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Three-Dimensional Assessment of Airway Volumes in Patients With Unilateral Cleft Lip and Palate Publisher Pubmed



Kiaee B1 ; Nucci L2 ; Sarkarat F3 ; Talaeipour AR4 ; Eslami S5 ; Amiri F6 ; Jamilian A7
Authors
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Authors Affiliations
  1. 1. Department of Orthodontic, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
  3. 3. Department of Oral and Maxillofacial Surgery, Dental School, Cranio Maxillofacial Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  4. 4. Department of Oral and Maxillofacial Radiology, Dental School, Cranio Maxillofacial Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  5. 5. Orthodontist at Private Orthodontic Office, Tiergartenstraße 130, Hannover, Germany
  6. 6. DDS, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Department of Orthodontics, Dental School, Cranio Maxillofacial Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran

Source: Progress in Orthodontics Published:2021


Abstract

Background: Considering the adverse consequences of respiratory insufficiency in cleft lip and palate (CLP) patients, this study aimed to assess the pharyngeal airway dimensions in 9–12-year-old patients with unilateral CLP. This historical cohort evaluated the cone-beam computed tomography (CBCT) scans of 30 patients with non-syndromic unilateral CLP between 9 and 12 years and 30 age- and sex-matched non-cleft controls. Three-dimensional (3D) images were reconstructed by the Mimics software, and the nasopharyngeal, oropharyngeal, and total airway volumes, as well as the minimal cross-sectional area of the airway (minAx), and posterior airway length (PAL) were all measured in the sagittal plane. Data were analyzed by the Student’s t test. Results: The oropharyngeal and the total airway volumes, as well as the minAx and PAL in CLP patients, were significantly smaller than the corresponding values in the control group (P < 0.05). Despite smaller nasopharyngeal airway volume in CLP patients than controls, this difference was not statistically significant (P > 0.05). Conclusions: Nine- to twelve-year-old non-syndromic unilateral CLP patients have smaller pharyngeal airway dimensions than non-cleft controls, and are therefore at higher risk of respiratory insufficiency. © 2021, The Author(s).
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