Effects of modified step Le Fort I advancement surgery on nostril area and inferior nasal structures volume in class III patients: a retrospective clinical study       
Yazarlar (7)
Nihat Akbulut
Ondokuz Mayıs Üniversitesi, Türkiye
Sibel Akbulut
Ondokuz Mayis Üniversitesi, Türkiye
Seval Bayrak
Bolu Abant İzzet Baysal Üniversitesi, Türkiye
Dr. Öğr. Üyesi Esengül ŞEN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Ahmet Altan
Necmettin Erbakan Üniversitesi, Türkiye
Gizemnur Kaymaz
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Doç. Dr. Sefa ÇOLAK Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Clinical Oral Investigations
Dergi ISSN 1432-6981 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q1
Makale Dili İngilizce
Basım Tarihi 02-2023
Cilt No 27
Sayı 2
Sayfalar 807 / 815
DOI Numarası 10.1007/s00784-023-04860-3
Makale Linki http://dx.doi.org/10.1007/s00784-023-04860-3
Özet
The effect of the modified step Le Fort I osteotomy on the inferior nasal structures and the nostril area was evaluated. This study included 24 patients who had modified step Le Fort I osteotomy. Inferior nasal concha volume (INCV), meatus nasi inferior volume (MNIV), the sum of both structures volume (TV), and nostril area (NA) were evaluated in pre- (T0) and postoperative (T1) periods. For all patients, NA increased both on the right side (p = 0.011) and left side (p = 0.050) after surgery. The INCV and TV values were lower in T1 than those in T0; however, a statistically significant decrease of INCV and TV was found only in the right side of males (p = 0.039 and p = 0.050, respectively). No significant difference was found in MNIV between T0 and T1 measurements (p > 0.05). Maxillary advancement with the modified step Le Fort I osteotomy technique increased the NA, which may have a positive effect on breathing function. On the other hand, although TV tended to decrease, MNIV did not change after surgery as the same decreasing tendency also existed in INCV. Step Le Fort I advancement surgery technique usually affects nasal structures positively regarding the nasal airway.
Anahtar Kelimeler
LeFort osteotomy | Nasal airway obstruction | Nasal cavity | Nasal concha | Orthognathic surgical procedures