Orthodontics and Airway Interactions

Dudak Damak Yarığı Olan Hastalarda Havayolunun 3 Boyutlu Olarak Değerlendirilmesi
3D Evaluation of the Airway in Patients with Cleft Lip and Palate
Pelin AYDINa
aLokman Hekim Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi AD, Ankara, Türkiye
Aydın P. Dudak damak yarığı olan hastalarda havayolunun 3 boyutlu olarak değerlendirilmesi. Keçik D, editör. Ortodonti ve Havayolu Etkileşimleri. 1. Baskı. Ankara: Türkiye Klinikleri; 2024. p.56-60.
Article Language: TR
ÖZET
Dudak veya damak yarığı anomalileri, kraniyofasiyal bölgenin en yaygın konjenital malformasyonlarıdır. Bütün konjenital malformasyonların yaklaşık %15'ini oluştururlar. Dudak damak yarığından etkilenen hastaların genellikle uyku sırasında horlama ve solunum güçlüğü şikayetlerine sahip oldukları ebeveynleri tarafından bildirilmiştir. Ayrıca literatürde de dudak damak yarığından etkilenen hastalarda uyku sırasında ağız solunumu ve hipopne sıklığının arttığı bildirilmiştir. Kraniyofasiyal bölgenin en yaygın deformitelerinden olan dudak damak yarıklı hastalarda ve sağlıklı hastalardaki havayolu boşluğu hacmi arasındaki fark daha çok nasofaringeal alandadır. Faringeal havayolu boşluğunun nazofaringeal kısmındaki değişiklikler ile maksiller ilerlemeyi takiben meydana gelen iskeletsel değişiklikler arasında yüksek pozitif korelasyon vardır ve bebeklik çağında nazoalveolar molding tedavisi gören çocuklarda hava akışında, burun ve faringeal boyutta iyileşmeler görülmüştür.

Anahtar Kelimeler: Havayolu tıkanıklığı; dudak damak yarığı
ABSTRACT
Cleft lip and palate anomalies are the most common congenital malformations of the craniofacial region. They constitute approximately 15% of all congenital malformations. Patients affected by cleft lip and palate are usually reported by their parents to have complaints of snoring and difficulty breathing during sleep. In addition, it has been reported in the literature that patients affected by cleft lip and palate have increased frequency of mouth breathing and hypopnea during sleep. The difference between the airway volume in patients with cleft lip and palate and healthy patients is mostly in the nasopharyngeal area. There is a high positive correlation between the changes in the nasopharyngeal part of the pharyngeal airway space and the skeletal changes that occur following maxillary advancement, and improvements in airflow, nasal and pharyngeal size have been observed in children treated with nasoalveolar molding in infancy.

Keywords: Airway obstruction; cleft lip and palate

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