abraham Meneses; Lagravère, Manuel O.

doi:10.1016/j.ortho.2021.03.005

Cited by 3 publications

(7 citation statements)

References 22 publications

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“…However, the notable limitation in this study was the use of a 2‐dimensional radiograph to evaluate 3‐dimensional anatomy such as the maxilla and nasal septum. Awuapara et al also failed to find any significant correlation between degree of septal deviation and differences in facial patterns after categorizing patients into three separate groupings 18 . The most notable difference between our study and prior studies includes the measurements utilized.…”

Section: Discussioncontrasting

confidence: 78%

“…Awuapara et al also failed to find any significant correlation between degree of septal deviation and differences in facial patterns after categorizing patients into three separate groupings. 18 The most notable difference between our study and prior studies includes the measurements utilized. These studies determined degree of septal deviation based on the distance of a horizontal line from the midline at the point of maximal deviation.…”

Section: Discussionmentioning

confidence: 81%

“…The most notable difference between our study and prior studies includes the measurements utilized. These studies determined degree of septal deviation based on the distance of a horizontal line from the midline at the point of maximal deviation 18,19,21 . Our study is the first to evaluate the actual nasal septal length in regards to other craniofacial measurements.…”

Section: Discussionmentioning

confidence: 99%

“…These studies determined degree of septal deviation based on the distance of a horizontal line from the midline at the point of maximal deviation. 18,19,21 Our study is the first to evaluate the actual nasal septal length in regards to other craniofacial measurements. By measuring the actual length of the septum and comparing it with the height of the nasal cavity, a better understanding of how the nasal cavity height may have been impacted by facial growth (i.e., a narrow, high-arched palate) might be obtained.…”

Section: Discussionmentioning

confidence: 99%

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The Association Between Transverse Maxillary Deficiency and Septal Deviation in Adults with Obstructive Sleep Apnea

Hutz,

Thuler,

Cheong

et al. 2023

The Laryngoscope

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ObjectivesRecent evidence suggests that environmental factors impact craniofacial development. Specifically, the height and width of the maxilla may impact the degree of septal deviation. We sought to determine the relationship between transverse maxillary deficiency and severity of septal deviation.MethodsA prospective cohort of adult sleep surgery patients were evaluated by standardized CT imaging. Primary outcomes evaluated the relationship of a narrow, high‐arched palate (the palatal height to width ratio) with the degree of septal deviation at the level of the 1st premolar and 1st molar. Secondary outcome evaluated the relationship of the palatal height‐to‐width ratio and nasal obstruction. Both adjusted and unadjusted linear regression were performed, including correction for multiple hypothesis testing.ResultsNinety‐three patients were included. On average, the cohort was middle aged (54.7 ± 12.7 years), obese (BMI 30.1 ± 4.5 kg/m2), predominantly male (74.2%), White (73.1%), and with severe obstructive sleep apnea (OSA) (AHI 30.0 ± 18.7 events/h). A moderate correlation was observed between both the relative and absolute inter‐premolar palatal height and the degree of septal deviation at the inter‐molar region. No significant correlation was observed between palatal dimensions and NOSE score.ConclusionThis study found that transverse maxillary deficiency is moderately associated with greater degree of septal deviation among a sample of OSA patients. This contributes to the concept that craniofacial development impacts the nasal airway, promoting a comprehensive evaluation of both endonasal and extranasal structures.Level of EvidenceIV Laryngoscope, 2023

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Section: Discussioncontrasting

confidence: 78%

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Association Between Transverse Maxillary Deficiency and Septal Deviation in Adults with Obstructive Sleep Apnea

Hutz,

Thuler,

Cheong

et al. 2023

The Laryngoscope

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“…In the present study, the PIL, PD and MPAA had significant correlations with SDA in Group 4 (NSD + CB), whereas the correlation was not significant in Group 2 (NSD only). This could be explained by the results of the study conducted by Awuapara et al [ 31 ]. In their study, they found no significant correlation between SDA and the palatal dimension.…”

Section: Discussionmentioning

confidence: 98%

The effect of concha bullosa and nasal septal deviation on palatal dimensions: a cone beam computed tomography study

et al. 2021

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Introduction Nasal septal deviation (NSD) and concha bullosa (CB) are associated with airway obstruction in mouth breathers. Mouth breathing is associated with alterations in maxillary growth and palatal architecture. The aim of our study was to determine the effect of the presence of CB and NSD on the dimensions of the hard palate using cone-beam computed tomography (CBCT). Materials and methods A retrospective study was conducted using CBCT scans of 200 study subjects. The study subjects were divided into four groups based on the presence of CB and NSD. Septal deviation angle (SDA), palatal interalveolar length (PIL), palatal depth (PD) and maxillopalatal arch angle (MPAA) were measured in the study groups. Results The presence of NSD and CB was associated with significant (p < 0.001) differences in the palatal dimensions of the study subjects. The PIL and MPA (p < 0.001) were significantly reduced (p < 0.001), whereas the PD was significantly increased (p < 0.001) in study subjects with NSD and CB. There was no significant change in the palatal dimensions between the unilateral and bilateral types of CB. Among the palatal dimensions, the PIL had the most significant association (R2 = 0.53) with SDA and CB. There was a significant correlation between the palatal dimensions and SDA when CB was present along with NSD. Conclusion Based on the results of this study, it can be concluded that the presence of NSD and CB have a significant effect on the palatal dimensions and, therefore, they may be associated with skeletal malocclusion.

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Does the angulation between the maxillary central incisors and the nasopalatine canal differ among sagittal and vertical skeletal patterns? A CBCT study

Costa

Gaêta‐Araujo

Reis

et al. 2022

International Orthodontics

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Evaluation of the nasal septum and depth of palatal arch in different facial vertical patterns: A Cone-Beam Computed Tomography Study

Cited by 3 publications

References 22 publications

The Association Between Transverse Maxillary Deficiency and Septal Deviation in Adults with Obstructive Sleep Apnea

The Association Between Transverse Maxillary Deficiency and Septal Deviation in Adults with Obstructive Sleep Apnea

The effect of concha bullosa and nasal septal deviation on palatal dimensions: a cone beam computed tomography study

Does the angulation between the maxillary central incisors and the nasopalatine canal differ among sagittal and vertical skeletal patterns? A CBCT study

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