دورية أكاديمية
Effect of Orthognathic Surgery on Breathing in Patients with Cleft lip and Palate: 20-Year Experience at a Tertiary Hospital in Brazil.
| العنوان: | Effect of Orthognathic Surgery on Breathing in Patients with Cleft lip and Palate: 20-Year Experience at a Tertiary Hospital in Brazil. |
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| المؤلفون: | Seixas DR; Postgraduate Program in Rehabilitation Sciences, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, 17012-900, Brazil., Trindade IEK; Laboratory of Physiology/Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, 17012-900, Brazil., Yamashita RP; Laboratory of Physiology/Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, 17012-900, Brazil., Silva ASCD; Laboratory of Physiology/Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, 17012-900, Brazil., Araújo BMAM; Laboratory of Physiology/Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, 17012-900, Brazil., Maia SÉDS; Postgraduate Program in Rehabilitation Sciences, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, 17012-900, Brazil., Fukushiro AP; Laboratory of Physiology/Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, 17012-900, Brazil.; Department of Speech-Language Pathology and Audiology, Bauru School of Dentistry, University of São Paulo, Bauru, SP, 17012-900, Brazil. |
| المصدر: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2024 May; Vol. 61 (5), pp. 808-817. Date of Electronic Publication: 2022 Dec 14. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publications in Association with American Cleft Palate-Craniofacial Association Country of Publication: United States NLM ID: 9102566 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1545-1569 (Electronic) Linking ISSN: 10556656 NLM ISO Abbreviation: Cleft Palate Craniofac J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : [Thousand Oaks, CA] : SAGE Publications in Association with American Cleft Palate-Craniofacial Association Original Publication: Pittsburgh, PA : The Association, [1991- |
| مواضيع طبية MeSH: | Cleft Lip*/surgery , Cleft Palate*/surgery , Orthognathic Surgery*, Humans ; Retrospective Studies ; Brazil ; Tertiary Care Centers |
| مستخلص: | Objective: To verify the effect of orthognathic surgery (OS) on nasal dimensions and its correlation with respiratory symptoms in patients operated on over the past 20 years. Design: Retrospective study. Setting: Tertiary level craniofacial hospital. Participants: 535 patients with CLP previously repaired, without syndromes, age over 18, who performed OS between 2000 and 2019 and rhinomanometric evaluation pre and post OS. Interventions: Maxillary advancement isolated and combined with turbinectomy and/or mandibular osteotomy. Main Outcome Measures: Minimum nasal cross-sectional area (CSA) assessed by posterior (PR) and anterior rhinomanometry (AR), nasopharyngeal cross-sectional area (NCSA) verified by modified AR, and self-perceived respiratory symptoms through a questionnaire. Results: After OS, there was a significant increase in CSA assessed by PR (p < .001) and AR (p < .001), while there was no significant difference in NCSA (p = 0.319). Regarding respiratory symptoms after OS, 26.3% showed improvement in nasal obstruction, 28.5% in oronasal breathing, 18.5% in snoring, and 5.2% in respiratory obstruction during sleep. However, a weak correlation between increased CSA and improvement of symptoms was observed. In the first decade, lower values of CSA (p < .001) and NCSA (p < .001) were observed compared to the second decade. Both periods showed a significant increase in CSA (p < .001). Conclusions: Nasal dimensions and breathing symptoms were improved by OS when combined with turbinectomy. Comparing the results of patients operated on between two different decades, patients had more favorable conditions for breathing in the most recent decade of care. However, this was not statistically correlated with the improvement in patient symptoms in this study. Competing Interests: Anonymized TextThe present study was carried out at the Laboratory of Physiology of the Hospital for Rehabilitation of Craniofacial Anomalies (HRAC-USP) and was approved by the Ethics Committee for Research on Human Beings of the institution (protocol number 4.872.900). Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| فهرسة مساهمة: | Keywords: breathing; cleft lip and palate; orthognathic surgery; rhinomanometry |
| تواريخ الأحداث: | Date Created: 20221215 Date Completed: 20240401 Latest Revision: 20240401 |
| رمز التحديث: | 20240401 |
| DOI: | 10.1177/10556656221145311 |
| PMID: | 36517969 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1545-1569 |
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| DOI: | 10.1177/10556656221145311 |