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PHARYNGEAL AIRWAY VOLUME FOLLOWING ...

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(posterior tongue) area. In the A-P, or sagittal,<br />

dimension, there was a significant increase in airway size<br />

at all levels except the retroglossal area. 44<br />

Cone Beam Computed Tomography<br />

Lateral cephalometry has traditionally been used in<br />

orthodontics and oral surgery to examine the craniofacial<br />

skeleton, dentition, growth effects, and airway.<br />

Cephalometry is widely available, low in patient radiation,<br />

and inexpensive compared to computed tomography (CT) and<br />

magnetic resonance imaging (MRI). 1 The main limitation of<br />

this imaging modality is the inability to measure airway<br />

volume or examine lateral soft tissue structures. 1<br />

In recent years, a new technology, cone beam computed<br />

tomography (CBCT) has been developed and is gaining<br />

popularity in the realm of orthodontics and oral surgery.<br />

When compared to traditional CT, CBCT scans are faster,<br />

less expensive, more readily available, and expose the<br />

patient to less radiation. 45 Utilizing a cone-shaped x-ray<br />

beam, a 3-dimension image is acquired with one 360 degree<br />

scan of a patient. 46 The x-ray beams are oriented in a<br />

parallel fashion with the patient close to the sensor,<br />

therefore producing an image that has a magnification ratio<br />

of 1:1. 46 CBCT allows a more accurate evaluation of<br />

14

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