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PHARYNGEAL AIRWAY VOLUME FOLLOWING ...

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employed to divide the airway into superior and inferior<br />

components may not have been accurate since the maxillary<br />

incisal edge most likely changed vertical position as a<br />

result of surgery; therefore, the airway may not have been<br />

separated at the same point along the posterior pharyngeal<br />

wall. For future studies, a hard tissue landmark that is<br />

not surgically altered could be utilized.<br />

There are other variables that could have influenced<br />

individual surgical results, including differential patient<br />

response to surgery, soft tissue thickness, muscle<br />

tonicity, body mass index, age, gender, and the fact that<br />

both jaws were surgically repositioned rather than one jaw.<br />

The results of the current study differ from other<br />

studies that measured airway volume utilizing CBCT.<br />

Stigall found no significant differences in airway volume<br />

after mandibular advancement surgery. This may have been<br />

due to the small sample size (n=9, 6 patients also had a<br />

maxillary advancement surgery), soft tissue swelling of<br />

tissues adjacent to the airway since post-surgical scans<br />

were taken between 1 and 8 weeks post-surgery, and/or the<br />

small amount of mandibular advancement (mean = 3.25 mm).<br />

Sears 2 found a significant increase in airway volume<br />

one month following surgery, but volume decreased at 6-8<br />

months following surgery. Airway volume did not return to<br />

44

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