Acoustic rhinometric evaluation of the nasal cavity after rapid maxillary expansion

Annelise Nazareth Cunha Ribeiro; José Rino-Neto; João Batista de Paiva

doi:10.5937/sejodr5-17435

Annelise Nazareth Cunha Ribeiro University of São Paulo, Department of orthodontics, São Paulo
José Rino-Neto University of São Paulo, Department of orthodontics, São Paulo
João Batista de Paiva University of São Paulo, Department of orthodontics, São Paulo

DOI: https://doi.org/10.5937/sejodr5-17435

Abstract

Objective: Because of the anatomic proximity between the nasal cavity and the maxilla, much has been investigated regarding changesin nasal geometry after this procedure. In this study, we propose to evaluate the repercussion of RME in the nasal cavity in the patientduring the growth phase.
Materials and methods: For this, we evaluated 19 patients with transverse maxillary deficiency and indication for RME. The patientswere evaluated using acoustic rhinometry in 3 moments (pre-RME, post-RME, post-restraint).
Results: There was no mean change in MCA1 M1, M2 and M3 (p = 0.122). MCA2 measurement appears to increase in M2. VOL1 is suffering a mean increase in M2 compared to M1 (p = 0.025) and continues higher in M3 (p = 0.271). There is little variationof VOL 2 between the evaluated moments.
Conclusion: The results allow us to affirm that RME significantly increases the anterior region of the nasal cavity immediately to theprocedure, however, after the period of containment there is a tendency of recurrence of this increase returning to values close to theinitial cross-sectional area of the nasal cavity.

References

Zavras Al, White GE, Rich A, Jackson AC. Acoustic rhinometry in the evaluation of children with nasal or oral respiration. J Clin Pediatr Dent 1994;18(3):203-10.

Linder-Aronson S, Backstrom A. Respiratory function in relation to facial morphology and the dentition. Br J Orthod 1979;6(2):59-71.

McNamara Junior JA. Influence of respiratory pattern on craniofacial growth. Angle Orthod 1981;51(4):269-300.

O’ryan FS, Gallagher DM, LaBanc JP, Epker BN. The relation between nasorespiratory function and dentofacial morphology: a review. Am J Orthod 1982;82(5):403-10.

Diamond O. Tonsil and adenoids: why the dilemma? Am J Orthod 1980;78(5):495-503.

Hartsook JT. Mouth breathing as a primary etiologic factor in the production of malocclusion. J Dent Child 1946;13(4):91-4.

Angell EH. Treatment of irregularity of the permanent adult teeth. Part I. Dental Cosmos 1860 1:540-4.

Hartgerink DV, Vig PS, Abbott DW. The effects of rapid maxillary expansion on nasal airway resistance. Am J Orthod Dentofac Orthop1987;92(5):381-9.

Haas AJ. Rapid expansion of the maxillary dental arch and nasal cavity by opening the midpalatal suture. Angle Orthod 1961;31:73-90.

Wertz RA. Changes in nasal airflow incident to rapid maxillary expansion. Angle Orthod 1968;38(1):1-11.

Warren DW, Hershey HG, Turvey TA, Hinton VA, Hairfield WM. The nasal airway following maxillary expansion. Am J Orthod Dentofacial Orthop. 1987;91(2):111-6.

Cappellette Júnior M, Cruz OLM, Carlini D, Weckx LL, Pignatari SS. Evaluation of nasal capacity before and after rapid maxillary expansion. Am J Rhinol 2008;22(1):74-7.

Baratieri C, Alves M, de Souza MM G, de Souza Araùjo MT, Cople Maia L. Does rapid maxillary expansion have long-term effects on airway dimensions and breathing? Am J Orthod Dentofacial Orthop 2011;140(2):146-56.

Ribeiro ANC, de Paiva JB, Rino-Neto J, Illipronti-Filho E, Mongelli FS. Upper airway expansion after rapid maxillary expansion evaluated with cone beam computed tomography. Angle Orthod 2012;82(3):458-63.

De Fellippe NLO, Da Silveira AC, Viana G, Kusnoto B, Smith B, Evans CA. Relationship between rapid maxillary expansion and nasal cavity size and airway resistance: short and long term effects. Am J Orthod Dentofac Orthop 2008;134(3):370-82.

De Felippe NLO, Bhushan N, Da Silveira AC, Viana G, Smith B. Longterm effects of orthodontic therapy on the maxillary dental arch and nasal cavity. Am J Orthod Dentofacial Orthop. 2009;136(4):490e1-e8.

McNamara Jr JA, Lione R, Franchi L, Angelieri F, Cevidanes LH, Darendeliler MA, Cozza P. The role of rapid maxillary expansion in the promotion of oral and general health. Progress in Orthodontics 2015;16:33-9.

Enoki C, Valera FCP, Lessa FCR, Elias AM, Matsumoto MAN, Anselmo- Lima WT. Effect of rapid maxillary expansion on the dimension of the nasal cavity and on nasal air resistance. Int J Pediatr Otorhinolaryngol. 2006;70(7):1225-30

Gordon JM, Rosenblatt M, Witmans M, Carey JP, Heo G, Major PW, Flores-Mir C. Rapid Palatal Expansion Effects on Nasal Airway Dimensions as Measured by Acoustic Rhinometry. Angle Orthod 2009;79(5):1000-7.

Hilberg O, Jackson AC, Swift DL, Pedersen OF. Acoustic rhinometry: evaluation of nasal cavity geometry by acoustic reflection. J Appl Physiol 1989;66(1):295-303.

Corey JP. Acoustic Rhinometry: should we be using it? Curr Opin Otolaryngol Head Neck Surg 2006;14(1):29-34.

Haavisto LE, Sipilä JI. Acoustic rhinometry in children: Some practical aspects and influence of age and body surface area on results. Am J Rhinol 2008;22(4):416-9.

Gilain L, Coste A, Ricolfi F, Dahan E, Marliac D Peynegre R, Harf A, Louis B. Nasal cavity geometry measured by acoustic rhinometry and computed tomography. Arch Otolaryngol Head Neck Surg 1997;123(4):401-5.

Szucs E, Clemente PA. Acoustic rhinometry and rhinomanometry in the evaluation of nasal patency of patients with nasal septal deviation. Am J Rhinol 1998;12(5):345-52.

Tsolakis IA, Venkat D, Hans MG, Alonso A, Palomo JM. When static meets dynamic: Comparing cone-beam computed tomography and acoustic reflection for upper airway analysis. Am J Orthod Dentofacial Orthop 2016;150(4):643-50.

Lee WC, Tu YK, Huang CS, Chen R, Fu MW, Fu E. Pharyngeal airway changes following maxillary expansion or protraction: A meta-analysis. Orthod Craniofac Res 2018;21(1):4-11.

Bicakci AA, Agar U, Sökücü O, Babacan H, Doruk C. Nasal airway changes due to rapid maxillary expansion timing. Angle Orthod. 2005;75(1):1-6.

Babacan H, Sokuco O, Doruk C, Ay S. Rapid maxillary expansion and surgically assisted rapid maxillary expansion effects on nasal volume. Angle Orthod 2006;76(1):66-71.