Morphometric assessment of soft palate in oral submucous fibrosis using cone beam computed tomography: A cross-sectional study

Khare, Pooja; Reddy, GV Ramachandra; Gupta, Anish; Sharva, Vijayta; Gupta, Manoj Kumar; Singh, Pooja

doi:10.4103/jiaomr.jiaomr_121_19

Cited by 5 publications

(6 citation statements)

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“…Especially S shaped and hooked shaped soft palate exhibit greater chance of developing sleep apnea and velopharyngeal insufficiency. 5 Our results were in accordance with Nerkar A et al 5 and Deshmukh E et al 15 Khare P et al 13 found only significant width changes between OSMF and control groups using CBCT.…”

Section: Discussionsupporting

confidence: 90%

“…Certain studies done on normal patients to evaluate soft palate morphology and type 1 was found to be most common. 8,11,12 Khare P et al 13 also found type 1 soft palate most common in OSMF group using CBCT. Patil, et al 14 found type-1, 6 and 3 to be most common in early, moderate and severe stage of OSMF respectively.…”

Section: Discussionmentioning

confidence: 93%

“…Knowledge of alteration in soft palate morphology in radiographic imaging may be helpful in the very early stage of OSMF. 13 Palatal morphology is altered in OSMF mainly due to 2 reasons: 13 1. Dimensional changes of soft palatal length, width and angle due to fibrosis.…”

Section: Discussionmentioning

confidence: 99%

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Soft palate morphology in OSMF patients: Radiographic evaluation

Shah¹,

Shah

2021

IJMI

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Oral submucous fibrosis (OSMF) is a chronic progressive, scarring disorder of oral cavity, which includes buccal mucosa, tongue, lips, anterior faucial pillars, soft palate, and oropharynx. Changes in soft palate morphology will start even before the OSMF, present itself clinically. These changes can lead to sleep apnea, difficulty in speech, swallowing & respiration. Various radiographs are good diagnostic aid to assess the soft palate and its morphology or any changes in morphology. To evaluate and compare soft palate morphology and dimensions in various stages of OSMF with control by radiographic evaluation.: 60 patients were evaluated and compared for soft palate morphology, its length, width and angle by using lateral cephalogram and Cone beam computed tomography (CBCT). Most common type of soft palate was found to be type 1 (leaf shaped) in both groups as well as by both radiographic techniques. Significant decrease in length and increase in width with increasing grades of OSMF group. As per p value CBCT gave more precise result. As the OSMF progresses soft palate becomes stout and bulky and significant changes occur in soft palate dimensions and are better evaluated by CBCT. As involvement of the soft palate is the earliest change to be noticed, radiographs should be used as one of the diagnostic aids in OSMF patients.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 93%

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Soft palate morphology in OSMF patients: Radiographic evaluation

Shah¹,

Shah

2021

IJMI

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“…It was followed by Type 2, Type 5, Type 6, Type 3 and Type 4 soft palate in decreasing frequency. It was in accordance with other studies of You et al, (2008); Kumar and Gopal,(2011);Verma et al, (2014) and Khare et al, (2019) where leaf-shaped soft palate was described as the most common variant. These studies also showed that crook shaped type is the least typical soft palate which was not a finding in our study.…”

Section: Type Of Soft Palate Among Osmf Patients and Control Groupsupporting

confidence: 92%

A Digital Cephalometric Study on The Morphometric Evaluation of Soft Palate in Oral Submucous Fibrosis

Tripathy

Anekar

Raj³

et al. 2020

Asian Pac J Cancer Prev

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Objective: Oral submucous fibrosis (OSMF) is a chronic precancerous condition affecting the oral cavity, which is progressive and characterised by burning sensation and fibrotic change leading to restriction of mouth opening. This study evaluated the morphology of soft palate in different stages of OSMF patients using digital lateral cephalogram and compare it with healthy individuals. Methods: The study included 60 subjects, who were grouped as 30 OSMF and 30 healthy subjects from the same geographic population. Digital lateral cephalograms were taken with Planmeca Proline XC (Oy, Helsinki, Finland). Soft palate morphology was evaluated using Lateral Cephalogram, and the results were analysed statistically. Results: Leaf-shaped (Type 1) soft palate was commonly seen in the control group and stage I and II OSMF. Stage III OSMF patients presented with a butt-shaped (Type 3) soft palate. As the disease progressed, there was a conversion of Type 1 variety of soft palate to Type 3 variety. There was a gradual reduction in the length of the soft palate in the anteroposterior direction in OSMF patients compared to the control group. Conclusion: Early cephalometric diagnosis of soft palate changes may play a pivotal role in the overall management of OSMF.

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“…CBCT is suitable for objective assessment of head and neck pathologies, including skeletal, dental, and upper airway deformities. Even if CBCT imaging has a major advantage in visualization of skeletal and dental structures, it has been clearly shown that upper airway structures and their borders can be adequately distinguished for volumetric analysis [4].…”

Section: O R I G I N a L Pa P E Rmentioning

confidence: 99%

Assessment of post-operative velopharyngeal closure in cleft palate patients using cone-beam computed tomography: a pilot study

Kesztyüs¹,

Pálvölgyi²,

Jacobs³

et al. 2021

jos

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Introduction: Cleft lip and palate can induce velopharyngeal insufficiency (VPI) that can be detected with numerous imaging techniques. For specific treatment, however, it is essential to implement the appropriate imaging method. Objectives: To introduce a novel technology related to cone-beam computed tomography (CBCT) for assessing movements of the soft palate as a potential diagnostic tool for VPI. Material and methods: Nine participants with and without VPI underwent CBCT examination. Upper airway two-dimensional video images (CineX view) enabled functional assessment. To achieve standardization, previously defined CBCT image quality parameters have been applied. Soft tissue contour, movement, and contact between these structures were assessed by two observers. Results: Soft palate contour and movements were visualized sufficiently to assess presence of velopharyngeal closure in each case. These images enabled qualitative and dynamic assessment of velopharyngeal closure, correlating with VPI. Conclusions: CBCT is feasible to detect soft palate movement and velopharyngeal closure as a rapid, non-invasive procedure.

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Morphometric assessment of soft palate in oral submucous fibrosis using cone beam computed tomography: A cross-sectional study

Cited by 5 publications

References 0 publications

Soft palate morphology in OSMF patients: Radiographic evaluation

Soft palate morphology in OSMF patients: Radiographic evaluation

A Digital Cephalometric Study on The Morphometric Evaluation of Soft Palate in Oral Submucous Fibrosis

Assessment of post-operative velopharyngeal closure in cleft palate patients using cone-beam computed tomography: a pilot study

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