Analysis of the middle region of the pharynx in adolescents with different anteroposterior craniofacial skeletal patterns

Priscilla de Almeida Solon de MELLO, Bruna Caroline Tomé BARRETO, Ligia Vieira CLAUDINO, Claudia Trindade MATTOS, Guido Artemio MARAÑÓN-VÁSQUEZ, Mônica Tirre de Souza ARAÚJO, Eduardo Franzotti SANT'ANNA

Objective: To assess the volume and morphology of the middle region of the pharynx (MRP) in adolescents with different anteroposterior craniofacial skeletal patterns. Methods: One hundred twenty-six patients (56 male and 70 female), who had cone-beam computed tomography (CBCT) within their records, were selected for this cross-sectional study. Participants were classified, according to their ANB angle value, in Class I (1o ≤ ANB ≤ 3o), Class II (ANB > 3o) and Class III (ANB < 1o). The total volume (tV), minimum axial area (AxMin) and morphology of the MRP and its subdivisions — velopharynx (VP) and oropharynx (OP) — were characterized by CBCT and 3-dimensional image reconstruction software. Intergroup comparisons were performed by ANOVA and Tukey post-hoc tests. Correlations between tV and Axmin with the ANB angle values were tested using linear regression analysis, considering sex as covariable. Results: Statistically significant difference between groups were observed in tV only for the VP region; Class II individuals presented significantly lower tV (6863.75 ± 2627.20 mm3) than Class III subjects (9011.62 ± 3442.56 mm3) (p < 0.05). No significant differences were observed between groups for any other variable assessed, neither in MRP nor in the OP region (p > 0.05). A significant negative correlation was evidenced between tV and Axmin and the ANB angle values; sexual dimorphism was observed for some variables. Conclusions: Class II subjects have smaller tV in the VP region. tV and Axmin tend to decrease in all evaluated regions when the ANB angle values increase.

Keywords: Pharynx. Cone-beam computed tomography. Sleep apnea syndromes. Diagnosis.

How to cite: Mello PAS, Barreto BCT, Claudino LV, Mattos CT, Marañón-Vásquez GA, Araújo MTS, Sant’Anna EF. Analysis of the middle region of the pharynx in adolescents with different anteroposterior craniofacial skeletal patterns. Dental Press J Orthod. 2019 Sept-Oct;24(5):60-8. DOI: https://doi.org/10.1590/2177-6709.24.5.060-068.oar

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