{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T15:07:52Z","timestamp":1780067272100,"version":"3.54.0"},"reference-count":68,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:\u2002<\/jats:title>\n                    <jats:p>To compare the dimensions of the nasopharynx and oropharynx of subjects with different growth patterns and to determine whether any correlation exists with their craniocervical posture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:\u2002<\/jats:title>\n                    <jats:p>\n                      Cephalometric radiograph of 60 subjects (16\u201325 years old), taken in natural head position, were divided into three groups according to the mandibular plane angle: hypodivergent (SN\/MP &lt;26\u00b0), normodivergent (SN\/MP 26\u00b0\u201338\u00b0), and hyperdivergent (SN\/MP &lt;38\u00b0). Correlations were calculated between nasopharyngeal area, oropharyngeal area, and craniocervical posture. Continuous variables were compared by one-way analysis of variance, and the significance of mean difference between the groups was done by the Tukey post hoc test. A value of\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05 was considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:\u2002<\/jats:title>\n                    <jats:p>\n                      Patients in the hyperdivergent group were found to have significantly smaller nasopharyngeal and oropharyngeal areas than the other groups (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001 and\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05, respectively). Similarly, the oropharyngeal area in the normodivergent group was significantly smaller than that in the hypodivergent group (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05). However, no significant differences were found in the nasopharyngeal area between the hypodivergent and normodivergent groups and between the hyperdivergent and normodivergent groups (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05). Reduced pharyngeal airways were typically seen in patients with a large craniocervical angle and a large mandibular inclination.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:\u2002<\/jats:title>\n                    <jats:p>Smaller nasopharyngeal and oropharyngeal airways were seen in connection with a large craniocervical and a large mandibular inclination. We therefore suggest that the vertical skeletal pattern may be one of the factors that contribute to nasopharyngeal and oropharyngeal obstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/042314-299.1","type":"journal-article","created":{"date-parts":[[2014,9,23]],"date-time":"2014-09-23T08:28:49Z","timestamp":1411460929000},"page":"604-610","source":"Crossref","is-referenced-by-count":25,"title":["Soft tissue airway dimensions and craniocervical posture in subjects with different growth patterns"],"prefix":"10.2319","volume":"85","author":[{"given":"Juhi","family":"Ansar","sequence":"first","affiliation":[{"name":"Senior lecturer, Department of Orthodontics, Institute of Dental sciences, Bareilly, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandhya","family":"Maheshwari","sequence":"additional","affiliation":[{"name":"Professor and Chairman, Department of Orthodontics and Dental Anatomy, Aligarh Muslim University, Aligarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeev K.","family":"Verma","sequence":"additional","affiliation":[{"name":"Professor, Department of Orthodontics and Dental Anatomy, Aligarh Muslim University, Aligarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"Senior Lecturer, Department of Orthodontics, Sudha Rastogi Dental College, Faridabad, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak K.","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Professor and Chairman, Department of Orthodontics, Institute of Dental Sciences, Bareilly, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preeti","family":"Bhattacharya","sequence":"additional","affiliation":[{"name":"Professor, Department of Orthodontics, Institute of Dental Sciences, Bareilly, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"r1","series-title":"Semin Orthod","first-page":"39","article-title":"Allergy, nasal obstruction, and occlusion","volume":"10","author":"Lampasso, Judith D,","year":"2004","unstructured":"Lampasso, Judith D, \n            \n              Lampasso, James G. \n          \n          Allergy, nasal obstruction, and occlusion. Semin Orthod. 2004;10:39\u201344."},{"key":"r2","series-title":"Naso-respiratory Function and Craniofacial Growth","first-page":"149","article-title":"Neuromuscular and morphological adaptations in experimentally induced oral respiration","author":"Harvold\n              EP.","year":"1979","unstructured":"Harvold\n              EP. \n          \n          Neuromuscular and morphological adaptations in experimentally induced oral respiration. In: McNamaraJAJr, ed. Naso-respiratory Function and Craniofacial Growth. 3rd ed. Craniofacial Growth Series, Monograph 9. Ann Arbor:University of Michigan, Center for Human Growth and Development; 1979:149\u2013164."},{"key":"r3","series-title":"Eur J Orthod","first-page":"233","article-title":"Cranio-facial morphology in children with and without enlarged tonsils","volume":"12","author":"Behlfelt\n              K,","year":"1990","unstructured":"Behlfelt\n              K, \n            \n              Linder-Aronson\n              S, \n            \n              McWilliam\n              J, \n            \n              Neander\n              P, \n            \n              Laa-ge-Hellmann\n              J. \n          \n          Cranio-facial morphology in children with and without enlarged tonsils. Eur J Orthod. 1990;12:233\u2013243."},{"key":"r4","series-title":"Naso-respiratory Function and Craniofacial Growth","first-page":"87","article-title":"Craniocervical angulation and nasal respiratory resistance","author":"Solow\n              B,","year":"1979","unstructured":"Solow\n              B, \n            \n              Greve\n              E. \n          \n          Craniocervical angulation and nasal respiratory resistance. In: McNamaraJAJr, ed. Naso-respiratory Function and Craniofacial Growth. 3rd ed. Craniofacial Growth Series, Monograph 9. Ann Arbor:University of Michigan, Center for Human Growth and Development; 1979:87\u2013119."},{"key":"r5","series-title":"Semin Orthod","first-page":"3","article-title":"Cephalometric evaluation and measurement of the upper airway","volume":"10","author":"Preston\n              BC.","year":"2004","unstructured":"Preston\n              BC. \n          \n          Cephalometric evaluation and measurement of the upper airway. Semin Orthod. 2004;10:3\u201315."},{"issue":"suppl 1","key":"r6","series-title":"Laryngorhinootologie","first-page":"S72","article-title":"Interaction between otorhinolaryngology and orthodontics: correlation between the nasopharyngeal airway and the craniofacial complex","volume":"89","author":"Stellzig-Eisenhauer\n              A,","year":"2010","unstructured":"Stellzig-Eisenhauer\n              A, \n            \n              Meyer-Marcotty\n              P. \n          \n          Interaction between otorhinolaryngology and orthodontics: correlation between the nasopharyngeal airway and the craniofacial complex. Laryngorhinootologie. 2010;89(suppl 1):S72\u2013S78."},{"key":"r7","series-title":"Angle Orthod","first-page":"1012","article-title":"Uvulo-glosso-pharyngeal dimensions in different anteroposterior skeletal patterns","volume":"75","author":"Abu Allhaija\n              ES,","year":"2005","unstructured":"Abu Allhaija\n              ES, \n            \n              Al-Khateeb\n              SN. \n          \n          Uvulo-glosso-pharyngeal dimensions in different anteroposterior skeletal patterns. Angle Orthod. 2005;75:1012\u20131018."},{"key":"r8","series-title":"J Oral Maxillofac Surg","first-page":"135","article-title":"Cephalometric comparative study of the soft tissue airway dimensions in persons with hyperdivergent and normodivergent facial patterns","volume":"56","author":"Joseph\n              A,","year":"1998","unstructured":"Joseph\n              A, \n            \n              Elbaum\n              J, \n            \n              Cisneros\n              GJ, \n            \n              Eisig\n              SB. \n          \n          Cephalometric comparative study of the soft tissue airway dimensions in persons with hyperdivergent and normodivergent facial patterns. J Oral Maxillofac Surg. 1998;56:135\u2013l39."},{"key":"r9","series-title":"Am J Phys Anthropol","first-page":"417","article-title":"Head posture and craniofacial morphology","volume":"44","author":"Solow\n              B,","year":"1976","unstructured":"Solow\n              B, \n            \n              Tallgren\n              A. \n          \n          Head posture and craniofacial morphology. Am J Phys Anthropol. 1976;44:417\u2013436."},{"key":"r10","series-title":"Eur J Orthod","first-page":"25","article-title":"The channelization of upper and lower anterior face heights compared to population standard in males between ages 6 to 20 years","volume":"1","author":"Woodside\n              DG,","year":"1979","unstructured":"Woodside\n              DG, \n            \n              Linder-Aronson\n              S. \n          \n          The channelization of upper and lower anterior face heights compared to population standard in males between ages 6 to 20 years. 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Angle Orthod. 1952;22:23\u201337."},{"key":"r13","series-title":"Acta Odontol Scand","first-page":"591","article-title":"Natural head position in standing subjects","volume":"29","author":"Solow\n              B,","year":"1971","unstructured":"Solow\n              B, \n            \n              Tallgren\n              A. \n          \n          Natural head position in standing subjects. Acta Odontol Scand. 1971;29:591\u2013607."},{"key":"r14","series-title":"Tandlaegebladet","first-page":"1247","article-title":"Postural changes in craniocervical relationships","volume":"75","author":"Solow\n              B,","year":"1971","unstructured":"Solow\n              B, \n            \n              Tallgren\n              A. \n          \n          Postural changes in craniocervical relationships. Tandlaegebladet. 1971;75:1247\u20131257."},{"key":"r15","series-title":"Angle Orthod","first-page":"219","article-title":"Extreme variation in vertical facial growth and associated variation in skeletal and dental relations","volume":"41","author":"Isaacson\n              JR,","year":"1971","unstructured":"Isaacson\n              JR, \n            \n              Isaacson\n              RJ, \n            \n              Speidel\n              TM, \n            \n              Worms\n              FW. \n          \n          Extreme variation in vertical facial growth and associated variation in skeletal and dental relations. Angle Orthod. 1971;41:219\u2013229."},{"key":"r16","series-title":"Sleep","first-page":"514","article-title":"Cephalometric roentgenograms and computerized tomographic scans in obstructive sleep apnea","volume":"9","author":"Riley\n              RW,","year":"1986","unstructured":"Riley\n              RW, \n            \n              Powell\n              NB, \n            \n              Guilleminault\n              C. \n          \n          Cephalometric roentgenograms and computerized tomographic scans in obstructive sleep apnea. Sleep. 1986;9:514\u2013515."},{"key":"r17","series-title":"Acta Odontol Scand Suppl","first-page":"351","article-title":"The bony nasopharynx. A roentgen-craniometric study","author":"Bergland\n              O.","year":"1963","unstructured":"Bergland\n              O. \n          \n          The bony nasopharynx. A roentgen-craniometric study. 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Int J Pediatr Otorhinolaryngol. 2002;63:119\u2013127."},{"key":"r23","series-title":"Am J Orthod","first-page":"299","article-title":"Postpharyngeal lymphoid tissue in Angle Class I and Class II malocclusions","volume":"81","author":"Sosa\n              FA,","year":"1982","unstructured":"Sosa\n              FA, \n            \n              Graber\n              TM, \n            \n              Muller\n              TP. \n          \n          Postpharyngeal lymphoid tissue in Angle Class I and Class II malocclusions. 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Semin Orthod. 2004;10:39\u201344."},{"key":"r2","series-title":"Naso-respiratory Function and Craniofacial Growth","first-page":"149","article-title":"Neuromuscular and morphological adaptations in experimentally induced oral respiration","author":"Harvold\n              EP.","year":"1979","unstructured":"Harvold\n              EP. \n          \n          Neuromuscular and morphological adaptations in experimentally induced oral respiration. In: McNamaraJAJr, ed. Naso-respiratory Function and Craniofacial Growth. 3rd ed. Craniofacial Growth Series, Monograph 9. Ann Arbor:University of Michigan, Center for Human Growth and Development; 1979:149\u2013164."},{"key":"r3","series-title":"Eur J Orthod","first-page":"233","article-title":"Cranio-facial morphology in children with and without enlarged tonsils","volume":"12","author":"Behlfelt\n              K,","year":"1990","unstructured":"Behlfelt\n              K, \n            \n              Linder-Aronson\n              S, \n            \n              McWilliam\n              J, \n            \n              Neander\n              P, \n            \n              Laa-ge-Hellmann\n              J. \n          \n          Cranio-facial morphology in children with and without enlarged tonsils. Eur J Orthod. 1990;12:233\u2013243."},{"key":"r4","series-title":"Naso-respiratory Function and Craniofacial Growth","first-page":"87","article-title":"Craniocervical angulation and nasal respiratory resistance","author":"Solow\n              B,","year":"1979","unstructured":"Solow\n              B, \n            \n              Greve\n              E. \n          \n          Craniocervical angulation and nasal respiratory resistance. In: McNamaraJAJr, ed. Naso-respiratory Function and Craniofacial Growth. 3rd ed. Craniofacial Growth Series, Monograph 9. Ann Arbor:University of Michigan, Center for Human Growth and Development; 1979:87\u2013119."},{"key":"r5","series-title":"Semin Orthod","first-page":"3","article-title":"Cephalometric evaluation and measurement of the upper airway","volume":"10","author":"Preston\n              BC.","year":"2004","unstructured":"Preston\n              BC. \n          \n          Cephalometric evaluation and measurement of the upper airway. Semin Orthod. 2004;10:3\u201315."},{"issue":"suppl 1","key":"r6","series-title":"Laryngorhinootologie","first-page":"S72","article-title":"Interaction between otorhinolaryngology and orthodontics: correlation between the nasopharyngeal airway and the craniofacial complex","volume":"89","author":"Stellzig-Eisenhauer\n              A,","year":"2010","unstructured":"Stellzig-Eisenhauer\n              A, \n            \n              Meyer-Marcotty\n              P. \n          \n          Interaction between otorhinolaryngology and orthodontics: correlation between the nasopharyngeal airway and the craniofacial complex. Laryngorhinootologie. 2010;89(suppl 1):S72\u2013S78."},{"key":"r7","series-title":"Angle Orthod","first-page":"1012","article-title":"Uvulo-glosso-pharyngeal dimensions in different anteroposterior skeletal patterns","volume":"75","author":"Abu Allhaija\n              ES,","year":"2005","unstructured":"Abu Allhaija\n              ES, \n            \n              Al-Khateeb\n              SN. \n          \n          Uvulo-glosso-pharyngeal dimensions in different anteroposterior skeletal patterns. Angle Orthod. 2005;75:1012\u20131018."},{"key":"r8","series-title":"J Oral Maxillofac Surg","first-page":"135","article-title":"Cephalometric comparative study of the soft tissue airway dimensions in persons with hyperdivergent and normodivergent facial patterns","volume":"56","author":"Joseph\n              A,","year":"1998","unstructured":"Joseph\n              A, \n            \n              Elbaum\n              J, \n            \n              Cisneros\n              GJ, \n            \n              Eisig\n              SB. \n          \n          Cephalometric comparative study of the soft tissue airway dimensions in persons with hyperdivergent and normodivergent facial patterns. J Oral Maxillofac Surg. 1998;56:135\u2013l39."},{"key":"r9","series-title":"Am J Phys Anthropol","first-page":"417","article-title":"Head posture and craniofacial morphology","volume":"44","author":"Solow\n              B,","year":"1976","unstructured":"Solow\n              B, \n            \n              Tallgren\n              A. \n          \n          Head posture and craniofacial morphology. Am J Phys Anthropol. 1976;44:417\u2013436."},{"key":"r10","series-title":"Eur J Orthod","first-page":"25","article-title":"The channelization of upper and lower anterior face heights compared to population standard in males between ages 6 to 20 years","volume":"1","author":"Woodside\n              DG,","year":"1979","unstructured":"Woodside\n              DG, \n            \n              Linder-Aronson\n              S. \n          \n          The channelization of upper and lower anterior face heights compared to population standard in males between ages 6 to 20 years. Eur J Orthod. 1979;1:25\u201340."},{"key":"r11","series-title":"Eur J Orthod","first-page":"233","article-title":"Cranio-facial morphology in children with and without enlarged tonsils","volume":"12","author":"Behlfelt\n              K,","year":"1990","unstructured":"Behlfelt\n              K, \n            \n              Linder-Aronson\n              S, \n            \n              McWilliam\n              J, \n            \n              Neander\n              P, \n            \n              Laage-Hellmann\n              J. \n          \n          Cranio-facial morphology in children with and without enlarged tonsils. Eur J Orthod. 1990;12:233\u2013243."},{"key":"r12","series-title":"Angle Orthod","first-page":"23","article-title":"A roentgenographic study of pharyngeal growth","volume":"22","author":"King\n              EW.","year":"1952","unstructured":"King\n              EW. \n          \n          A roentgenographic study of pharyngeal growth. 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