Three-dimensional tomographic analysis of the dimensions of the nasal cavity and the nasal and upper pharyngeal airway space of subjects undergoing surgically assisted maxillary expansion

Authors

DOI:

https://doi.org/10.33448/rsd-v10i17.24155

Keywords:

Nasal cavity; Palatal expansion technique; Tomography, X-Ray computed.

Abstract

The main objective of the surgically assisted rapid maxillary expansion (SARME) is to increase the transversal dimension of the upper dental arch in individuals with maxillary atresia. Its effects are not restricted to the maxilla, also acting on the nasal cavity and pharyngeal airway. The present study aimed to evaluate the occurrence of dimensional changes in the nasal cavity and nasal and upper pharyngeal airway space in individuals submitted to surgically assisted maxillary expansion using 2 different osteotomies. Nasal and pharyngeal airway space structures were analyzed by pre-and post-operative cone beam computed tomography scans of 29 adult subjects submitted to surgically assisted maxillary expansion. Volumetric measurement of the nasal and upper pharyngeal airway and linear measurements of the nasal cavity were performed using Dolphin Imaging 11,7 software. The data were tabulated and submitted to statistical analysis by ANOVA analysis of variance and Tukey test (p <0,05). The results showed that both osteotomies were effective in correcting the transverse maxillary deficiency and presented similar effects on the nasal cavity and pharyngeal airway space. There was an increase in the volume of pharyngeal airway, also observed in the hypopharynx region. In addition, it was observed that SARME promotes an increase in the floor width of the nasal cavity after expansion, and, consequently, an increase in nasal airway volume.

References

Albuquerque, G. C., Gonçales, A. G. B., Tieghi Neto, V., Nogueira, A. S., Assis, D. S. F. R., & Gonçales, E. S. (2013). Complicações após expansão de maxila cirurgicamente assistida. Revista de Odontologia da UNESP (42), 20-24.

Altug-Atac, A. T., Atac, M. S., Kurt, G., & Karasud, H. A. (2010). Changes in nasal structures following orthopaedic and surgically assisted rapid maxillary expansion. Int. J. Oral Maxillofac.Surg. (39), 129–135.

Alves, M. J., Baratieri, C., Matto,s C. T, Brunetto, D, Fontes, R. C, Santos, J. R, & Ruellas A. C (2012). Is the airway volume being correctly analyzed? Am J Orthod Dentofacial Orthop 141(5), 657-61.

Angelieri, F., Cevidanes, L. H. S., Franchi, L., Gonçalves, J. R., Benavides, E., & McNamara, J. A. (2013). Midpalatal suture maturation: Classification method for individual assessment before rapid maxillary expansion. Am J Orthod Dentofacial Orthop 144(5), 759– 769.

Angell, E. H. (1860). Treatment of irregularity of the permanent or adult teeth. Part 1. Dental Cosmos 1(10), 540-544.

Aras, A., Akay, M. C., Cukurova, I., et al (2010). Dimensional changes of the nasal cavity after transpalatal distraction using bone-borne distractor: An acoustic rhinometry and computed tomography evaluation. J Oral Maxillofac Surg (68),1487.

Asscherickx K, Govaerts E, Aerts J, & Vande Vannet B (2016). Maxillary changes with boneborne surgically assisted rapid palatal expansion: A prospective study. Am J Orthod Dentofacial Orthop. 149(3), 374-83.

Assis, D. S. F. R., Ribeiro Júnior, P. D., Duarte, M. A. H., & Gonçales, E. S. (2011). Evaluation of the mesiobucal gingival sulcus depth of the upper central incisors in patients submitted to surgically assisted maxillary expansion. Oral Maxillofac Surg (15), 79–84.

Assis, D. S. F. R., Xavier, T. A., Noritomi, P. Y., Gonçales, A. G., Ferreira, Jr O., & de Carvalho, P. C. (2013). Finite element analysis of stress distribution in anchor teeth in surgically assisted rapid palatal expansion. Int J Oral Maxillofac Surg (42),1093–9.

Azenha, M. R. (2012). Alteração da base alar e da capacidade respiratória nasal em pacientes submetidos à expansão rápida da maxila cirurgicamente assistida. Rev Cir Traumatol Buco-Maxilo-Fac 12(4), 81-90.

Babacan, H., Sokucu, O., Doruk, C., & Ay, S. (2006). Rapid maxillary expansion and surgically assisted rapid maxillary expansion effects on nasal volume. Angle Orthod 76(1), 66-71.

Ballanti, F., Lione, R, Baccetti, T, Franchi, L, & Cozza, P (2010). Treatment and posttreatment skeletal effects of rapid maxillary expansion investigated with low-dose computed tomography in growing subjects. Am J Orthod Dentofacial Orthop 138(3), 311-7.

Baraldi C. E, Pretto S M, & Puricelli E (2007). Evaluation of surgically assisted maxillary expansion using acoustic rhinometry and posteroanterior cephalometry. Int J Oral Maxillofac Surg (36),305–9.

Baratieri C, Alves M Jr, Sant'anna E. F, Nojima Mda C, & Nojima L. I. (2011). 3D mandibular positioning after rapid maxillary expansion in Class II malocclusion. Braz Dent J 22(5), 428-34.

Bays, R. A., & Greco, J. M. (1992). Surgically assisted rapid palatal expansion: an outpatient technique with long-term stability. J Oral Maxillofac Surg 50(2), 110–3.

Bell, W. H., & Epker, B. N. (1976). Surgical-orthodontic expansion of the maxilla. Am. J. Orthod 70(5), 517-528.

Bel, W. H., & Jacobs, J. D. (1979). Surgical orthodontic correction of horizontal maxillary deficiency. J. Oral Surg 37(12), 897-902.

Berretin-Felix G, Yamashita R. P, Filho H. N, Gonales E. S, Trindade A. S Jr, & Trindade I. E (2006). Short and long-term effect of surgically assisted maxillary expansion on nasal airway size. J Craniofac Surg 17(6),1045-9.

Bertossi D, Albanese M, Malchiodi L, Procacci P, & Nocini P. F (2007). Surgical alar base management with a personal technique: the tightening alar base suture. Arch Facial Plast Surg 9(4), 248–51.

Betts N. J, Vanarsdall R. L, Barber H. D, Higgins-Barber K, & Fonseca R. J (1995). Diagnosis and treatment of transverse maxillary deficiency. Int J Adult Orthodon Orthognath Surg 10(2),75–96.

Betts N. J (2016). Surgically assisted maxillary expansion. Atlas Oral Maxillofac Surg Clin North Am 24(1), 67-77.

Boryor A, Geiger M, Hohmann A, Wunderlich A, Sander C, Martin Sander F, & Sande F. G. (2008). Stress distribution and displacement analysis during an intermaxillar disjunction—a three-di- mensional FEM study of a human skull. J Biomech (41),376–382.

Brown, G V. I. (1938). The surgery of oral and facial diseases and malformation. 1938. 4th Ed., London

Koudstaal, M. J. 1., Poort, L. J., van der Wal, K. G., Wolvius, E. B., Prahl-Andersen B, & Schulten A. J (2005). Surgically assisted rapid maxillary expansion (SARME): a review of the literature. Int J Oral Maxillofac Surg 34(7), 709-14.

Buck L. M., Dalci O, Darendeliler M. A., & Papadopoulou A. K (2016). Effect of Surgically Assisted Rapid Maxillary Expansion on Upper Airway Volume: A Systematic Review. J Oral Maxillofac Surg 74(5),1025-43.

Byloff F. K, & Mossaz, C. F. Skeletal and dental changes following surgically assisted rapid palatal expansion. Eur J Orthod 26(4), 403–9.

Candido, M. S. C., Monazzi, M. S., Gabrielli, M. A. C., Spin-Neto, R., Gabrielli, M. F. R., & Pereira-Filho, V. A. (2014). Pharyngeal airway space cephalometric evaluation in transverse maxillary deficient patient after SARME. Braz J Oral Sci (13), 288-91.

Capelozza Filho, L., & Silva Filho, O. G. (1997). Expansão rápida da maxila: considerações gerais e aplicação clínica. Parte II. Rev Dental Press Ortodon Ortop Facial 2(4),86-108.

Chamberland S., & Proffit W. R (2011). Short-term and long-term stability of surgically assisted rapid palatal expansion revisited. Am J Orthod Dentofacial Orthop 139(6), 815-822.

Chang Y, Koenig L. S, Pruszynski J. E, TBradley T. G, Bosio J. A, & Liu D (2013). Dimensional changes of upper airway after rapid maxillary expansion: a prospective cone-beam computed tomography study. Am J Orthod Dentofacial Orthop 143(4), 462–470.

Chung C. H, & Goldman A. M (2004). Dental tipping and rotation immediately after surgically assisted rapid palatal expansion. Eur J Orthod (25), 353-8.

Chung C. H, Woo A, Zagarinsky J, Vanarsdall R. L, & Fonseca R. J (2001). Maxillary sagittal and vertical displacement induced by surgically assisted rapid palatal expansion. Am J Orthod Dentofacial Orthop 120(2), 144-8.

Compadretti G. C, Tasca I, & Bonetti G. A (2006). Nasal airway measurements in children treated by rapid maxillary expansion. Am J Rhinol 20(4), 385-93.

Cureton S. L, & Cuenin M (1999). Surgically assisted rapid palatal expansion: orthodonthic preparation for clinical sucess. Am J Orthod Dentofacial Orthop (116), 46-59.

De Felippe N. L. O., Bhushan N, Da Silveira A C, Viana G, & Smith B (2009). Long-term effects of orthodontic therapy on the maxillary dental arch and nasal cavity. Am J Orthod Dentofacial Orthop 136(4), 490.e1-8.

Deeb W, Hansen L, Hotan L, Hietschold V, Harzer W, & Tausche E (2010). Changes in nasal volume after surgically assisted bone-borne rapid maxillary expansion. Am J Orthod Dentofacial Orthop (137), 782-9.

Dergin G, Aktop S, Varol A, Ugurlu F, & Garip H (2015). Complications related to surgically assisted rapid palatal expansion. Oral Surg Oral Med Oral Pathol Oral Radiol 119(6), 601-7.

El H, & Palomo J. M (2010). Measuring the airway in 3 dimensions: a reliability and accuracy study. Am J Orthod Dentofacial Orthop 137(4), S50.e1-9;

Epker B. N, & Wolford L. M (1980). Dentofacial Deformities: surgical-orthodontic correction. St. Louis: Mosby, 1980.

Garrett B. J, Caruso J. M, Rungcharassaeng K, Farrage J. R, Kim J. S, & Taylor G. D (2008). Skeletal effects to the maxilla after rapid maxillary expansion assessed with conebeam computed tomography. Am J Orthod Dentofacial Orthop 134(1), 8-9.

Glassman A. S, Nahigian S. J, Medway J, & Aronowitz H. I (1984). Conservative surgical orthodontic adult rapid palatal expansion: sixteen cases. Am J Orthod 86(3), 207-213.

Gonçales E. S, Assis D. R, Capelozza A. L. A., & Alvares L. C. (2007). Estudo radiográfico digital indireto do efeito da expansão de maxila cirurgicamente assistida (EMCA) sobre o septo nasal. Rev Dental Press Ortodon Ortoped Facial (12),85-91.

Gonçales E. S, Duarte M. A, Palmieri C, Zakhary G. .M, & Ghali G E. (2014). Retrospective analysis of the effects of orthognathic surgery on the pharyngeal airway space. J Oral Maxillofac Surg 72(11), 2227–40.

Gonçales E. S. (2011). Análise da distribuição das tensões dentárias em maxila submetida a expansão cirurgicamente assistida (tese de livre-docência). Bauru (SP): Faculdade de Odontologia de Bauru, Universidade de São Paulo.

Gonçales E. S. (2010). Cirurgia ortognática: guia de orientação para portadores de deformidades faciais esqueléticas. São Paulo: Ed Santos; 2010.

Görgülü S, Gokce S. M, Olmez H, Sagdic D, & Ors F (2011). Nasal cavity volume changes after rapid maxillary expansion in adolescents evaluated with 3-dimensional simulation and modeling programs. Am J Orthod Dentofacial Orthop (15), 633–40.

Guijarro-Martínez R, & Swennen G. R. J (2013). Three-dimensional cone beam computed tomography definition of the anatomical subregions of the upper airway: a validation study. Int. J. Oral Maxillofac. Surg (42), 1140–1149

Gungor A. Y, & Turkkahraman H (2009). Effects of Airway Problems on Maxillary Growth: A Review. European Journal of Dentistry 3(3), 250-254.

Gurgel J. A, & Tiago C. M, Normando D (2014). Transverse changes after surgically assisted rapid palatal expansion. Int J Oral Maxillofac Surg (43) 316–22.

Haas A. J. (1961). Rapid expansion of the maxillary dental arch and nasal cavity by opening the midpalatal suture. Angle Orthod 31(2), 73-90.

Hamedi Sangsari A, Sadr-Eshkevari P, Al-Dam A, Friedrich R. E, Freymiller E, & Rashad A (2016). Surgically assisted rapid palatomaxillary expansion with or without pterygomaxillar disjunction: a systematic review and meta-analysis. J Oral Maxillofac Surg (74), 338–348.

Han U. A, Kim Y, & Park J. U (2009). Three-dimensional finite element analysis of stress distribution and displacement of the maxilla following surgically assisted rapid maxillary expansion. J Craniomaxillofac Surg 37(3), 145-54.

Haralambidis A, Ari-Demirkaya A, Acar A, Küçükkeles N, Ates M, & Ozkaya S (2009). Morphologic changes of the nasal cavity induced by rapid maxillary expansion: a study on 3-dimensional computed tomography models. Am J Orthod Dentofacial Orthop 136(6), 815-21.

Holberg C, Steinhäuser S, & Rudzki-Janson I (2007). Rapid maxillary expansion in adults:cranial stress reduction depending on the extent of surgery. Eur J Orthod 29(1), 31-6.

Ilizarov G. A. (1990). Clinical applications of tension-stress effects for limb lengthening. Clin Orthop Relat Res (250), 8-26.

Iwasaki T, Takemoto Y, Inada E, Sato H, Suga H, Saitoh I, Kakuno E, Kanomi R, & Yamasaki Y. (2014). The effect of rapid maxillary expansion on pharyngeal airway pressure during inspiration evaluated using computational fluid dynamics. International Journal of Pediatric Otorhinolaryngology (78),1258–1264.

Jafari, A, Shetty, K. S, & Kumar M (2003).: Study of stress distribution and displacement of various craniofacial structures following application of transverse orthopedic forces: A threedimensional FEM study. Angle Orthod 73(1),12-20.

Jensen T, & Rodrigo Domingo M (2016). Surgically assisted rapid maxillary expansion (SARME) with or without intraoperative releasing of the nasal septum. Oral Surg Oral Med Oral Pathol Oral Radiol (16), S2212-4403.

Koudstaal M. J., Poort L. J., van der Wal K. G., Wolvius E. B., Prahl-Andersen B, & Schulten A. J. (2005). Surgically assisted rapid maxillary expansion (SARME): a review of the literature. Int J Oral Maxillofac Surg. 34(7), 709-14.

Koudstaal M. J, Smeets J. B., Kleinrensink G. J., Schulten A. J, & van der Wal K. G. (2009). Relapse and stability of surgically assisted rapid maxillary expansion: na anatomic biomechanical study. J Oral Maxillofac Surg. 67(1), 10-4.

Kraut R. A (1984). Surgically assisted rapid maxillary expansion by opening the midpalatal suture. J Oral Maxillofac Surg (42), 651–5.

Kurt G, Altug-Atac A. T, Atac M. S., & Karasu H. A (2010). Changes in nasopharyngeal airway following orthopedic and surgically assisted rapid maxillary expansion. J Craniofac Surg (21), 312-7.

Landim F. S, Freitas G. B., Malouf A. B, Studart L. P, Rocha N. S, de Souza Andrade E. S, Caubi A. F, Filho J. R, Oliveira E & Silva E. D. (2011). Repercussions of surgically assisted maxillary expansion on nose width and position of septum and inferior nasal conchae. Int J Med Sci 8(8), 659-66.

Lehman Júnior J. A., Hass A. J, & Hass D. G. (1989). Surgical orthodontic correction of transverse maxillary deficiency: a simplified aproach. Plast. Reconstr. Surg 73(1), 62-6.

Lines P. A. (2013). Adult rapid maxillary expansion with corticotomy. Am. J. Orthod. 67(1), 44-56

Magnusson, A., Bjerklin, K, Kim, H., Nilsson, P., & Marcusson, A. (2012). Three-dimensional assessment of transverse skeletal changes after surgically assisted rapid maxillary expansion and orthodontic treatment: a prospective computerized tomography study. Am J Orthod Dentofacial Orthop (142), 825–33.

Magnusson A, Bjerklin K, Nilsson P, Jönsson F, & Marcusson A (2011). Nasal cavity size, airway resistance, and subjective sensation after surgically assisted rapid maxillary expansion: a prospective longitudinal study. Am J OrthodDentofacial Orthop (140), 641–51.

Magnusson A, Bjerklin K, Nilsson P, & Marcusson A (2009). Surgically assisted rapid maxillary expansion: long-term stability. Eur J Orthod. (31) 142-149.

Magnusson A (2013). Evaluation of surgically assisted rapid maxillary expansion and orthodontic treatment. Effects on dental, skeletal and nasal structures and rhinological findings. Swed Dent J Suppl (229), 1-104.

Malmström M. F. V., & Gurgel J. Á. (2009). Avaliação da neoformação óssea na sutura palatina Marchetti C, Pironi M, Bianchi A, Musci A. Surgically assisted rapid palatal expansion vs. segmental Le Fort I osteotomy: transverse stability over a 2-year period. J Craniomaxillofac Surg (37), 74–78.

McNamara J. A Jr, Lione R, Franchi L, Angelieri F, Cevidanes L. H, Darendeliler M. A, & Cozza P. (2015). The role of rapid maxillary expansion in the promotion of oral and general health. Prog Orthod (16), 33.

Melsen B (1972). A histological study of the influence of sutural morphology and skeletal maturation on rapid palatal expansion in children. Trans Eur Orthod Soc, 499-507.

Melson B (1975). Palatal growth studied on human autopsy material. Am J Orthod 68),42

Mitsuda S. T., Pereira M. D, Passos A. P, Hino C. T, & Ferreira L. M (2010). Effects of surgically assisted rapid maxillary expansion on nasal dimensions using acoustic rhinometry. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. (109), 191-6.

Monini S, Malagola C, Villa M. P, Tripodi C, Tarentini S, Malagnino I, Marrone V, Lazzarino A. I, & Barbara M (2009). Rapid maxillary expansion for the treatment of nasal obstruction in children younger than 12 years. Arch Otolaryngol Head Neck Surg 135(1), 22-7.

Nada R. M, van Loon B, Schols J. G, Maal T. J, de Koning M. J, Mostafa Y. A, & Kuijpers-Jagtman A. M (2013). Volumetric changes of the nose and nasal airway 2 years after toothborne and bone-borne surgically assisted rapid maxillary expansion. Eur J Oral Sci (121), 450.

Northway W. M, Meade Jr J. B (1997). Surgically assisted rapid maxillary expansion: a comparison of technique, response and stability. Angle Orthod (67), 309–20.

Oliveira T. F. M, Pereira-Filho V. A, Gabrielli M. A. C, Gonçales E. S, & Santos-Pinto A (2016). Effects of lateral osteotomy on surgically assisted rapid maxillary expansion. Int. J. Oral Maxillofac. Surg (45), 490–496.

Oliveira, A. S (2016). Avaliação das alterações volumétricas da cavidade nasal decorrentes da expansão rápida de maxila assistida cirurgicamente (Tese de dissertação). Faculdade de Odontologia de Araraquara, Universidade Estadual Paulista “Júlio de Mesquita Filho”; Araraquara (SP)

Oliveira, T. F. L (2014). Avaliação da influência do septo nasal na expansão de maxila cirurgicamente assistida por meio de tomografia computadorizada de feixe cônico. (Tese de dissertação). Faculdade de Odontologia de Bauru, Universidade São Paulo; Bauru (SP.

Pereira-Filho V. A, Monnazzi M. S, Gabrielli M. A. C, Spin-Neto R, Watanabe E. R, & Gimenez C. M. M (2014). Volumetric upper airway assessment in patients with transverse maxillary deficiency after surgically assisted rapid maxillary expansion. Int J Oral Maxillofac Surg 43(5), 581–6.

Persson M, & Thilander B (1997). Palatal suture closure in man from 15 to 35 years of age. Am J Orthod (72), 42–52.

Pogrel M. A, Kaban L. B, Vargervik K, & Baumrind S (1992). Surgically assisted rapid maxillary expansion in adults. Int J Adult Orthodon Orthognath Surg (7), 37-41.

Prado G. P, Pereira M. D, Biló J. P, Masako Ferreira L, & Pereira M. D. (2014). Stability of surgically assisted rapid palatal expansion with and without retention analyzed by 3-dimensional imaging. Am J Orthod Dentofacial Orthop 145(5), 610-6.

Reinbacher K. E, Wallner J, Pau M, Feichtinger M, Kärcher H, Quehenberger F, & Zemann W (2013). Surgically assisted rapid maxillary expansion: feasibility of not releasing the nasal septum. Int J Oral Maxillofac Surg 42(3), 321-5.

Ribeiro P. D Junior, Gonçales E. S, Souza P. C. U, Nary H Filho, & Luz J. G. C. (2006). Avaliação clínica dos procedimentos de expansão cirurgicamente assistida da maxila (ECAM). Rev Dental Press Ortodon Ortop Fac 11(1), 44-59.

Salgueiro D. G, Rodrigues V. H. L. O, Tieghi Neto V, Menezes C. C, Gonçales E. S, & Ferreira Júnior O (2015). Evaluation of opening pattern and bone neoformation at median palatal suture area in patients submitted to surgically assisted rapid maxillary expansion (SARME) through cone beam computed tomography. J Appl Oral Sci 23(4), 397–404.

Sant’Ana E, Janson M, Kuriki E. U. & Yaedú R. Y. F. (2009). Expansão cirúrgica da maxila. R Dental Press Ortodon Ortop Facial 14(5), 92-100.

Sant'Ana L. F, Pinzan-Vercelino C. R, Gurgel J. A, & Carvalho P. S. P. (2016). Evaluation of surgically assisted rapid maxillary expansion with and without midpalatal split. Int J Oral Maxillofac Surg 45(8), 997-1001.

Scartezini G. R., Saska S, Dantas J. F. O. C, Hochuli-Vieira E, & Gabrielli M. A. C (2007). Maxillary surgical. Expansão cirúrgica da maxila em pacientes adultos: expansão rápida assistida cirurgicamente ou osteotomia Le Fort I segmentar? Revista da literatura. Revista de Odontologia da UNESP 36(3), 267-273.

Schwarz G. M, Trash, W. J, Byrd D. L, & Jacobs, J. D (1985). Tomographic assesment of nasal septal changes following surgical-orthodontic rapid maxillary expansion. Am J Orthod (87), 39-45.

Seeberger R, Kater W, Davids R, & Thiele O. C (2010). Long term effects of surgically assisted rapid maxillary expansion without performing osteotomy of the pterygoid plates. J Craniomaxillofac Surg 38(3), 175-8.

Silva Filho O. G, Valladares Neto J, & Almeida R. R (1989). Early correction of posterior crossbite: biomechanical characteristics of the appliances. J Pedodont 13(3), 195-221.

Smith T, Ghoneima A, Stewart K, Liu S, Eckert G, Halum S, & Kula K (2012). Three-dimensional computed tomography analysis of airway volume changes after rapid maxillary expansion. Am J Orthod Dentofacial Orthop 141(5), 618–626.

Tausche E, Hansen L, Hietschold V, Lagravère M. O, & Harzer W (2007). Three-dimensional evaluation of surgically assisted implant bone-borne rapid maxillary expansion: a pilot study. Am J Orthod Dentofacial Orthop 131(4 l), 92-9.

Tecco S, Festa F, Tete S, Longhi V, & D’Attilio M (2005). Changes in head posture after rapid maxillary expansion in mouth-breathing girls: a controlled study. Angle Orthod (75), 171–6.

Timms D. J (1999). The dawn of rapid maxillary expansion. Angle Orthod 69(3), 247–250.

Vandersea B, & Ruvo A. T, Frost (2007). Maxillary transverse deficiency: surgical alternatives to management. Oral Maxillofac Surg Clin North Am (19), 351–68.

Verstraaten J, Kuijpers-Jagtman A. .M, Mommaerts M. Y, Bergé S. J, Nada R. M, & Schols J. G (2010). A systematic review of the effects of bone-borne surgical assisted rapid maxillary expansion. J Craniomaxillofac Surg 38(3), 166-74.

Vinha P. P, Faria A. C, Xavier S. P, Christino M, & Mello Filho F. V (2016). Enlargement of the Pharynx Resulting From Surgically Assisted Rapid Maxillary Expansion. J Oral Maxillofac Surg (74), 369–379.

Wertz R. A (1968). Changes in nasal airflow incident to rapid maxillary expansion. Angle Orthod (33), 1–11.

Wreidt S, Kunkel M, Zentner A, & Wahlmann U. W. (2001) Surgically assisted rapid palatal expansion. An acoustic rhinometric, morphometric and sonographic investigation. J Orofac Orthop 62(2), 107-15.

Zambon C. E, Ceccheti M. M, Utumi E. R, Pinna F. R, Machado G. G, Peres M. P, & Voegels R. L (2012). Orthodontic measurements and nasal respiratory function after surgically assisted rapid maxillary expansion: an acoustic rhinometry and rhinomanometry study. Int J Oral Maxillofac Surg (41), 1120–6.

Zeng J, & Gao X (2013). A prospective CBCT study of upper airway changes after rapid maxillary expansion. Int J Pediatr Otorhinolaryngo (77), 1805–10.

Zhao Y, Nguyen M, Gold E, Mah J. K, Sameshima G, & Enciso R (2010). Oropharyngeal airway changes after rapid palatal expansion evaluated with cone-beam computed tomography. Am J Orthod Dentofac Orthop (137), 71–8.

Published

22/12/2021

How to Cite

FIAMONCINI, E. S. .; BARBOSA, C. G. .; SANCHES, I. M. .; GONÇALES, E. S. . Three-dimensional tomographic analysis of the dimensions of the nasal cavity and the nasal and upper pharyngeal airway space of subjects undergoing surgically assisted maxillary expansion. Research, Society and Development, [S. l.], v. 10, n. 17, p. e142101724155, 2021. DOI: 10.33448/rsd-v10i17.24155. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/24155. Acesso em: 27 jan. 2022.

Issue

Section

Health Sciences