Cambios en la Vía Aérea Después de Cirugía Ortognática Bimaxilar

Victor Ravelo; Sergio Olate; Claudio Huentequeo-Molina; Ziyad S. Haidar; Felipe Martínez; Ivonne Garay; Marcelo Parra

doi:10.4067/S0717-95022022000501361

Cambios en la Vía Aérea Después de Cirugía Ortognática Bimaxilar

Victor Ravelo, Sergio Olate^*, Claudio Huentequeo-Molina, Ziyad S. Haidar, Felipe Martínez, Ivonne Garay, Marcelo Parra

^*Autor correspondiente de este trabajo

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

Resumen

La cirugía ortognática se realiza en sujetos con algún tipo de alteración esqueletal. Los movimientos maxilo mandibulares tienen impacto en la vía aérea (VA) y este aspecto se debe incorporar en la planificación quirúrgica. El objetivo de esta investigación fue determinar los cambios generados en la VA después de realizada la cirugía ortognática. Se realizó un estudio piloto incluyendo 51 sujetos con deformidad facial de clase II y clase III; se incluyeron en base al estudio del ángulo ANB y el tipo de oclusión dentaria. Se realizaron estudios con tomografía de haz cónico identificando el volumen máximo en la vía área y las áreas mínimas y máximas; además se incluyó la posición del hueso hioide y la inclinación del plano mandibular para relacionar con la morfología de la VA; para definir significancia estadística se estableció un valor de p

Título traducido de la contribución	Airway Change After Bimaxillary Orthognathic Surgery
Idioma original	Español
Páginas (desde-hasta)	1361-1367
Número de páginas	7
Publicación	International Journal of Morphology
Volumen	40
N.º	5
DOI	https://doi.org/10.4067/S0717-95022022000501361
Estado	Publicada - 2022

Nota bibliográfica

Publisher Copyright:
© 2022, Universidad de la Frontera. All rights reserved.

Palabras clave

Vía aérea
Cirugía ortognática
Apnea del sueño

Acceder al documento

10.4067/S0717-95022022000501361

Otros archivos y enlaces

Enlace a la publicación en Scopus

Citar esto

@article{00c423c9aa514793a45e77f871515879,

title = "Cambios en la V{\'i}a A{\'e}rea Despu{\'e}s de Cirug{\'i}a Ortogn{\'a}tica Bimaxilar",

abstract = "Orthognathic surgery is performed in subjects with some type of skeletal alteration. Maxillomandibular movements have an impact on the airway (AW) and this aspect must be included into surgical planning. The aim of this research is to determine the changes in the AW after orthognathic surgery. A pilot study was conducted including 51 subjects with class II and class III facial deformity; they were included using the ANB angle and the type of dental occlusion. Cone beam computed tomography were performed showing the maximum volume in the airway and the minimum and maximum areas; in addition, the position of the hyoid bone and the angle of the mandibular plane were included to relate it to the morphology of the AW; to define statistical significance, a value of p<0.05 was established, including the student's t-test and the t-test. The results showed that class II subjects significantly increased the volume and maximum and minimum areas of the AW; skeletal class III subjects did not presented significant differences between the pre-and post-surgical stage; the hyoid bone was in an anterior position in both class II and class III cases. It is possible to conclude that AW improves substantially in subjects with facial class II and remains unchanged in subjects with facial class III.",

keywords = "V{\'i}a a{\'e}rea, Cirug{\'i}a ortogn{\'a}tica, Apnea del sue{\~n}o, Airway, Orthognathic surgery, Sleep apnea",

author = "Victor Ravelo and Sergio Olate and Claudio Huentequeo-Molina and Haidar, {Ziyad S.} and Felipe Mart{\'i}nez and Ivonne Garay and Marcelo Parra",

year = "2022",

doi = "10.4067/S0717-95022022000501361",

language = "Spanish",

volume = "40",

pages = "1361--1367",

journal = "International Journal of Morphology",

issn = "0717-9367",

publisher = "Universidad de la Frontera",

number = "5",

}

TY - JOUR

T1 - Cambios en la Vía Aérea Después de Cirugía Ortognática Bimaxilar

AU - Ravelo, Victor

AU - Olate, Sergio

AU - Huentequeo-Molina, Claudio

AU - Haidar, Ziyad S.

AU - Martínez, Felipe

AU - Garay, Ivonne

AU - Parra, Marcelo

PY - 2022

Y1 - 2022

N2 - Orthognathic surgery is performed in subjects with some type of skeletal alteration. Maxillomandibular movements have an impact on the airway (AW) and this aspect must be included into surgical planning. The aim of this research is to determine the changes in the AW after orthognathic surgery. A pilot study was conducted including 51 subjects with class II and class III facial deformity; they were included using the ANB angle and the type of dental occlusion. Cone beam computed tomography were performed showing the maximum volume in the airway and the minimum and maximum areas; in addition, the position of the hyoid bone and the angle of the mandibular plane were included to relate it to the morphology of the AW; to define statistical significance, a value of p<0.05 was established, including the student's t-test and the t-test. The results showed that class II subjects significantly increased the volume and maximum and minimum areas of the AW; skeletal class III subjects did not presented significant differences between the pre-and post-surgical stage; the hyoid bone was in an anterior position in both class II and class III cases. It is possible to conclude that AW improves substantially in subjects with facial class II and remains unchanged in subjects with facial class III.

AB - Orthognathic surgery is performed in subjects with some type of skeletal alteration. Maxillomandibular movements have an impact on the airway (AW) and this aspect must be included into surgical planning. The aim of this research is to determine the changes in the AW after orthognathic surgery. A pilot study was conducted including 51 subjects with class II and class III facial deformity; they were included using the ANB angle and the type of dental occlusion. Cone beam computed tomography were performed showing the maximum volume in the airway and the minimum and maximum areas; in addition, the position of the hyoid bone and the angle of the mandibular plane were included to relate it to the morphology of the AW; to define statistical significance, a value of p<0.05 was established, including the student's t-test and the t-test. The results showed that class II subjects significantly increased the volume and maximum and minimum areas of the AW; skeletal class III subjects did not presented significant differences between the pre-and post-surgical stage; the hyoid bone was in an anterior position in both class II and class III cases. It is possible to conclude that AW improves substantially in subjects with facial class II and remains unchanged in subjects with facial class III.

KW - Vía aérea

KW - Cirugía ortognática

KW - Apnea del sueño

KW - Airway

KW - Orthognathic surgery

KW - Sleep apnea

UR - http://www.scopus.com/inward/record.url?scp=85141720635&partnerID=8YFLogxK

U2 - 10.4067/S0717-95022022000501361

DO - 10.4067/S0717-95022022000501361

M3 - Article

AN - SCOPUS:85141720635

SN - 0717-9367

VL - 40

SP - 1361

EP - 1367

JO - International Journal of Morphology

JF - International Journal of Morphology

IS - 5

ER -

Cambios en la Vía Aérea Después de Cirugía Ortognática Bimaxilar

Resumen

Nota bibliográfica

Palabras clave

Acceder al documento

Otros archivos y enlaces

Huella

Citar esto