Mandibular Prognathism
Conditions
Keywords
Orthognathic surgery, Pharyngeal airway space, skeletal class III patients.
Brief summary
twenty-four patients with dentoskeletal deformity of class III will be divided equally into two groups and will be subjected to orthognathic surgeries group A; will be treated by mandibular setback surgery while group B will be treated with bimaxillary orthognathic surgery in the form of mandibular setback and maxillary advancement surgeries. the total pharyngeal airway will be measured on lateral cephalometric radiographs, integrating retro-palatal and retro-glossal area, and statistically will be compared preoperative, immediate postoperative, and at 6 months post-surgically
Interventions
12 patients will undergo mandibular setback and maxillary advancement
12 patients will undergo mandibular setback
Sponsors
Study design
Eligibility
Inclusion criteria
* dento-skeletal class III malocclusion which needed a surgical intervention with maxillary advancement surgery and/or mandibular set-back orthognathic surgery in the form of bilateral sagittal split osteotomy * no previous orthognathic surgery
Exclusion criteria
* Patients with craniofacial syndromes. * Medically compromised patients and patients with bone anomalies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| total pharyngeal airway space surface area | 6 months | Cephalometric analyses will be performed, the pharyngeal airway is demarcated inferiorly by a line passing through the tip of epiglottis and the superior tip of the hyoid bone, namely Line A, while the retro-glossal and the retro-palatal airway is separated by a line extending from the basion parallel to line A. All the reference points and lines were conveyed to the images . The Pharyngeal airway space was measured and compared. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Epworth sleepiness scale | 6 months | (0-24) score to assess sleep apnea indirect |
Countries
Egypt