CC BY-NC-ND 4.0 · Sleep Sci 2019; 12(02): 106-109
DOI: 10.5935/1984-0063.20190066
REVIEW

Cone beam computed tomography in assessment on pharynx effects of orthopedic-surgical treatment - a review of the literature

Thais Moura Guimarães
1   UNIFESP, Departmento de Psicobiologia - São Paulo - São Paulo - Brazil.
,
Rita Catia Bariani
2   UNIFESP, Departmento de otorrinolaringologia e cirurgia de cabeça e pescoço - São Paulo - São Paulo - Brazil.
,
Sergio Giamas Iafigliola
1   UNIFESP, Departmento de Psicobiologia - São Paulo - São Paulo - Brazil.
,
Clara Moura Guimarães
1   UNIFESP, Departmento de Psicobiologia - São Paulo - São Paulo - Brazil.
,
Cauby Maia Chaves Junior
3   UFC, Departamento de Clínica odontológica - Fortaleza - Ceará - Brazil.
,
Otávio Ferraz
1   UNIFESP, Departmento de Psicobiologia - São Paulo - São Paulo - Brazil.
,
Mario Cappellette Junior
2   UNIFESP, Departmento de otorrinolaringologia e cirurgia de cabeça e pescoço - São Paulo - São Paulo - Brazil.
,
Thays Crosara Abraão-Cunha
1   UNIFESP, Departmento de Psicobiologia - São Paulo - São Paulo - Brazil.
,
Cibele Dal-Fabbro
1   UNIFESP, Departmento de Psicobiologia - São Paulo - São Paulo - Brazil.
,
Rowdley Rossi
1   UNIFESP, Departmento de Psicobiologia - São Paulo - São Paulo - Brazil.
,
Lia Bittencourt
1   UNIFESP, Departmento de Psicobiologia - São Paulo - São Paulo - Brazil.
,
Reginaldo Raimundo Fujita
2   UNIFESP, Departmento de otorrinolaringologia e cirurgia de cabeça e pescoço - São Paulo - São Paulo - Brazil.
,
Sergio Tufik
1   UNIFESP, Departmento de Psicobiologia - São Paulo - São Paulo - Brazil.
,
Gustavo Moreira
1   UNIFESP, Departmento de Psicobiologia - São Paulo - São Paulo - Brazil.
› Author Affiliations

The cone beam computed tomography (CBCT) image provides clear differentiation of soft tissues from empty spaces. This paper presents a literature review to evaluate the effects of orthopedic and surgical treatment on the pharyngeal dimension by CBCT. It was concluded that treatments involving dentofacial orthopedics and orthognathic surgery have been related with an increase in the upper airway volume. Standardized capturing of tomographic images and more controlled and randomized studies are necessary.

Funding:

AFIP, CNPq, and CAPES provided material and financial support.




Publication History

Received: 08 November 2018

Accepted: 05 February 2019

Article published online:
31 October 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • REFERENCES

  • 1 Masoud AI, Jackson GW, Carley DW. Sleep and airway assessment: A review for dentists. Cranio. 2017;35(4):206-22.
  • 2 Cabral M, de Queiroz Ribeiro LR, Cardeal CM, Bittencourt MA, Crusoé- Rebello IM, Souza-Machado A. Evaluation of the oropharynx in class I and II skeletal patterns by CBCT. Oral Maxillofac Surg. 2017;21(1):27-31.
  • 3 El H, Palomo JM. Airway volume for different dentofacial skeletal patterns. Am J Orthod Dentofacial Orthop. 2011;139(6):e511-21.
  • 4 Oh KM, Hong JS, Kim YJ, Cevidanes LS, Park YH. Three-dimensional analysis of pharyngeal airway form in children with anteroposterior facial patterns. Angle Orthod. 2011;81(6):1075-82.
  • 5 Iwasaki T, Takemoto Y, Inada E, Sato H, Saitoh I, Kakuno E, et al. Threedimensional cone-beam computed tomography analysis of enlargement of the pharyngeal airway by the Herbst appliance. Am J Orthod Dentofacial Orthop. 2014;146(6):776-85.
  • 6 Lenza MG, Lenza MM, Dalstra M, Melsen B, Cattaneo PM. An analysis of different approaches to the assessment of upper airway morphology: a CBCT study. Orthod Craniofac Res. 2010;13(2):96-105.
  • 7 Gurani SF, Di Carlo G, Cattaneo PM, Thorn JJ, Pinholt EM. Effect of Head and Tongue Posture on the Pharyngeal Airway Dimensions and Morphology in Three-Dimensional Imaging: a Systematic Review. J Oral Maxillofac Res. 2016;7(1):e1.
  • 8 Schwab RJ. Upper airway imaging. Clin Chest Med. 1998;19(1):33-54.
  • 9 Katyal V, Pamula Y, Martin AJ, Daynes CN, Kennedy JD, Sampson WJ. Craniofacial and upper airway morphology in pediatric sleep-disordered breathing: Systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2013;143(1):20-30.e3.
  • 10 Guijarro-Martínez R, Swennen GR. Cone-beam computerized tomography imaging and analysis of the upper airway: a systematic review of the literature. Int J Oral Maxillofac Surg. 2011;40(11):1227-37.
  • 11 Machado-Júnior AJ, Zancanella E, Crespo AN. Rapid maxillary expansion and obstructive sleep apnea: A review and meta-analysis. Med Oral Patol Oral Cir Bucal. 2016;21(4):e465-9.
  • 12 Fastuca R, Perinetti G, Zecca PA, Nucera R, Caprioglio A. Airway compartments volume and oxygen saturation changes after rapid maxillary expansion: a longitudinal correlation study. Angle Orthod. 2015;85(6):955-61.
  • 13 Caprioglio A, Meneghel M, Fastuca R, Zecca PA, Nucera R, Nosetti L. Rapid maxillary expansion in growing patients: correspondence between 3-dimensional airway changes and polysomnography. Int J Pediatr Otorhinolaryngol. 2014;78(1):23-7.
  • 14 Fastuca R, Meneghel M, Zecca PA, Mangano F, Antonello M, Nucera R, et al. Multimodal airway evaluation in growing patients after rapid maxillary expansion. Eur J Paediatr Dent. 2015;16(2):129-34.
  • 15 Mordente CM, Palomo JM, Horta MC, Souki BQ, Oliveira DD, Andrade I. Upper airway assessment using four different maxillary expanders in cleft patients: A cone-beam computed tomography study. Angle Orthod. 2016;86(4):617-24.
  • 16 Kim SY, Park YC, Lee KJ, Lintermann A, Han SS, Yu HS, et al. Assessment of changes in the nasal airway after nonsurgical miniscrew-assisted rapid maxillary expansion in young adults. Angle Orthod. 2018;88(4):435-41.
  • 17 Ortu E, Giannoni M, Ortu M, Gatto R, Monaco A. Oropharyngeal airway changes after rapid maxillary expansion: the state of the art. Int J Clin Exp Med. 2014;7(7):1632-8.
  • 18 Di Carlo G, Saccucci M, Ierardo G, Luzzi V, Occasi F, Zicari AM, et al. Rapid Maxillary Expansion and Upper Airway Morphology: A Systematic Review on the Role of Cone Beam Computed Tomography. Biomed Res Int. 2017;2017:5460429.
  • 19 Motro M, Schauseil M, Ludwig B, Zorkun B, Mainusch S, Ateş M, et al. Rapid-maxillary-expansion induced rhinological effects: a retrospective multicenter study. Eur Arch Otorhinolaryngol. 2016;273(3):679-87.
  • 20 Almuzian M, Ju X, Almukhtar A, Ayoub A, Al-Muzian L, McDonald JP. Does rapid maxillary expansion affect nasopharyngeal airway? A prospective Cone Beam Computerised Tomography (CBCT) based study. Surgeon. 2018;16(1):1-11.
  • 21 Izuka EN, Feres MF, Pignatari SS. Immediate impact of rapid maxillary expansion on upper airway dimensions and on the quality of life of mouth breathers. Dental Press J Orthod. 2015;20(3):43-9.
  • 22 Iwasaki T, Saitoh I, Takemoto Y, Inada E, Kakuno E, Kanomi R, et al. Tongue posture improvement and pharyngeal airway enlargement as secondary effects of rapid maxillary expansion: a cone-beam computed tomography study. Am J Orthod Dentofacial Orthop. 2013;143(2):235-45.
  • 23 Huynh NT, Desplats E, Almeida FR. Orthodontics treatments for managing obstructive sleep apnea syndrome in children: A systematic review and meta-analysis. Sleep Med Rev. 2016;25:84-94.
  • 24 Erbas B, Kocadereli I. Upper airway changes after Xbow appliance therapy evaluated with cone beam computed tomography. Angle Orthod. 2014;84(4):693-700.
  • 25 Li L, Liu H, Cheng H, Han Y, Wang C, Chen Y, et al. CBCT evaluation of the upper airway morphological changes in growing patients of class II division 1 malocclusion with mandibular retrusion using twin block appliance: a comparative research. PLoS One. 2014;9(4):e94378.
  • 26 Chen X, Liu D, Liu J, Wu Z, Xie Y, Li L, et al. Three-Dimensional Evaluation of the Upper Airway Morphological Changes in Growing Patients with Skeletal Class III Malocclusion Treated by Protraction Headgear and Rapid Palatal Expansion: A Comparative Research. PLoS One. 2015;10(8):e0135273.
  • 27 Pamporakis P, Nevzatoğlu Ş, Küçükkeleş N. Three-dimensional alterations in pharyngeal airway and maxillary sinus volumes in Class III maxillary deficiency subjects undergoing orthopedic facemask treatment. Angle Orthod. 2014;84(4):701-7.
  • 28 Zaghi S, Holty JE, Certal V, Abdullatif J, Guilleminault C, Powell NB, et al. Maxillomandibular Advancement for Treatment of Obstructive Sleep Apnea: A Meta-analysis. JAMA Otolaryngol Head Neck Surg. 2016;142(1):58-66.
  • 29 Knudsen TB, Laulund AS, Ingerslev J, Homøe P, Pinholt EM. Improved apnea-hypopnea index and lowest oxygen saturation after maxillomandibular advancement with or without counterclockwise rotation in patients with obstructive sleep apnea: a meta-analysis. J Oral Maxillofac Surg. 2015;73(4):719-26.
  • 30 Rosário HD, Oliveira GM, Freires IA, de Souza Matos F, Paranhos LR. Efficiency of bimaxillary advancement surgery in increasing the volume of the upper airways: a systematic review of observational studies and meta-analysis. Eur Arch Otorhinolaryngol. 2017;274(1):35-44.
  • 31 Christovam IO, Lisboa CO, Ferreira DM, Cury-Saramago AA, Mattos CT. Upper airway dimensions in patients undergoing orthognathic surgery: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2016;45(4):460-71.
  • 32 Canellas JV, Barros HL, Medeiros PJ, Ritto FG. Sleep-disordered breathing following mandibular setback: a systematic review of the literature. Sleep Breath. 2016;20(1):387-94.