Impact of Nasal Intubation Tube Design on Nasal Morphology in Orthognathic Surgery: a Comparative Study.

IF 0.7 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Maxillofacial & Oral Surgery Pub Date : 2026-06-01 Epub Date: 2025-08-19 DOI:10.1007/s12663-025-02702-1

Merve Öztürk Muhtar, Sabahat Zeynep Yey Özkeskin, Yusuf Bekir Kara, Pelin Corman Dincer, Erol Cansız

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引用次数: 0

Abstract

Purpose: This study compared the effects of two different intubation tube designs used in orthognathic surgery on nasal morphology alterations, utilizing three-dimensional imaging.

Methods: Three-dimensional facial scanning (3DFS) images obtained from 22 patients preoperatively (T0) and at six months postoperatively (T1) were retrospectively analyzed. The patients were categorized into two groups according to the type of the intubation tube used (Group I: Cuffed Reinforced Endotracheal Tube; Group II: North Polar Endotracheal Tube (Portex® North Polar tube)). Following the identification of reference anatomical landmarks, nasal soft tissue measurements were conducted.

Results: In Group I, a significant difference in right nostril axis was found between T0 and T1 (p = 0,038). Intragroup analysis of the right and left Nasal-Alar (N-A) angles revealed significant changes between T0 and T1 measurements. At T1, the right N-A angles in Group I were significantly different from those in Group II (53.00 ± 4.77 vs. 48.72 ± 4.70, respectively; p = 0.047). The right-left nostril width difference was statistically greater in Group I compared to Group II at T1 (median values 154; 60, respectively).

Conclusion: The design and material of the intubation tube should be considered a contributing factor that may influence the nasal morphology.

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鼻插管管设计对正颌手术鼻形态影响的比较研究。

目的：本研究利用三维成像技术比较正颌手术中两种不同插管设计对鼻形态改变的影响。方法：回顾性分析22例患者术前（T0）和术后6个月（T1）三维面部扫描（3DFS）图像。根据使用的插管类型将患者分为两组（I组：加箍气管内插管；II组：北极气管内插管（Portex®North Polar tube））。在确定参考解剖标志后，进行鼻腔软组织测量。结果：I组右鼻孔轴在T0和T1之间有显著差异（p = 0.038）。组内分析右鼻翼和左鼻翼（N-A）角显示T0和T1测量之间有显著变化。T1时，I组与II组右N-A角差异有统计学意义（分别为53.00±4.77∶48.72±4.70,p = 0.047）。T1时，I组左右鼻孔宽度差大于II组（中位数分别为154和60）。结论：插管管的设计和材料是影响鼻形态的重要因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.90

自引率

0.00%

发文量

138

期刊介绍： This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.