Changes in the function of external respiration of patients with skeletal anomalies of the jaws during orthognathic operations
Gammadaeva S.Sh., Glushko A.V., Drobyshev A.Yu.
Federal State Budgetary Educational Institution of Higher Education “A.I. Yevdokimov Moscow State University of Medicine and Dentistry” of the Ministry of Healthcare of the Russian Federation
Russia, 127473 , Moscow, Delegatskaya st., 20, bld.1
The article presents the results of a study of the respiratory function of the nose in a group of patients with skeletal anomalies of the jaws before and after the orthognathic operation.
Based on the analysis of literature data and their own clinical experience, the authors proposed a modification of the surgical procedure in patients with skeletal anomalies of the jaws, pronounced hypertrophy of the lower nasal concha and a pronounced decrease in patency of the nasal passages, which, in addition to deepening the pearshaped aperture, revisions and plastics of the nasal septum in the amount of horizontal resection of the septum and fixing it along the midline to the anterior nasal spine, stapling of the wings of the nose, includes osteo tomia and partial resection of the lower nasal concha.
According to rhinomapometry and CBCT, patients with a decreased patency of the nasal passages and a marked increase in the lower nasal concha, which underwent orthognathic operations in the traditional way (control group) and according to the new method proposed by the authors, were selected from the general group of patients examined. study group).
The improvement of the nasal passages patency and nasal breathing function in the study group was revealed, confirming the increase in the effectiveness and quality of the treatment carried out according to the method proposed by the authors in comparison with the control group. The proposed method is protected by the patent of the Russian Federation for invention No. 2697750.
Keywords: skeletal anomalies, orthognathic operation, resection of the inferior nasal concha, rhinomanometry.
For citation: Gammadaeva S.Sh, Glushko A.V., Drobyshev A.Yu. Changes in the function of external respiration of patients with skeletal anomalies of the jaws during orthognathic operations. Stomatology for All / Int. Dental Review. 2020; No. 1(90); 10-15. doi:10.35556/idr-2020-1(90)10-15
1. Belousov A.E. Functional rhinoplasty. St. Petersburg: Publishing House of the Polytechnic University, 2010, 512p. (In Russian).
2. Glushko A.V. Evaluation of morphometric changes in the upper respiratory tract in patients during orthognathic operations: dis. cand. med. M.: MSMSU, 2013, 245p. (In Russian).
3. Daurova Z.A. Assessment of nasal breathing disorders and its effect on the formation of dentoalveolar anomalies: dis. cand. med. M.: MSMSU, 2017, 139 p. (In Russian).
4. Drobyshev A.Yu., Glushko A.V., Klipa I.A. Functional methods for assessing the quality of nasal breathing in patients with abnormalities of the dentition. Teaching tutorial. M.: Libri Plus, 2016, 31 p. (In Russian).
5. Ippolitov V.P., Helminskaya N.M., Bondarenko O.V. Rehabilitation of patients with post-traumatic deformations of the middle zone of the face. Pr. VI Congress of the Dental Association of Russia. M., 2000; p. 303—304 (In Russian).
6. Butterfield K.J., Marks P.L., McLean L., Newton J. Linear and volumetric airway changes after maxillomandibular advancement for obstructive sleep apnea. J. Oral Maxillofac Surg. 2015 Jun; No. 73(6):1133—1142. doi:10.1016/j.joms.2014.11.020
7. Guzel M.Z., Sarac M., Arslan H., Nejat E., Nazan K. A New Face by Combined Surgery for Patients with Complex Dentofacial Deformity. Aesthetic. Plastic. Surg. 2007; 31: 32—41.doi:10.1007/s00266-006-0099-3
8.Mommaerts M.Y., Lippens F., Abeloos J.V., Neyt L.F. Nasal profile changes after maxillary impaction and advancement surgery. J. Oral Maxillofac. Surg. 2000; 58 (No. 5): 470— 476.doi:10.1016/s0278-2391(00)90002-8
9.Posnick Jeffrey C. Orthognathic Surgery:Principles&Practice. St. Louis, Missouri: Elsevier, 2014.