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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 Apr; 38(4):321-5.IJ

Abstract

The aim of this study was to investigate the changes in nasal airways after Le Fort I osteotomy and functional rhinosurgery. 49 patients were included in this study to assess intranasal anatomical and functional changes resulting from a Le Fort I osteotomy. The data were classified according to the three-dimensional positioning of the maxilla: in group I the maxilla was impacted; in group II the maxilla was inferior; and in group III only sagittal maxillary movement was performed. Presurgical and 5 months postsurgical rhinological inspection, anterior rhinomanometry and acoustic rhinometry were carried out. Additional rhinosurgery, such as resection of the inferior concha or septoplastic intervention, was performed to avoid functional problems in nasal breathing, particularly when the maxilla was impacted. Rhinomanometric assessment showed a significant improvement in nasal breathing in the whole group and each single group. Acoustic rhinometry revealed an increase in typical cross-sectional intranasal areas. The authors conclude that concerns about the respiratory consequences of this surgical procedure appear unwarranted when functional rhinosurgery is undertaken concomitantly, particularly in patients with increased preoperative nasal airway resistance.

Authors+Show Affiliations

Department of Oral and Maxillofacial Surgery, Evangelisches Krankenhaus, Hattingen, Germany.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19233618

Citation

Haarmann, S, et al. "Changes in Acoustic Airway Profiles and Nasal Airway Resistance After Le Fort I Osteotomy and Functional Rhinosurgery: a Prospective Study." International Journal of Oral and Maxillofacial Surgery, vol. 38, no. 4, 2009, pp. 321-5.
Haarmann S, Budihardja AS, Wolff KD, et al. 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(4):321-5.
Haarmann, S., Budihardja, A. S., Wolff, K. D., & Wangerin, K. (2009). Changes in acoustic airway profiles and nasal airway resistance after Le Fort I osteotomy and functional rhinosurgery: a prospective study. International Journal of Oral and Maxillofacial Surgery, 38(4), 321-5. https://doi.org/10.1016/j.ijom.2009.01.006
Haarmann S, et al. 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(4):321-5. PubMed PMID: 19233618.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Changes in acoustic airway profiles and nasal airway resistance after Le Fort I osteotomy and functional rhinosurgery: a prospective study. AU - Haarmann,S, AU - Budihardja,A S, AU - Wolff,K-D, AU - Wangerin,K, Y1 - 2009/02/23/ PY - 2007/08/14/received PY - 2008/10/04/revised PY - 2009/01/16/accepted PY - 2009/2/24/entrez PY - 2009/2/24/pubmed PY - 2009/8/28/medline SP - 321 EP - 5 JF - International journal of oral and maxillofacial surgery JO - Int J Oral Maxillofac Surg VL - 38 IS - 4 N2 - The aim of this study was to investigate the changes in nasal airways after Le Fort I osteotomy and functional rhinosurgery. 49 patients were included in this study to assess intranasal anatomical and functional changes resulting from a Le Fort I osteotomy. The data were classified according to the three-dimensional positioning of the maxilla: in group I the maxilla was impacted; in group II the maxilla was inferior; and in group III only sagittal maxillary movement was performed. Presurgical and 5 months postsurgical rhinological inspection, anterior rhinomanometry and acoustic rhinometry were carried out. Additional rhinosurgery, such as resection of the inferior concha or septoplastic intervention, was performed to avoid functional problems in nasal breathing, particularly when the maxilla was impacted. Rhinomanometric assessment showed a significant improvement in nasal breathing in the whole group and each single group. Acoustic rhinometry revealed an increase in typical cross-sectional intranasal areas. The authors conclude that concerns about the respiratory consequences of this surgical procedure appear unwarranted when functional rhinosurgery is undertaken concomitantly, particularly in patients with increased preoperative nasal airway resistance. SN - 1399-0020 UR - https://www.unboundmedicine.com/medline/citation/19233618/Changes_in_acoustic_airway_profiles_and_nasal_airway_resistance_after_Le_Fort_I_osteotomy_and_functional_rhinosurgery:_a_prospective_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0901-5027(09)00010-1 DB - PRIME DP - Unbound Medicine ER -