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Published in: Oral Radiology 4/2023

18-06-2023 | Computed Tomography | Original Article

Evaluation of the influence of hyoid bone position, volume, and types on pharyngeal airway volume and cephalometric measurements

Authors: Aida Kurbanova, Seçil Aksoy, Meltem Nalça Andrieu, Ulaş Öz, Kaan Orhan

Published in: Oral Radiology | Issue 4/2023

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Abstract

Objectives

We aimed to explore the position, morphological, and morphometric properties of the hyoid bone (HB) and to investigate the effect of HB on the pharyngeal airway (PA) volume and cephalometric measurements.

Methods

A total of 305 patients with CT images were included in the study. DICOM images were transferred to the InVivoDental three-dimensional imaging software. The position of the HB was determined based on the cervical vertebra level and in volume render tab, the bone was classified into six types after all structures around the HB were removed. Also, final bone volume was recorded. In the same tab, the pharyngeal airway volume was divided and measured in three groups (nasopharynx–oropharynx–hypopharynx). The linear and angular measurements were performed on the 3D cephalometric analysis tab.

Results

HB was most commonly located in C3 vertebra level (80.3%). While B-type was found to be the most frequent (34%), V-type was the least frequent (8%). The volume of the HB was found to be significantly higher in male (3205 mm3) than female (2606 mm3) patients. Also, it was significantly higher in the C4 vertebra group. The vertical height of the face was positively correlated with the HB volume, C4 level position, and increased oro-nasopharyngeal airway volume.

Conclusion

The volume of the HB is found to differ significantly between genders and can potentially serve as a valuable diagnostic tool for understanding respiratory disorders. Its morphometric features are associated with increased face height and airway volume; however, are not related with the skeletal malocclusion classes.
Literature
6.
go back to reference Lekšan I, Marcikić M, Nikolić V, Radić R, Selthofer R. Morphological classification and sexual dimorphism of hyoid bone: new approach. Coll Antropol. 2005;29(1):237–42. PubMed Lekšan I, Marcikić M, Nikolić V, Radić R, Selthofer R. Morphological classification and sexual dimorphism of hyoid bone: new approach. Coll Antropol. 2005;29(1):237–42. PubMed
8.
go back to reference Papadopoulos N, Lykaki-Anastopoulou G, Alvanidou E. The shape and size of the human hyoid bone and a proposal for an alternative classification. J Anat. 1989;163:249–60. PubMedPubMedCentral Papadopoulos N, Lykaki-Anastopoulou G, Alvanidou E. The shape and size of the human hyoid bone and a proposal for an alternative classification. J Anat. 1989;163:249–60. PubMedPubMedCentral
18.
go back to reference Pollanen MS, Chiasson DA. Fracture of the hyoid bone in strangulation: comparison of fractured and unfractured hyoids from victims of strangulation. J Forensic Sci. 1996;41(1):110–3. CrossRefPubMed Pollanen MS, Chiasson DA. Fracture of the hyoid bone in strangulation: comparison of fractured and unfractured hyoids from victims of strangulation. J Forensic Sci. 1996;41(1):110–3. CrossRefPubMed
21.
go back to reference Kopuz C, Ortug G. Variable morphology of the hyoid bone in anatolian population: clinical implications-a cadaveric study. Int J Morphol. 2016;34(4):1396–403. CrossRef Kopuz C, Ortug G. Variable morphology of the hyoid bone in anatolian population: clinical implications-a cadaveric study. Int J Morphol. 2016;34(4):1396–403. CrossRef
23.
go back to reference Chang PC, Liang K, Lim J, Chung MC, Chien LY. A comparison of the thresholding strategies of micro-CT for periodontal bone loss: a pilot study. Dentomaxillofac Radiol. 2013;42:66925194. CrossRefPubMedPubMedCentral Chang PC, Liang K, Lim J, Chung MC, Chien LY. A comparison of the thresholding strategies of micro-CT for periodontal bone loss: a pilot study. Dentomaxillofac Radiol. 2013;42:66925194. CrossRefPubMedPubMedCentral
27.
go back to reference Hudgins PA, Siegel J, Jacobs I, Abramowsky C. The normal pediatric larynx on CT and MR. Am J Neuroradiol. 1997;18(2):239–45. PubMedPubMedCentral Hudgins PA, Siegel J, Jacobs I, Abramowsky C. The normal pediatric larynx on CT and MR. Am J Neuroradiol. 1997;18(2):239–45. PubMedPubMedCentral
40.
go back to reference Janicka A, Halczy-Kowalik L. Pozycja kości gnykowej i jezyka a drozność górnych dróg oddechowych [Hyoid bone position and tongue size and patency of upper airway structures]. Ann Acad Med Stetin. 2006;52(3):53–9. PubMed Janicka A, Halczy-Kowalik L. Pozycja kości gnykowej i jezyka a drozność górnych dróg oddechowych [Hyoid bone position and tongue size and patency of upper airway structures]. Ann Acad Med Stetin. 2006;52(3):53–9. PubMed
Metadata
Title
Evaluation of the influence of hyoid bone position, volume, and types on pharyngeal airway volume and cephalometric measurements
Authors
Aida Kurbanova
Seçil Aksoy
Meltem Nalça Andrieu
Ulaş Öz
Kaan Orhan
Publication date
18-06-2023
Publisher
Springer Nature Singapore
Published in
Oral Radiology / Issue 4/2023
Print ISSN: 0911-6028
Electronic ISSN: 1613-9674
DOI
https://doi.org/10.1007/s11282-023-00691-w

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