Abstract
This study aimed to assess nasal airflow, nasal resistance, and the cross-sectional
area of the nasal cavity in patients who have had maxillary superior repositioning
(MSR). This is a cross-sectional study, and nasal airflow, nasal resistance, and the
cross-sectional area of the nasal cavity were evaluated by rhinometry and acoustic
rhinometry techniques in patients who had had MSR. Thirty-two patients were studied,
and the mean (SD) MSR was 5.03 (1.61) (range 3-8) mm. There was a significant correlation
between the mean MSR and the mean change in nasal airflow and nasal resistance (p = 0.001 and p = 0.005, respectively). There was also a correlation between MSR and the change in the
cross-sectional area of the inferior concha (p = 0.001), but there was no correlation between the mean MSR and the change in cross-sectional
area of the isthmus (p = 0.07). Nasal airflow increases when the mean MSR is less than 6.5 mm, and when maxillary impaction is 6.5 mm or more, nasal airflow decreases. It seems, therefore, that MSR of less than 6.5 mm was associated with an improvement in nasal airflow. When maxillary impaction was
more than 6.5 mm, nasal airflow and the cross-sectional area of the nasal cavity decreased, and
nasal resistance increased.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to British Journal of Oral and Maxillofacial SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Stability following superior repositioning of the maxilla by Le Fort I osteotomy: five-year follow-up.Int J Adult Orthod Orthognath Surg. 1994; 9: 163-173
- Alterations in nasal respiration and nasal airway size following superior repositioning of the maxilla.J Oral Maxillofac Surg. 1988; 46: 276-281
- Alterations in nasal airway resistance following superior repositioning of the maxilla.Am J Orthod. 1984; 85: 109-114
- Effects of maxillary advancement and impaction on nasal airway function.Int J Oral Maxillofac Surg. 2012; 41: 1350-1352
- The effect of maxillary multidirectional movement on nasal respiration.J Oral Maxillofac Surg. 2009; 67: 2283-2286
- A 3-dimensional analysis of nasal cavity volume after maxillary Le Fort I osteotomy.J Oral Maxillofac Surg. 2018; 76: 1344.e1-1344.e7
- Changes in acoustic airway profiles and nasal airway resistance after Le Fort I osteotomy and functional rhinosurgery: a prospective study.Int J Oral Maxillofac Surg. 2009; 38: 321-325
- Effect of maxillary setback movement on upper airway in patients with class III skeletal deformities: cone beam computed tomographic evaluation.J Craniofac Surg. 2013; 24: 387-391
- Morphological and rhinolocigal importance of intumescentia septi nasi anterior.Laryngorhinootologie. 1993; 72 (in German): 242-246
- Investigating the nasal cycle using endoscopy, rhinoresistometry, and acoustic rhinometry.Laryngoscope. 2003; 113: 284-289
- Nasal airway changes after Le Fort I—impaction and advancement: anatomical and functional findings.Int J Oral Maxillofac Surg. 2001; 30: 123-129
- Computational fluid dynamic study of nasal respiratory function before and after bimaxillary orthognathic surgery with bone trimming at the inferior edge of the pyriform aperture.J Oral Maxillofac Surg. 2016; 74: 2241-2251
- Nasal airway function after maxillary surgery: a prospective cohort study using the nasal obstruction symptom evaluation scale.J Oral Maxillofac Surg. 2013; 71: 343-350
- Diagnostic accuracy of peak nasal inspiratory flow and rhinomanometry in functional rhinosurgery.Laryngoscope. 2008; 118: 605-610
- Rhinomanometry: an update.ORL J Otorhinolaryngol Relat Spec. 2002; 64: 263-267
Article info
Publication history
Published online: May 03, 2020
Identification
Copyright
© 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
