CT analysis of nasal volume changes after surgically-assisted rapid maxillary expansion

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Eve Tausche - , University Hospital Carl Gustav Carus Dresden (Author)
  • Wayel Deeb - , University Hospital Carl Gustav Carus Dresden (Author)
  • Lars Hansen - , University Hospital Carl Gustav Carus Dresden (Author)
  • Volker Hietschold - , Institute and Polyclinic of Diagnostic and Interventional Radiology, University Hospital Carl Gustav Carus Dresden (Author)
  • Winfried Harzer - , University Hospital Carl Gustav Carus Dresden (Author)
  • Matthias Schneider - , Department of Oral and Maxillofacial Surgery (Author)

Abstract

Objective: Aim of this study was to detect the changes in nasal volume due to bone-borne, surgically-assisted rapid palatal expansion (RPE) with the Dresden Distractor using computed tomography (CT). Materials and Methods: 17 patients (mean age 28.8) underwent axial CT scanning before and 6 months after RPE. The nasal bone width was examined in the coronal plane. Cross-sectional images of the nasal cavity were taken of the area surrounding the piriform aperture, choanae and in between. Bony nasal volume was computed by connecting the three cross-sectional areas. Results: All but two patients showed a 4.8% increase in nasal volume (SD 4.6%). The highest value, 33.3% (SD 45.1%), was measured anteriorly at the level of the nasal floor. This correlated with the midpalatal suture's V-shaped opening. There was no significant correlation between an increase in nasal volume and transverse dental arch expansion. Conclusion: As most of the air we breathe passes the lower nasal floor, an improvement in nasal breathing is likely.

Details

Original languageEnglish
Pages (from-to)306-317
Number of pages12
JournalJournal of orofacial orthopedics
Volume70
Issue number4
Publication statusPublished - 2009
Peer-reviewedYes

External IDs

PubMed 19649578

Keywords

ASJC Scopus subject areas

Keywords

  • Hyrax screw, Implant and orthodontics, Nasal volume and deficient maxilla, Rapid palatal expansion