The influences of distraction osteogenesis therapy on airway morphology in patients with craniofacial microsomia

Peng, Qili; Zhang, Zhiyong; Tang, Xiaojun; Yin, Lifang; Xu, Xinxian; Liu, Wei

doi:10.1016/j.jcms.2021.03.008

Cited by 6 publications

(2 citation statements)

References 24 publications

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“…Similarly, Peng et al performed a study on patients with craniofacial microsomia and found a mean increase of 28.88% for the oropharynx volume (2108.67 ± 1303.32 mm 3 to 2712.69 ± 1248.01 mm 3 ). 15 Although the previous study measured the airway volume utilizing CT scans, the results agree with the present study.…”

Section: Discussionsupporting

confidence: 91%

A 3-Dimensional Evaluation of the Effects of Unilateral Vertical Mandibular Distraction Osteogenesis on Airway Volume Among Patients With Hemifacial Microsomia

Pak

Bous

Lenis

et al. 2023

The Cleft Palate Craniofacial Journal

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Objective The aim of this study was to evaluate the volumetric airway changes using three-dimensional images following unilateral vertical mandibular distraction osteogenesis (uVMD) among patients with hemifacial microsomia (HFM). Design This retrospective study analyzed cone-beam computed tomography (CBCT) scans of patients with HFM at three different timepoints; pretreatment (T0), posttreatment (T1), and at least 6 months post-distraction (T2). The individuals underwent uVMD between December 2018-Januaray 2021. The nasopharyngeal (NP) volume, oropharyngeal (OP) volume, and the area of maximum constriction (MC) were measured. Wilcoxon signed-rank test was used to compare the airway volumes between T0-T1, T1-T2, and T0-T2. Results Five patients met the inclusion criteria (mean age = 10.4 years; 1 female, 4 males). Intraclass correlation analysis showed excellent interrater reliability ( r > .86, P < .001). Posttreatment, the OP airway volume exhibited a significant mean increase of 56% ( P = .043) from T0 to T1, but decreased from T1-T2 by 13%. Likewise, the total airway volume presented with a significant mean increase of 48% between T0-T1 ( P = .044), and a decrease of 7% from T1-T2. The changes in the NP airway volume and area of MC were not statistically significant ( P > .05), but an increase in the mean values were observed. Conclusion Surgical intervention with uVMD may significantly increase the OP airway volume and the total airway volume among patients with HFM immediately after distraction. However, the statistical significance diminished after six months post-consolidation, but the mean percent change may remain of clinical significance. The NP volume did not seem to show significant changes in response to uVMD.

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Section: Discussionsupporting

confidence: 91%

A 3-Dimensional Evaluation of the Effects of Unilateral Vertical Mandibular Distraction Osteogenesis on Airway Volume Among Patients With Hemifacial Microsomia

Pak

Bous

Lenis

et al. 2023

The Cleft Palate Craniofacial Journal

View full text Add to dashboard Cite

show abstract

“…Materialise, Leuven, Belgium), Maxilim (Medicim, Bruges, Belgium), and Dolphin (Dolphin Imaging, Chatsworth, California, USA). The total airway volume, airway length and mandibular position are also evaluated regularly during simulation [ 73 ]. For soft tissue simulation, most of the aforementioned programs are not validated.…”

Section: Resultsmentioning

confidence: 99%

Applications of three-dimensional imaging techniques in craniomaxillofacial surgery: A literature review

Lin

2023

Biomedical Journal

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3D-CT measurements of airway morphology in severe CFM patients: A comparative study between ascending ramus distraction osteogenesis and bone grafting

Li,

Tang,

Zou

et al. 2024

Current Problems in Surgery

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The influences of distraction osteogenesis therapy on airway morphology in patients with craniofacial microsomia

Cited by 6 publications

References 24 publications

A 3-Dimensional Evaluation of the Effects of Unilateral Vertical Mandibular Distraction Osteogenesis on Airway Volume Among Patients With Hemifacial Microsomia

A 3-Dimensional Evaluation of the Effects of Unilateral Vertical Mandibular Distraction Osteogenesis on Airway Volume Among Patients With Hemifacial Microsomia

Applications of three-dimensional imaging techniques in craniomaxillofacial surgery: A literature review

3D-CT measurements of airway morphology in severe CFM patients: A comparative study between ascending ramus distraction osteogenesis and bone grafting

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