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European Archives of Oto-Rhino-Laryngology

Erschienen in:

14.01.2019 | Rhinology

Impact of Le-Fort I osteotomy on anatomical and functional aspects of the nasal airway and on quality of life

verfasst von: Karim Zaoui, Reinald Kuehle, Ingo Baumann, Dorothee Laura Schuessler, Oliver Ristow, Michaela Plath, Christian Freudlsperger

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 4/2019

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Abstract

Objectives

Orthognathic surgery is a well-established procedure for skeletal deformities. Beneficial influences to the posterior airway space (PAS) have been described, but little is known about the subjective aesthetical and functional nasal aspects after orthognathic surgery. The aim of this study was to evaluate nasal airflow by anterior rhinomanometry and volumetric changes in the nasal airway space after mono- or bimaxillary surgery using cone-beam computed tomography (CBCT) and a new segmentation software. Furthermore, changes of patient’s quality of life (QoL) should be assessed.

Methods

Ten patients (9 skeletal class malformation III, 1 skeletal class malformation I) were included. CBCT images, rhinological inspections and anterior rhinomanometries were performed before (T0) and after surgery (T1). All patients completed the FROI-17, the ROE and the SF-36 questionnaires.

Results

A significant postoperative gain for nasal airway volume compared with the baseline was shown (p < 0.014). No statistically significant differences between pre- and postoperative flow rates were found (p = 0.114). Pre- and postoperative cohorts did not differ in responses of disease-specific (ROE and FROI-17) and generic QoL questionnaires (SF-36).

Conclusion

Maxillary relocation surgery leads to a significant increase in nasal airway space. Subjectively, orthognathic patients did not experience any functional but psychosocial aspects after bimaxillary surgery.

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Titel: Impact of Le-Fort I osteotomy on anatomical and functional aspects of the nasal airway and on quality of life
verfasst von: Karim Zaoui
Reinald Kuehle
Ingo Baumann
Dorothee Laura Schuessler
Oliver Ristow
Michaela Plath
Christian Freudlsperger
Publikationsdatum: 14.01.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 4/2019
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-018-05277-5

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Impact of Le-Fort I osteotomy on anatomical and functional aspects of the nasal airway and on quality of life