Two-Dimensional Analysis of the Size of Nasopharynx and Adenoids in Non-Syndromic Unilateral Cleft Lip and Palate Patients Using Lateral Cephalograms.
| Title: | Two-Dimensional Analysis of the Size of Nasopharynx and Adenoids in Non-Syndromic Unilateral Cleft Lip and Palate Patients Using Lateral Cephalograms. |
|---|---|
| Authors: | Sarmadi S; Assistant Professor, Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.; Chalipa J; Assistant Professor, Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.; Tanbakuchi B; Assistant Professor, Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.; Mahd MJ; Postgraduate Student, Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.; Nasiri M; Postgraduate Student, Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.; Mehtari MR; Dentist, Private Practice, Tehran, Iran. |
| Source: | Journal of dentistry (Tehran, Iran) [J Dent (Tehran)] 2018 May; Vol. 15 (3), pp. 161-168. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Tehran University of Medical Sciences Press Country of Publication: Iran NLM ID: 101233680 Publication Model: Print Cited Medium: Print ISSN: 1735-2150 (Print) Linking ISSN: 17352150 NLM ISO Abbreviation: J Dent (Tehran) Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: [Tehran, Iran] : Tehran University of Medical Sciences Press, [2003]- |
| Abstract: | Objectives: Cleft lip and palate (CLP) is the most common congenital anomaly of the head and neck region. The upper airway in CLP patients is affected by retarded maxillary growth. Small size of the nasopharynx can also lead to mouth breathing. This study aimed to compare the size of nasopharynx and adenoids in non-syndromic unilateral CLP (NSUCLP) patients and healthy controls two-dimensionally on lateral cephalograms.; Materials and Methods: This retrospective study was performed on 30 children with NSUCLP (mean age of 11.3 years) and 30 sex- and age-matched healthy controls with class I skeletal relationship. The bony boundaries of the nasopharynx, nasopharyngeal airway and adenoids were outlined on lateral cephalograms and their surface area was calculated and compared between the two groups. The percentage of nasopharynx occupied by the adenoids was calculated for each individual and compared between the two groups using independent t-test.; Results: Size of nasopharynx in NSUCLP children was significantly smaller than that in healthy controls (P=0.0001). Size of adenoids was significantly larger in NSUCLP children (P=0.0001). Size of nasopharyngeal airway was smaller in NSUCLP patients than controls (P=0.0001). Percentage of nasopharynx occupied by the adenoids was significantly greater in NSUCLP patients (P=0.0001).; Conclusions: The size of nasopharynx is smaller while the size of adenoids is larger in NSUCLP children compared to healthy controls; this can lead to mouth breathing and velopharyngeal incompetence. |
| References: | Angle Orthod. 1999 Dec;69(6):523-8. (PMID: 10593442); Int J Pediatr Otorhinolaryngol. 1995 Jun;32 Suppl:S71-80. (PMID: 7665305); Contemp Clin Dent. 2010 Apr;1(2):66-9. (PMID: 22114385); Angle Orthod. 1976 Jul;46(3):243-59. (PMID: 1066976); Angle Orthod. 2007 Nov;77(6):1046-53. (PMID: 18004913); Acta Otolaryngol Suppl. 1970;265:1-132. (PMID: 5272140); Angle Orthod. 2010 Nov;80(6):1061-7. (PMID: 20677955); Plast Reconstr Surg. 1975 Feb;55(2):149-55. (PMID: 1090945); Eur J Orthod. 2010 Oct;32(5):514-21. (PMID: 20097701); Am J Orthod Dentofacial Orthop. 2014 Jun;145(6):780-6. (PMID: 24880849); Cleft Palate Craniofac J. 1997 Sep;34(5):405-9. (PMID: 9345608); J Craniofac Surg. 2016 Jul;27(5):1340-5. (PMID: 27391503); Am J Orthod Dentofacial Orthop. 2010 Apr;137(4 Suppl):S50.e1-9; discussion S50-2. (PMID: 20381759); Am J Orthod. 1986 Apr;89(4):273-84. (PMID: 3515955); Scand J Plast Reconstr Surg. 1982;16(1):41-53. (PMID: 7051271); Ann Plast Surg. 1996 Feb;36(2):117-22; discussion 122-3. (PMID: 8919372); J Speech Hear Res. 1971 Mar;14(1):14-22. (PMID: 5550618); Clin Otolaryngol. 2017 Dec;42(6):1289-1294. (PMID: 28321987); Plast Reconstr Surg. 2002 Aug;110(2):392-6. (PMID: 12142649); Cleft Palate Craniofac J. 2017 Sep;54(5):523-529. (PMID: 27333236); Sleep Med Rev. 2009 Oct;13(5):345-54. (PMID: 19501529); Angle Orthod. 1996;66(5):393-400. (PMID: 8893109); Arch Otolaryngol Head Neck Surg. 1988 Sep;114(9):987-92. (PMID: 3408580); Cleft Palate J. 1988 Apr;25(2):135-8. (PMID: 3163288); Semin Plast Surg. 2012 Nov;26(4):170-7. (PMID: 24179450); Plast Reconstr Surg. 2012 Mar;129(3):511e-518e. (PMID: 22374000); Cleft Palate Craniofac J. 1993 Mar;30(2):144-9. (PMID: 8452834); Laryngoscope. 1993 Aug;103(8):915-7. (PMID: 8361294); Br Dent J. 2003 Nov 22;195(10):613. (PMID: 14631452); Int J Pediatr Otorhinolaryngol. 1999 Jan 25;47(1):57-69. (PMID: 10206395); Am J Orthod Dentofacial Orthop. 2002 Aug;122(2):189-94; discussion 194-5. (PMID: 12165773); J Speech Hear Disord. 1980 Nov;45(4):469-80. (PMID: 7442163); Cleft Palate Craniofac J. 2007 Jan;44(1):1-7. (PMID: 17214537) |
| Contributed Indexing: | Keywords: Adenoids; Cephalometry; Cleft Lip; Cleft Palate; Nasopharynx |
| Entry Date(s): | Date Created: 20180810 Latest Revision: 20220318 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC6079186 |
| PMID: | 30090116 |
| Database: | MEDLINE |
Journal Article