Palomo, Juan Martin

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Pharyngeal airway changes after mono-maxillary advancement surgery

Stefanović, Neda; Živković-Sandić, Marija; Palomo, Juan Martin

(Srpsko lekarsko društvo, Beograd, 2018)

TY  - JOUR
AU  - Stefanović, Neda
AU  - Živković-Sandić, Marija
AU  - Palomo, Juan Martin
PY  - 2018
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2346
AB  - Introduction/Objective Maxillary or mandibular retrognathism are common dentofacial deformities treated by combined orthodontic-surgical treatment. Surgical maxillary or mandibular advancement changes the position and strain of surrounding structures, which may also affect pharyngeal airway dimensions. The aim of this study was to evaluate and compare three-dimensional pharyngeal airway space changes in patients treated with maxillary advancement and those treated with mandibular advancement. Methods The sample consisted of 25 patients - 12 treated with maxillary advancement and 13 with mandibular advancement surgery. Nasopharyngeal (NP) volume, oropharyngeal (OP) volume, and the area of maximum constriction (AMC) in the OP were measured on cone beam computed tomography scans (2 mA / 120 kV / 12'' FOV) taken before and at least three months after surgery. Paired samples t-test was used for analyzing statistical significance of changes (p ≤ 0.05). Results Postoperative OP and NP volumes, as well as the AMC, increased insignificantly in both groups. Conclusion Results suggest that mono-maxillary surgical advancement of the maxilla or the mandible increases pharyngeal airway dimensions.
AB  - Uvod/Cilj Retrognatizam gornje vilice i retrognatizam donje vilice su česti dentofacijalni deformiteti, koji se leče kombinovanom ortodontsko-hirurškom terapijom. Hirurško pomeranje gornje ili donje vilice unapred menja položaj i napetost okolnih struktura, što takođe utiče na dimenzije faringealnih vazdušnih puteva. Cilj istraživanja bio je da se procene i uporede trodimenzionalne promene faringealnih vazdušnih puteva kod bolesnika lečenih hirurškim pomeranjem gornje ili donje vilice unapred. Metode Uzorak istraživanja se sastojao od 25 bolesnika 12 lečenih hirurškim pomeranjem gornje vilice i 13 lečenih hirurškim pomeranjem donje vilice unapred. Zapremine nazofarinksa i orofarinksa i površine najužeg dela farinksa su merene na CBCT snimcima (2 mA / 120 kV / 12'' FOV) napravljenim pre i bar tri meseca posle hirurške korekcije. Studentov t-test za uparene uzorke je korišćen za analizu statističke značajnosti promena (p ≤ 0,05). Rezultati Zapremine nazofarinksa i orofarinksa i površine najužeg dela farinka povećale su se posle hirurškog pomeranja gornje ili donje vilice unapred. Statistička značajnost nije zabeležena. Zaključak Rezultati ukazuju na to da hirurško pomeranje gornje ili donje vilice unapred dovodi do povećanja dimenzija faringealnih vazdušnih puteva.
PB  - Srpsko lekarsko društvo, Beograd
T2  - Srpski arhiv za celokupno lekarstvo
T1  - Pharyngeal airway changes after mono-maxillary advancement surgery
T1  - Promene faringealnih vazdušnih puteva nakon monomaksilarne ortognatske hirurgije
VL  - 146
IS  - 7-8
SP  - 378
EP  - 383
DO  - 10.2298/SARH180109049S
ER  - 
@article{
author = "Stefanović, Neda and Živković-Sandić, Marija and Palomo, Juan Martin",
year = "2018",
abstract = "Introduction/Objective Maxillary or mandibular retrognathism are common dentofacial deformities treated by combined orthodontic-surgical treatment. Surgical maxillary or mandibular advancement changes the position and strain of surrounding structures, which may also affect pharyngeal airway dimensions. The aim of this study was to evaluate and compare three-dimensional pharyngeal airway space changes in patients treated with maxillary advancement and those treated with mandibular advancement. Methods The sample consisted of 25 patients - 12 treated with maxillary advancement and 13 with mandibular advancement surgery. Nasopharyngeal (NP) volume, oropharyngeal (OP) volume, and the area of maximum constriction (AMC) in the OP were measured on cone beam computed tomography scans (2 mA / 120 kV / 12'' FOV) taken before and at least three months after surgery. Paired samples t-test was used for analyzing statistical significance of changes (p ≤ 0.05). Results Postoperative OP and NP volumes, as well as the AMC, increased insignificantly in both groups. Conclusion Results suggest that mono-maxillary surgical advancement of the maxilla or the mandible increases pharyngeal airway dimensions., Uvod/Cilj Retrognatizam gornje vilice i retrognatizam donje vilice su česti dentofacijalni deformiteti, koji se leče kombinovanom ortodontsko-hirurškom terapijom. Hirurško pomeranje gornje ili donje vilice unapred menja položaj i napetost okolnih struktura, što takođe utiče na dimenzije faringealnih vazdušnih puteva. Cilj istraživanja bio je da se procene i uporede trodimenzionalne promene faringealnih vazdušnih puteva kod bolesnika lečenih hirurškim pomeranjem gornje ili donje vilice unapred. Metode Uzorak istraživanja se sastojao od 25 bolesnika 12 lečenih hirurškim pomeranjem gornje vilice i 13 lečenih hirurškim pomeranjem donje vilice unapred. Zapremine nazofarinksa i orofarinksa i površine najužeg dela farinksa su merene na CBCT snimcima (2 mA / 120 kV / 12'' FOV) napravljenim pre i bar tri meseca posle hirurške korekcije. Studentov t-test za uparene uzorke je korišćen za analizu statističke značajnosti promena (p ≤ 0,05). Rezultati Zapremine nazofarinksa i orofarinksa i površine najužeg dela farinka povećale su se posle hirurškog pomeranja gornje ili donje vilice unapred. Statistička značajnost nije zabeležena. Zaključak Rezultati ukazuju na to da hirurško pomeranje gornje ili donje vilice unapred dovodi do povećanja dimenzija faringealnih vazdušnih puteva.",
publisher = "Srpsko lekarsko društvo, Beograd",
journal = "Srpski arhiv za celokupno lekarstvo",
title = "Pharyngeal airway changes after mono-maxillary advancement surgery, Promene faringealnih vazdušnih puteva nakon monomaksilarne ortognatske hirurgije",
volume = "146",
number = "7-8",
pages = "378-383",
doi = "10.2298/SARH180109049S"
}
Stefanović, N., Živković-Sandić, M.,& Palomo, J. M.. (2018). Pharyngeal airway changes after mono-maxillary advancement surgery. in Srpski arhiv za celokupno lekarstvo
Srpsko lekarsko društvo, Beograd., 146(7-8), 378-383.
https://doi.org/10.2298/SARH180109049S
Stefanović N, Živković-Sandić M, Palomo JM. Pharyngeal airway changes after mono-maxillary advancement surgery. in Srpski arhiv za celokupno lekarstvo. 2018;146(7-8):378-383.
doi:10.2298/SARH180109049S .
Stefanović, Neda, Živković-Sandić, Marija, Palomo, Juan Martin, "Pharyngeal airway changes after mono-maxillary advancement surgery" in Srpski arhiv za celokupno lekarstvo, 146, no. 7-8 (2018):378-383,
https://doi.org/10.2298/SARH180109049S . .

Pharyngeal airway changes after bimaxillary orthognathic surgery: Preliminary results

Stefanović, Neda; Glišić, Branislav; Nikolić, Predrag; Juloski, Jovana; Palomo, Juan Martin

(Srpsko lekarsko društvo, Beograd, 2015)

TY  - JOUR
AU  - Stefanović, Neda
AU  - Glišić, Branislav
AU  - Nikolić, Predrag
AU  - Juloski, Jovana
AU  - Palomo, Juan Martin
PY  - 2015
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/2043
AB  - Introduction Dentofacial deformity, a deviation from normal facial proportions and dental relationships, is corrected by jaw repositioning in all three spatial planes, which changes the position and tension of the surrounding tissues, bones and muscles. These changes may also affect the dimensions of the pharyngeal airways (PA). Objective The aim of this study was to evaluate and compare three-dimensional PA changes in patients treated by a combination mandibular set-back/maxillary advancement versus patients that had bimaxillary advancement with genioplasty. Methods The sample consisted of 7 patients treated by combined mandibular set-back/maxillary advancement and 7 patients treated with bimaxillary advancement surgery. Nasopharyngeal (NP) volume, oropharyngeal (OP) volume and the area of maximum constriction (AMC) in the OP were measured on CbCt scans (2 mA/120 kV/12'' FOV) taken before (T1 ) and 3 months after surgery (T2). Paired samples t-test was used for analyzing statistical significance of changes (p≤0.05). Results OP volume and AMC increase after bimaxillary advancement was statistically significant, while for the mandibular set-back group the increase was non-significant. NP volume was not reduced in any of the two groups. No significant differences in PA dimensions were found between groups at neither T1 nor T2 time points. Conclusion Results suggest that the combination of mandibular set-back/maxillary advancement did not reduce airway dimensions, while bimaxillary advancement surgery led to a statistically significant increase in the OP dimensions.
AB  - Uvod Dentofacijalni deformiteti predstavljaju odstupanje u odnosu na normalne proporcije lica i dentalne odnose. Leče se repozicioniranjem vilica u sve tri ravni prostora, što menja položaj i napetost okolnih mekih tkiva, kostiju i mišića. Ove promene mogu da utiču na veličinu faringealnih vazdušnih puteva. Cilj rada Cilj studije je bio da se procene i uporede trodimenzionalne promene faringealnih vazdušnih puteva kod osoba lečenih retropozicioniranjem mandibule uz pomeranje maksile unapred u odnosu na one lečene pomeranjem obe vilice unapred uz genioplastiku. Metode rada Ispitanike je činilo sedam pacijenata lečenih kombinacijom retropozicioniranja mandibule i anteriornog pozicioniranja maksile i sedam pacijenata lečenih bimaksilarnim anteriornim pozicioniranjem. Zapremine nazofarinksa, orofarinksa i površina najužeg dela orofarinksa mereni su na CBCT snimcima (2 tL/120 kV/12' FOV) napravljanim pre operacije (T1) i tri meseca nakon hirurške korekcije (T2). Studentov t-test za uparene uzorke korišćen je za analizu statističke značajnosti promena (p≤0,05). Rezultati Zapremina orofarinksa i površina najužeg dela orofarinksa povećale su se u obe grupe, i to statistički značajno kod ispitanika lečenih bimaksilarnim anteriornim pozicioniranjem, a statistički beznačajno kod ispitanika lečenih kombinacijam retropozicioniranja mandibule i anteriornog pozicioniranja maksile. Ni u jednoj grupi nije došlo do smanjenja zapremine nazofarinksa. Ni pre ni posle terapije nisu uočene značajne razlike u veličini vazdušnih puteva između grupa. Zaključak Rezultati ukazuju na to da retropozicioniranje mandibule uz anteriorno pozicioniranje maksile nije smanjilo dimenzije vazdušnih puteva, dok je bimaksilarno anteriorno pozicioniranje dovelo do statistički značajnog povećanja veličine orofarinksa.
PB  - Srpsko lekarsko društvo, Beograd
T2  - Srpski arhiv za celokupno lekarstvo
T1  - Pharyngeal airway changes after bimaxillary orthognathic surgery: Preliminary results
T1  - Promene faringealnih vazdušnih puteva nakon bimaksilarne ortognatske hirurgije - preliminarni rezultati
VL  - 143
IS  - 5-6
SP  - 267
EP  - 273
DO  - 10.2298/SARH1506267S
ER  - 
@article{
author = "Stefanović, Neda and Glišić, Branislav and Nikolić, Predrag and Juloski, Jovana and Palomo, Juan Martin",
year = "2015",
abstract = "Introduction Dentofacial deformity, a deviation from normal facial proportions and dental relationships, is corrected by jaw repositioning in all three spatial planes, which changes the position and tension of the surrounding tissues, bones and muscles. These changes may also affect the dimensions of the pharyngeal airways (PA). Objective The aim of this study was to evaluate and compare three-dimensional PA changes in patients treated by a combination mandibular set-back/maxillary advancement versus patients that had bimaxillary advancement with genioplasty. Methods The sample consisted of 7 patients treated by combined mandibular set-back/maxillary advancement and 7 patients treated with bimaxillary advancement surgery. Nasopharyngeal (NP) volume, oropharyngeal (OP) volume and the area of maximum constriction (AMC) in the OP were measured on CbCt scans (2 mA/120 kV/12'' FOV) taken before (T1 ) and 3 months after surgery (T2). Paired samples t-test was used for analyzing statistical significance of changes (p≤0.05). Results OP volume and AMC increase after bimaxillary advancement was statistically significant, while for the mandibular set-back group the increase was non-significant. NP volume was not reduced in any of the two groups. No significant differences in PA dimensions were found between groups at neither T1 nor T2 time points. Conclusion Results suggest that the combination of mandibular set-back/maxillary advancement did not reduce airway dimensions, while bimaxillary advancement surgery led to a statistically significant increase in the OP dimensions., Uvod Dentofacijalni deformiteti predstavljaju odstupanje u odnosu na normalne proporcije lica i dentalne odnose. Leče se repozicioniranjem vilica u sve tri ravni prostora, što menja položaj i napetost okolnih mekih tkiva, kostiju i mišića. Ove promene mogu da utiču na veličinu faringealnih vazdušnih puteva. Cilj rada Cilj studije je bio da se procene i uporede trodimenzionalne promene faringealnih vazdušnih puteva kod osoba lečenih retropozicioniranjem mandibule uz pomeranje maksile unapred u odnosu na one lečene pomeranjem obe vilice unapred uz genioplastiku. Metode rada Ispitanike je činilo sedam pacijenata lečenih kombinacijom retropozicioniranja mandibule i anteriornog pozicioniranja maksile i sedam pacijenata lečenih bimaksilarnim anteriornim pozicioniranjem. Zapremine nazofarinksa, orofarinksa i površina najužeg dela orofarinksa mereni su na CBCT snimcima (2 tL/120 kV/12' FOV) napravljanim pre operacije (T1) i tri meseca nakon hirurške korekcije (T2). Studentov t-test za uparene uzorke korišćen je za analizu statističke značajnosti promena (p≤0,05). Rezultati Zapremina orofarinksa i površina najužeg dela orofarinksa povećale su se u obe grupe, i to statistički značajno kod ispitanika lečenih bimaksilarnim anteriornim pozicioniranjem, a statistički beznačajno kod ispitanika lečenih kombinacijam retropozicioniranja mandibule i anteriornog pozicioniranja maksile. Ni u jednoj grupi nije došlo do smanjenja zapremine nazofarinksa. Ni pre ni posle terapije nisu uočene značajne razlike u veličini vazdušnih puteva između grupa. Zaključak Rezultati ukazuju na to da retropozicioniranje mandibule uz anteriorno pozicioniranje maksile nije smanjilo dimenzije vazdušnih puteva, dok je bimaksilarno anteriorno pozicioniranje dovelo do statistički značajnog povećanja veličine orofarinksa.",
publisher = "Srpsko lekarsko društvo, Beograd",
journal = "Srpski arhiv za celokupno lekarstvo",
title = "Pharyngeal airway changes after bimaxillary orthognathic surgery: Preliminary results, Promene faringealnih vazdušnih puteva nakon bimaksilarne ortognatske hirurgije - preliminarni rezultati",
volume = "143",
number = "5-6",
pages = "267-273",
doi = "10.2298/SARH1506267S"
}
Stefanović, N., Glišić, B., Nikolić, P., Juloski, J.,& Palomo, J. M.. (2015). Pharyngeal airway changes after bimaxillary orthognathic surgery: Preliminary results. in Srpski arhiv za celokupno lekarstvo
Srpsko lekarsko društvo, Beograd., 143(5-6), 267-273.
https://doi.org/10.2298/SARH1506267S
Stefanović N, Glišić B, Nikolić P, Juloski J, Palomo JM. Pharyngeal airway changes after bimaxillary orthognathic surgery: Preliminary results. in Srpski arhiv za celokupno lekarstvo. 2015;143(5-6):267-273.
doi:10.2298/SARH1506267S .
Stefanović, Neda, Glišić, Branislav, Nikolić, Predrag, Juloski, Jovana, Palomo, Juan Martin, "Pharyngeal airway changes after bimaxillary orthognathic surgery: Preliminary results" in Srpski arhiv za celokupno lekarstvo, 143, no. 5-6 (2015):267-273,
https://doi.org/10.2298/SARH1506267S . .
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Three-dimensional pharyngeal airway changes in orthodontic patients treated with and without extractions

Stefanović, Neda; El, H.; Chenin, D. L.; Glišić, Branislav; Palomo, Juan Martin

(Wiley, Hoboken, 2013)

TY  - JOUR
AU  - Stefanović, Neda
AU  - El, H.
AU  - Chenin, D. L.
AU  - Glišić, Branislav
AU  - Palomo, Juan Martin
PY  - 2013
UR  - https://smile.stomf.bg.ac.rs/handle/123456789/1840
AB  - Structured Abstract Objective To evaluate and compare three-dimensional pharyngeal airway changes in orthodontic patients treated with and without extractions. Material and Methods Pharyngeal airway was analyzed for 31 subjects (15 males, 16 females) treated with extractions of four first premolars and 31 age- and gender-matched controls (15 males, 16 females) treated without extractions. The mean age of subjects was 12.97 +/- 1.15years at the beginning and 15.69 +/- 1.28years at the end of treatment. The mean age of controls was 12.86 +/- 0.74years at the beginning and 15.18 +/- 0.86years at the end of treatment. Nasopharyngeal (NP) and oropharyngeal (OP) volumes, area of maximum pharyngeal constriction (AMPC), and upper arch perimeter were measured on T0 and T1 cone beam computed tomography (CBCT) scans. Paired samples t-test was used for analyzing statistical significance of changes (p0.05). Results There were no statistically significant differences in the pharyngeal airway values between the extraction and non-extraction groups at neither T0 nor T1. The extraction group showed a statistically significant increase for NP and OP volumes and AMPC values. Such increase was also noted in the non-extraction group, without statistical significance for AMPC values. Conclusions The findings suggest that an extraction or non-extraction choice for orthodontic treatment would not affect the pharyngeal airway.
PB  - Wiley, Hoboken
T2  - Orthodontics & Craniofacial Research
T1  - Three-dimensional pharyngeal airway changes in orthodontic patients treated with and without extractions
VL  - 16
IS  - 2
SP  - 87
EP  - 96
DO  - 10.1111/ocr.12009
ER  - 
@article{
author = "Stefanović, Neda and El, H. and Chenin, D. L. and Glišić, Branislav and Palomo, Juan Martin",
year = "2013",
abstract = "Structured Abstract Objective To evaluate and compare three-dimensional pharyngeal airway changes in orthodontic patients treated with and without extractions. Material and Methods Pharyngeal airway was analyzed for 31 subjects (15 males, 16 females) treated with extractions of four first premolars and 31 age- and gender-matched controls (15 males, 16 females) treated without extractions. The mean age of subjects was 12.97 +/- 1.15years at the beginning and 15.69 +/- 1.28years at the end of treatment. The mean age of controls was 12.86 +/- 0.74years at the beginning and 15.18 +/- 0.86years at the end of treatment. Nasopharyngeal (NP) and oropharyngeal (OP) volumes, area of maximum pharyngeal constriction (AMPC), and upper arch perimeter were measured on T0 and T1 cone beam computed tomography (CBCT) scans. Paired samples t-test was used for analyzing statistical significance of changes (p0.05). Results There were no statistically significant differences in the pharyngeal airway values between the extraction and non-extraction groups at neither T0 nor T1. The extraction group showed a statistically significant increase for NP and OP volumes and AMPC values. Such increase was also noted in the non-extraction group, without statistical significance for AMPC values. Conclusions The findings suggest that an extraction or non-extraction choice for orthodontic treatment would not affect the pharyngeal airway.",
publisher = "Wiley, Hoboken",
journal = "Orthodontics & Craniofacial Research",
title = "Three-dimensional pharyngeal airway changes in orthodontic patients treated with and without extractions",
volume = "16",
number = "2",
pages = "87-96",
doi = "10.1111/ocr.12009"
}
Stefanović, N., El, H., Chenin, D. L., Glišić, B.,& Palomo, J. M.. (2013). Three-dimensional pharyngeal airway changes in orthodontic patients treated with and without extractions. in Orthodontics & Craniofacial Research
Wiley, Hoboken., 16(2), 87-96.
https://doi.org/10.1111/ocr.12009
Stefanović N, El H, Chenin DL, Glišić B, Palomo JM. Three-dimensional pharyngeal airway changes in orthodontic patients treated with and without extractions. in Orthodontics & Craniofacial Research. 2013;16(2):87-96.
doi:10.1111/ocr.12009 .
Stefanović, Neda, El, H., Chenin, D. L., Glišić, Branislav, Palomo, Juan Martin, "Three-dimensional pharyngeal airway changes in orthodontic patients treated with and without extractions" in Orthodontics & Craniofacial Research, 16, no. 2 (2013):87-96,
https://doi.org/10.1111/ocr.12009 . .
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