Evaluation of patient satisfaction with pharyngeal airway changes after orthognathic surgery in patients with Class III skeletal anomalies


Koc S., KARSLI N., Özel M. B., KORKMAZ Y. T., KAYIPMAZ S.

EUROPEAN ORAL RESEARCH, vol.57, no.1, pp.1-9, 2023 (ESCI) identifier identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 57 Issue: 1
  • Publication Date: 2023
  • Doi Number: 10.26650/eor.20231056459
  • Journal Name: EUROPEAN ORAL RESEARCH
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.1-9
  • Keywords: Orthognathic surgery, Class III malocclusion, pharyngeal airway, patient satisfaction, cephalometric, MANDIBULAR SETBACK, SLEEP-APNEA, HYOID BONE, SPACE, OSTEOTOMY, POSITION
  • Karadeniz Technical University Affiliated: Yes

Abstract

PurposeThe aims of our study were to determine the changes in the pharyngeal airway after treating patients with Class III malocclusion who received double jaw surgery, to determine the hard tissue and soft tissue parameters and the hyoid bone and tongue positions after surgery, to determine the changes to compare the pre-treatment and post-treatment measurements of the patients in the double jaw group with the measurements of the control group patients, and to evaluate post-operative patient satisfaction.Materials and MethodsThe study included thirty-two Class III adult patients that received double jaw surgery and twenty-five Class I patients. Cephalometric records were taken before treatment (T1) and after treatment (T2).ResultsAfter double jaw orthognathic surgery, there were statistically significant changes in all pharyngeal airway linear and areal parameters (p<0.001). There were significant superior and posterior movements of the tongue and hyoid bone post-surgery. The post-treatment analysis of the double jaw surgery group and control group were compared, with statistically significant differences in the mandibular dental parameters and pharyngeal airway measurements in patients in the double jaw surgery group.ConclusionDespite the narrowings detected, high satisfaction scores were observed in the patient satisfaction questionnaire and the patients did not experience respiratory problems.