Three-Dimensional Measurements of Pharyngeal Airway in Patients with Unilateral Cleft Lip and Palate

Bull Tokyo Dent Coll. 2020 Dec 16;61(4):213-219. doi: 10.2209/tdcpublication.2020-0019. Epub 2020 Nov 10.

Abstract

The aim of this study was to investigate 3-dimensional (3D) airway volume in patients with unilateral cleft lip and palate (UCLP) using computed tomography (CT). The study population comprised 15 UCLP patients (UCLP group) scheduled to receive alveolar bone grafts and 15 with impacted teeth (control group). The clinical requirements for a CT scan were met in both groups. Measurements were recorded from 3D reconstructions of Digital Imaging and Communications in Medicine data obtained from the CT images. Airway volume, cross-sectional area, and linear and angular measurements were recorded. Airway volume and cross-sectional area showed no significant difference between the two groups. The narrowest section of the airway in the UCLP group was tighter than that in the control group, however (p=0.017). The results of this study suggest that this difference in the measurements of the narrowest section of the airway is involved in the particular maxillofacial morphology found in UCLP patients.

Keywords: Airway volume; Cleft lip and palate; Minimum cross-sectional dimensions.

MeSH terms

  • Cleft Lip* / diagnostic imaging
  • Cleft Palate* / diagnostic imaging
  • Cone-Beam Computed Tomography
  • Humans
  • Imaging, Three-Dimensional
  • Pharynx / diagnostic imaging