{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T06:02:59Z","timestamp":1791266579203,"version":"4.1.0"},"reference-count":64,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>(1) To determine the effect of bimaxillary orthognathic surgery on pharyngeal airway, hyoid bone, and craniocervical posture in Class III bimaxillary surgery patients. (2) To evaluate short-term and long-term results. (3) To compare short- and long-term values.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Twenty-six Class III adult patients treated with bimaxillary surgery were included in the study. Cephalometric records were taken before treatment (T1), before surgery (T2), and 5\u00a0months (T3), 1.4\u00a0years (T4), 3\u00a0years (T5), and 5\u00a0years (T6) postsurgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      No significant differences were identified in craniocervical angulation between time intervals. There was a significant superior movement of hyoid bone at postsurgery (T3;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05); however, adaptation occurred to the normal position in the long term. A nonsignificant decrease occurred at the oropharyngeal middle pharyngeal distance parameter; however, this was compensated with a significant increase between T5 and T6 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). A significant decrease was observed in the hypopharyngeal Go-P parameter between T3 and T1 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01), but it recovered with a nonsignificant increase in the long term. A significant increase in nasopharyngeal area was observed between T3 and T1 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05). The hypopharyngeal area significantly increased between T5 and T6, and PNS-R significantly increased between T3 and T1 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The pharyngeal areas adversely affected after surgery recover at long-term follow-up; thus, adaptation occurs after bimaxillary surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/072213-534.1","type":"journal-article","created":{"date-parts":[[2014,3,7]],"date-time":"2014-03-07T08:19:05Z","timestamp":1394180345000},"page":"773-781","source":"Crossref","is-referenced-by-count":33,"title":["Pharyngeal airway space, hyoid bone position, and head posture after bimaxillary orthognathic surgery in Class III patients: Long-term evaluation"],"prefix":"10.2319","volume":"84","author":[{"given":"Ruchengiz","family":"Efendiyeva","sequence":"first","affiliation":[{"name":"Research Assistant, Department of Orthodontics, University of Ankara, Faculty of Dentistry, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halise","family":"Aydemir","sequence":"additional","affiliation":[{"name":"Assistant Professor, Orthodontist, Turgut \u00d6zal University Oral and Dental Health Care Center, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hakan","family":"Karasu","sequence":"additional","affiliation":[{"name":"Professor, Department of Maxillofacial Surgery, University of Ankara, Faculty of Dentistry, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ufuk","family":"Toygar-Memiko\u011flu","sequence":"additional","affiliation":[{"name":"Professor, Department of Orthodontics, University of Ankara, Faculty of Dentistry, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-84-5-773-b01","series-title":"Int J Oral Maxillofac Surg","first-page":"333","article-title":"Mandibular setback for the surgical correction of mandibular hyperplasia\u2014does it provoke sleep-related breathing disorders","volume":"25","author":"Hochban\n              W,","year":"1996","unstructured":"Hochban\n              W, \n            \n              Schurmann\n              R, \n            \n              Bradenburg\n              U, \n            \n              Conradt\n              R. \n          \n          Mandibular setback for the surgical correction of mandibular hyperplasia\u2014does it provoke sleep-related breathing disorders? 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J Craniofac Surg. 2005;16:23\u201330."},{"key":"i0003-3219-84-5-773-b03","series-title":"Angle Orthod","first-page":"302","article-title":"Changes of hyoid, tongue and pharyngeal airway after mandibular set back surgery by intraoral vertical ramus osteotomy","volume":"80","author":"Hwang\n              S,","year":"2010","unstructured":"Hwang\n              S, \n            \n              Chung\n              CJ, \n            \n              Choi\n              YJ, \n            \n              Huh\n              JK, \n            \n              Kim\n              KH. \n          \n          Changes of hyoid, tongue and pharyngeal airway after mandibular set back surgery by intraoral vertical ramus osteotomy. Angle Orthod. 2010;80:302\u2013308."},{"key":"i0003-3219-84-5-773-b04","series-title":"Int J Adult Orthodon Orthognath Surg","first-page":"285","article-title":"Changes in hypopharyngeal airway space and in tongue and hyoid bone positions following the surgical correction of mandibular prognathism","volume":"9","author":"Enacar\n              A,","year":"1994","unstructured":"Enacar\n              A, \n            \n              Aksoy\n              AU, \n            \n              Sen\u00e7ift\n              Y, \n            \n              Haydar\n              B, \n            \n              Aras\n              K. \n          \n          Changes in hypopharyngeal airway space and in tongue and hyoid bone positions following the surgical correction of mandibular prognathism. 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Eur J Orthod. 2000;22:383\u2013394."},{"key":"i0003-3219-84-5-773-b06","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod","first-page":"278","article-title":"Three-dimensional computed tomographic evaluation of morphologic airway changes after mandibular set back osteotomy for prognathism","volume":"89","author":"Kawamata\n              A,","year":"2000","unstructured":"Kawamata\n              A, \n            \n              Fujishita\n              M. \n          \n          Three-dimensional computed tomographic evaluation of morphologic airway changes after mandibular set back osteotomy for prognathism. 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Am J Orthod Dentofacial Orthop. 2007;131:372\u2013377."},{"key":"i0003-3219-84-5-773-b08","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod","first-page":"495","article-title":"A comparative CT evaluation of pharyngeal airway changes in class III patients receiving bimaxillary surgery or mandibular set back surgery","volume":"105","author":"De\u011ferliyurt\n              K,","year":"2008","unstructured":"De\u011ferliyurt\n              K, \n            \n              Koichiro\n              U, \n            \n              Hashiba\n              Y, \n            \n              Marukawa\n              K, \n            \n              Nakagawa\n              K, \n            \n              Yamamato\n              E. \n          \n          A comparative CT evaluation of pharyngeal airway changes in class III patients receiving bimaxillary surgery or mandibular set back surgery. 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J Craniofac Surg. 2005;16:23\u201330."},{"key":"i0003-3219-84-5-773-b03","series-title":"Angle Orthod","first-page":"302","article-title":"Changes of hyoid, tongue and pharyngeal airway after mandibular set back surgery by intraoral vertical ramus osteotomy","volume":"80","author":"Hwang\n              S,","year":"2010","unstructured":"Hwang\n              S, \n            \n              Chung\n              CJ, \n            \n              Choi\n              YJ, \n            \n              Huh\n              JK, \n            \n              Kim\n              KH. \n          \n          Changes of hyoid, tongue and pharyngeal airway after mandibular set back surgery by intraoral vertical ramus osteotomy. Angle Orthod. 2010;80:302\u2013308."},{"key":"i0003-3219-84-5-773-b04","series-title":"Int J Adult Orthodon Orthognath Surg","first-page":"285","article-title":"Changes in hypopharyngeal airway space and in tongue and hyoid bone positions following the surgical correction of mandibular prognathism","volume":"9","author":"Enacar\n              A,","year":"1994","unstructured":"Enacar\n              A, \n            \n              Aksoy\n              AU, \n            \n              Sen\u00e7ift\n              Y, \n            \n              Haydar\n              B, \n            \n              Aras\n              K. \n          \n          Changes in hypopharyngeal airway space and in tongue and hyoid bone positions following the surgical correction of mandibular prognathism. 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