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Impact of Le-Fort I osteotomy on anatomical and functional aspects of the nasal airway and on quality of life

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objectives

Orthognathic surgery is a well-established procedure for skeletal deformities. Beneficial influences to the posterior airway space (PAS) have been described, but little is known about the subjective aesthetical and functional nasal aspects after orthognathic surgery. The aim of this study was to evaluate nasal airflow by anterior rhinomanometry and volumetric changes in the nasal airway space after mono- or bimaxillary surgery using cone-beam computed tomography (CBCT) and a new segmentation software. Furthermore, changes of patient’s quality of life (QoL) should be assessed.

Methods

Ten patients (9 skeletal class malformation III, 1 skeletal class malformation I) were included. CBCT images, rhinological inspections and anterior rhinomanometries were performed before (T0) and after surgery (T1). All patients completed the FROI-17, the ROE and the SF-36 questionnaires.

Results

A significant postoperative gain for nasal airway volume compared with the baseline was shown (p < 0.014). No statistically significant differences between pre- and postoperative flow rates were found (p = 0.114). Pre- and postoperative cohorts did not differ in responses of disease-specific (ROE and FROI-17) and generic QoL questionnaires (SF-36).

Conclusion

Maxillary relocation surgery leads to a significant increase in nasal airway space. Subjectively, orthognathic patients did not experience any functional but psychosocial aspects after bimaxillary surgery.

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Funding

No external/additional funding was received for this study.

Author information

Author notes

  1. Michaela Plath, Reinald Kuehle, Karim Zaoui and Christian Freudlsperger contributed equally to the paper.

Authors and Affiliations

  1. Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Heidelberg, Ruprecht-Karls-University, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany

    Karim Zaoui, Ingo Baumann & Michaela Plath

  2. Department of Oral and Maxillofacial Surgery, University Hospital Heidelberg, Heidelberg, Germany

    Reinald Kuehle, Oliver Ristow & Christian Freudlsperger

  3. Department of Restorative Dentistry, University Hospital Heidelberg, Heidelberg, Germany

    Dorothee Laura Schuessler

Authors
  1. Karim Zaoui
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  2. Reinald Kuehle
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  3. Ingo Baumann
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  4. Dorothee Laura Schuessler
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  5. Oliver Ristow
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  6. Michaela Plath
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  7. Christian Freudlsperger
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Contributions

All authors made substantial contributions to the study and have approved the final article. 
MP: designed and coordinated the study, participated in data acquisition and analysis, interpreted the data and drafted the manuscript. RK: participated in data acquisition and analysis, coordinated the study and critically revised the manuscript for important intellectual content. IB: participated in data interpretation and revision of the manuscript. DLS: participated in data interpretation and revision of the manuscript. OR: participated in data interpretation and revision of the manuscript. KZ: designed and coordinated the study, participated in data acquisition and analysis, critically revised the manuscript for important intellectual content. CF: designed and coordinated the study, participated in data acquisition and analysis, interpreted the data, critically revised the manuscript for important intellectual content.

Corresponding author

Correspondence to Michaela Plath.

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Conflict of interest

All authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Ethical approval

The Ethics Committee of the Medical Faculty at the University of Heidelberg granted permission to conduct the study (project no S-533/2017).

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Zaoui, K., Kuehle, R., Baumann, I. et al. Impact of Le-Fort I osteotomy on anatomical and functional aspects of the nasal airway and on quality of life. Eur Arch Otorhinolaryngol 276, 1065–1073 (2019). https://doi.org/10.1007/s00405-018-05277-5

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  • DOI: https://doi.org/10.1007/s00405-018-05277-5

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