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Short-term pharyngeal airway space changes after mandibular advancement surgery in Class II patients-a
Francisco do Vale1, Mariana Latas Rodrigues1, Inês Francisco1
1Institute of Orthodontics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
Introduction:
Planning successful treatment for the correction of anatomic abnormalities of the upper airways, by surgical advancement of the mandible, depends on extensive knowledge of the pharyngeal airway space (PAS). However, there is limited scientific evidence about changes in PAS after mandibular advancement surgery.
Aim:
To evaluate the immediate changes in superior posterior airway space (SPAS) in Class II patients, after mandibular advancement surgery.
Materials And Methods:
A cephalometric evaluation of 37 patients with skeletal Class II deformity was performed at 2 distinct time intervals: Pre-operative (T0) and immediate post-operative (T1), using Dolphin Image & Management Solutions, version 11.9, according to the method of Arnett/Gunson FAB Surgery. The differences due to the surgical intervention were assessed with Student's t test, and a Principal Component Analysis was used to evaluate the relationship between mandibular advancement and SPAS variables. Anticlockwise and clockwise rotation groups were also evaluated with Mann-Whitney tests. The statistical analysis was conducted in SPSS and R assuming a 0.05 level of significance.
Results:
As an effect of mandibular advancement, an anteroposterior statistically significant increase in SPAS (P < 0.001) was perceived at all points measured.
Conclusion:
Our findings indicate that mandibular advancement surgery is a viable option to achieve widening of the SPAS in patients with Class II skeletal morphology.
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