Assessment of pharyngeal airway volume in adolescent patients affected by bilateral cleft lip and palate using cone beam computed tomography

Angle Orthod. 2014 Nov;84(6):995-1001. doi: 10.2319/121913-930.1. Epub 2014 Mar 25.

Abstract

Objective: To test the null hypothesis that there were no significant differences for pharyngeal airway volumes between the adolescent patients affected by bilateral cleft lip and palate (BCLP) and well-matched controls using cone beam computed tomography.

Materials and methods: The study sample consisted of 16 patients (11 female and 5 male; mean [SD] age 14.1 [2.1] years) affected by BCLP and 16 patients (10 female and 6 male; mean [SD] age 13.4 [2.0] years) as age- and sex-matched control group. Craniofacial measurements and pharyngeal airway dimension, area, and volume measurements of patients in both groups were calculated and statistically examined using Student's t-test and multiple linear regression analyses.

Results: Statistically significant differences were found between the BCLP and control groups for SNB (P < .05), SN-GoGn (P < .05), Co-A (P < .05), PAS (P < .01), minAx (P < .01), and oropharyngeal airway volume (P < .05). The most predictive variables for oropharyngeal airway volume were found as PAS (r = .655 and P = .000) and minAx (r = .787 and P = .000).

Conclusions: The null hypothesis was rejected. Oropharyngeal (P < .05) and total (P > .05) airway volumes were found to be less in the BCLP group, and thus the treatment choice in these patients should have positive effects on the pharyngeal airway.

Keywords: Cleft lip and palate; Cone beam computed tomography; Pharyngeal airway.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Case-Control Studies
  • Cephalometry / methods
  • Cleft Lip / diagnostic imaging*
  • Cleft Palate / diagnostic imaging*
  • Cone-Beam Computed Tomography / methods*
  • Female
  • Humans
  • Image Processing, Computer-Assisted / methods
  • Imaging, Three-Dimensional / methods
  • Male
  • Mandible / diagnostic imaging
  • Maxilla / diagnostic imaging
  • Nasal Bone / diagnostic imaging
  • Nasopharynx / diagnostic imaging
  • Organ Size
  • Oropharynx / diagnostic imaging
  • Pharynx / diagnostic imaging*
  • Sella Turcica / diagnostic imaging
  • Supine Position
  • Tongue / diagnostic imaging
  • Zygoma / diagnostic imaging