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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2026-1-50-54</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-4909</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Сравнительный анализ объема верхних дыхательных путей у пациентов со II и III скелетными классами гнатических форм зубочелюстных аномалий до и после лечения</article-title><trans-title-group xml:lang="en"><trans-title>Comparative analysis of upper respiratory tract volume in patients with class ii and class iii skeletal forms of dentofacial anomalies before and after treatment</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Свиридов</surname><given-names>Е. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Sviridov</surname><given-names>E. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Свиридов Е.Г. – к.м.н., доцент кафедры челюстно-лицевой и пластической хирургии</p><p>Москва</p></bio><bio xml:lang="en"><p>Sviridov E.G. – PhD, Associate Professor of the Department of Maxillofacial and Plastic Surgery</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рязанцев</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ryazantsev</surname><given-names>D. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рязанцев Д.А. – ординатор кафедры челюстно-лицевой и пластической хирургии</p><p>Москва</p></bio><bio xml:lang="en"><p>Ryazantsev D.A. – Resident of the Department of Maxillofacial and Plastic Surgery</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Изотов</surname><given-names>О. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Izotov</surname><given-names>O. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Изотов О.И. – к.м.н., ассистент кафедры челюстно-лицевой и пластической хирургии РУМ</p><p>Москва</p></bio><bio xml:lang="en"><p>Izotov O.I. – PhD, Assistant of the Department of Maxillofacial and Plastic Surgery</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тония</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Toniia</surname><given-names>D. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тония Д.С. – аспирант кафедры челюстно-лицевой и пластической хирургии</p><p>Москва</p></bio><bio xml:lang="en"><p>Toniia D.S. – Postgraduate Student of the Department of Maxillofacial and Plastic Surgery</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Заборовский</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zaborovsky</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Заборовский В.В. – аспирант кафедры челюстно-лицевой и пластической хирургии</p><p>Москва</p></bio><bio xml:lang="en"><p>Zaborovsky V.V. – Postgraduate Student of the Department of Maxillofacial and Plastic Surgery</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дробышев</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Drobyshev</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дробышев А.Ю. – д.м.н., заслуженный врач РФ, член-корреспондент РАН, профессор кафедры челюстно-лицевой и пластической хирургии</p><p>Москва</p></bio><bio xml:lang="en"><p>Drobyshev A.Yu. – Honored Doctor of the Russian Federation, Corresponding Member of the Russian Academy of Sciences, Professor, MD, Department of Maxillofacial and Plastic Surgery</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Российский университет медицины» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>«Russian University of Medicine» of the Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>02</day><month>04</month><year>2026</year></pub-date><volume>0</volume><issue>1</issue><issue-title>Стоматология (1)</issue-title><fpage>50</fpage><lpage>54</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Свиридов Е.Г., Рязанцев Д.А., Изотов О.И., Тония Д.С., Заборовский В.В., Дробышев А.Ю., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Свиридов Е.Г., Рязанцев Д.А., Изотов О.И., Тония Д.С., Заборовский В.В., Дробышев А.Ю.</copyright-holder><copyright-holder xml:lang="en">Sviridov E.G., Ryazantsev D.A., Izotov O.I., Toniia D.S., Zaborovsky V.V., Drobyshev A.Y.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-alphabet.com/jour/article/view/4909">https://www.med-alphabet.com/jour/article/view/4909</self-uri><abstract><p>Актуальность. Наличие нарушений функции внешнего дыхания у пациентов страдающими скелетными формами аномалий окклюзии является актуальной медицинской проблемой. Целью данного исследования было провести анализ объема верхних дыхательных путей с использованием специализированного ПО у пациентов прошедшим комбинированное лечение зубочелюстных аномалий. Материалы и методы. При помощи предложенного А.В. Глушко метода нами был проведен сравнительный анализ объема верхних дыхательных путей и минимальной аксиальной площади у 30 пациентов со вторым и третьим скелетными классами зубочелюстных аномалий. В исследование включались пациенты с основываясь на индексе нуждаемости в ортогнатическом лечении предложенным Ireland A.J. и соавт. со значениями выше Great Treatment Needed. Выводы. В результате нами было установлено, что при нормализации лицевых признаков и зубочелюстных взаимоотношений после проведения ортогнатической операции объемы верхних дыхательных путей у пациентов со вторым и третьим скелетными классами зубочелюстных аномалий становится сопоставимо равными.</p></abstract><trans-abstract xml:lang="en"><p>Relevance. The presence of impaired external respiration function in patients with skeletal forms of occlusal anomalies represents a significant medical challenge. Objective. This study aimed to analyse the volume of the upper airways using specialised software in patients who had undergone combined treatment for dentofacial anomalies. Materials and methods. Using the method proposed by A.V. Glushko, we conducted a comparative analysis of the upper airway volume and minimal axial area in 30 patients with skeletal Class II and Class III dentofacial anomalies. Patient inclusion was based on the Index of Orthognathic Treatment Need (proposed by Ireland A. J. et al.), with scores exceeding the «Great Treatment Needed» threshold. Results and conclusions. Our findings demonstrate that following orthognathic surgery and the subsequent normalisation of facial features and dentofacial relationships, the upper airway volumes in patients with skeletal Class II and Class III dentofacial anomalies become comparably equal.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ортогнатическая хирургия</kwd><kwd>объем дыхания</kwd><kwd>зубочелюстные аномалии</kwd><kwd>комбинированное лечение</kwd><kwd>объем верхних дыхательных путей</kwd></kwd-group><kwd-group xml:lang="en"><kwd>orthognathic surgery</kwd><kwd>respiratory volume</kwd><kwd>dentofacial anomalies</kwd><kwd>combined treatment</kwd><kwd>upper airway volume</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Daluz ADJ, da Silva TVS, Tôrres BO, Costa DFN, Santos LAM. Long-term airway evolution after orthognathic surgery: Systematic Review. J Stomatol Oral Maxillofac Surg. 2022 Apr;123(2):191–198. doi: 10.1016/j.jormas.2021.04.006. Epub 2021 Apr 18. PMID: 33882343.</mixed-citation><mixed-citation xml:lang="en">Daluz ADJ, da Silva TVS, Tôrres BO, Costa DFN, Santos LAM. Long-term airway evolution after orthognathic surgery: Systematic Review. J Stomatol Oral Maxillofac Surg. 2022 Apr;123(2):191–198. doi: 10.1016/j.jormas.2021.04.006. Epub 2021 Apr 18. PMID: 33882343.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Steegman R, Hogeveen F, Schoeman A, Ren Y. Cone beam computed tomography volumetric airway changes after orthognathic surgery: a systematic review. Int J Oral Maxillofac Surg. 2023 Jan;52(1):60–71. doi: 10.1016/j.ijom.2022.05.013. Epub 2022 Jul 1. PMID: 35788289.</mixed-citation><mixed-citation xml:lang="en">Steegman R, Hogeveen F, Schoeman A, Ren Y. Cone beam computed tomography volumetric airway changes after orthognathic surgery: a systematic review. Int J Oral Maxillofac Surg. 2023 Jan;52(1):60–71. doi: 10.1016/j.ijom.2022.05.013. Epub 2022 Jul 1. PMID: 35788289.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Quah B, Sng TJH, Yong CW, Wen Wong RC. Orthognathic Surgery for Obstructive Sleep Apnea. Oral Maxillofac Surg Clin North Am. 2023 Feb;35(1):49–59. doi: 10.1016/j.coms.2022.06.001. Epub 2022 Nov 3. PMID: 36336592.</mixed-citation><mixed-citation xml:lang="en">Quah B, Sng TJH, Yong CW, Wen Wong RC. Orthognathic Surgery for Obstructive Sleep Apnea. Oral Maxillofac Surg Clin North Am. 2023 Feb;35(1):49–59. doi: 10.1016/j.coms.2022.06.001. Epub 2022 Nov 3. PMID: 36336592.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Biradar JM, Kumar M, N S, Kadam HR, Tamboli AN, Shinde SU. Assessment of Posterior Pharyngeal Airway Changes After Orthognathic Surgery Using Barium Sulfate. Cureus. 2023 Aug 2;15(8):e42836. doi: 10.7759/cureus.42836. PMID: 37664273; PMCID: PMC10472191.</mixed-citation><mixed-citation xml:lang="en">Biradar JM, Kumar M, N S, Kadam HR, Tamboli AN, Shinde SU. Assessment of Posterior Pharyngeal Airway Changes After Orthognathic Surgery Using Barium Sulfate. Cureus. 2023 Aug 2;15(8):e42836. doi: 10.7759/cureus.42836. PMID: 37664273; PMCID: PMC10472191.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Sahoo NK, Agarwal SS, Datana S, Bhandari SK. Quantifying Upper Airway Changes Following Mandibular Orthognathic Surgery. J Craniofac Surg. 2021 Mar-Apr 01;32(2):569–573. doi: 10.1097/SCS.0000000000007011. PMID: 33704982.</mixed-citation><mixed-citation xml:lang="en">Sahoo NK, Agarwal SS, Datana S, Bhandari SK. Quantifying Upper Airway Changes Following Mandibular Orthognathic Surgery. J Craniofac Surg. 2021 Mar-Apr 01;32(2):569–573. doi: 10.1097/SCS.0000000000007011. PMID: 33704982.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Khaghaninejad MS, Khojastehpour L, Danesteh H, Changizi M, Ahrari F. Changes in the pharyngeal airway after different orthognathic procedures for correction of class III dysplasia. Maxillofac Plast Reconstr Surg. 2022 Jun 9;44(1):23. doi: 10.1186/s40902-022-00352-8. PMID: 35678935; PMCID: PMC9184694.</mixed-citation><mixed-citation xml:lang="en">Khaghaninejad MS, Khojastehpour L, Danesteh H, Changizi M, Ahrari F. Changes in the pharyngeal airway after different orthognathic procedures for correction of class III dysplasia. Maxillofac Plast Reconstr Surg. 2022 Jun 9;44(1):23. doi: 10.1186/s40902-022-00352-8. PMID: 35678935; PMCID: PMC9184694.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Sokolovich N.A., Saunina A.A. Analysis of the condition of the airway using a new method of computer diagnostics in patients with anomaly of occlusion. REJR 2024; 14(1):70–80. DOI: 10.21569/2222-7415-2024-14-1-70-80.</mixed-citation><mixed-citation xml:lang="en">Sokolovich N.A., Saunina A.A. Analysis of the condition of the airway using a new method of computer diagnostics in patients with anomaly of occlusion. REJR 2024; 14(1):70–80. DOI: 10.21569/2222-7415-2024-14-1-70-80.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Ортодонтия. Диагностика и лечение зубочелюстно-лицевых аномалий и деформаций: учебник / Л.С. Персин и др. – Москва: ГЭОТАР-Медиа, 2022. – 640 с. – ISBN 978-5-9704-3227-3.</mixed-citation><mixed-citation xml:lang="en">Orthodontics. Diagnosis and Treatment of Dental and Maxillofacial Abnormalities and Deformities: Textbook / L.S. Persin et al. – Moscow.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Agarwal SS, Datana S, Sahoo NK, Bhandari SK. Evaluation of Airway Dimensions Following Mandibular Setback with Surgery – First Orthognathic Versus Conventional Orthognathic Approach. J Maxillofac Oral Surg. 2021 Jun;20(2):296–303. doi: 10.1007/s12663-020-01379-y. Epub 2020 Apr 30. PMID: 33927500; PMCID: PMC8041967.</mixed-citation><mixed-citation xml:lang="en">Agarwal SS, Datana S, Sahoo NK, Bhandari SK. Evaluation of Airway Dimensions Following Mandibular Setback with Surgery – First Orthognathic Versus Conventional Orthognathic Approach. J Maxillofac Oral Surg. 2021 Jun;20(2):296–303. doi: 10.1007/s12663-020-01379-y. Epub 2020 Apr 30. PMID: 33927500; PMCID: PMC8041967.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Глушко А.В., Гаммадаева С.Ш., Мантурова Н.Е., Дробышев А.Ю., Лебедева Ю.В. Оценка функции носового дыхания и удовлетворенности пациентов при первичном обращении за эстетической коррекцией носа. Пластическая хирургия и эстетическая медицина. 2024;(4):16–24.</mixed-citation><mixed-citation xml:lang="en">Glushko AV, Gammadaeva SSh, Manturova NE, Drobyshev AYu, Lebedeva YuV. Nasal breathing function and patient satisfaction in primary aesthetic nasal correction. Plastic Surgery and Aesthetic Medicine. 2024;(4):16–24. (In Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Свиридов Е.Г., Дробышев А.Ю., Омарова П.Н., Хабибуллина А.А. Обоснование проведения гениопластики как этапа ортогнатической операции у пациентов со скелетными аномалиями и деформациями челюстей. Голова и шея.</mixed-citation><mixed-citation xml:lang="en">Sviridov E.G., Drobyshev A.Yu., Omarova P.N., Khabibullina A.A. Justification of Genioplasty as a Stage of Orthognathic Surgery in Patients with Skeletal Abnormalities and Jaw Deformities. Head and neck Russian Journal. 2019;7(1):59–68</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Свиридов Е. Г., Редько Н. А., Изотов О. И., Анисимова С. А., Деев Р. В., Дробышев А. Ю. Односторонняя гиперплазия мыщелкового отростка нижней челюсти: гистогенетические и клинико-патоморфологические аспекты // Гены и клетки. 2018. № 4. URL: https://cyberleninka.ru/article/n/odnostoronnyaya-giperplaziya-myschelkovogo-otrostka-nizhney-chelyusti-gistogeneticheskie-i-kliniko-patomorfologicheskie-aspekty.</mixed-citation><mixed-citation xml:lang="en">Sviridov E.G., Redko N.A., Izotov O.I., Anisimova S.A., Deev R.V., and Drobyshev A.Yu. Unilateral Hyperplasia of the Malleolar Process of the Mandible: Histogenetic and Clinical-Pathomorphological Aspects. URL: https://cyberleninka.ru/article/n/odnostoronnyaya-giperplaziya-myschelkovogo-otrostka-nizhney-chelyusti-gistogeneticheskie-i-kliniko-patomorfologicheskie-aspekty.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Гордина П.С., Серова Н.С., Дробышев А.Ю., Глушко А.В. Роль мультиспиральной компьютерной томографии в оценке изменений объема верхних дыхательных путей при хирургическом лечении пациентов с зубочелюстными аномалиями // ВРР. 2013. № 2. https://cyberleninka.ru/article/n/rol-multispiralnoy-kompyuternoy-tomografii-v-otsenke-izmeneniy-obema-verhnih-dyhatelnyh-putey-pri-hirurgicheskom-lechenii.</mixed-citation><mixed-citation xml:lang="en">Gordina P.S., Serova N.S., Drobyshev A.Yu., and Glushko A.V. The Role of Multislice Computed Tomography in Assessing Changes in the Volume of the Upper Respiratory Tract in the Surgical Treatment of Patients with Dentofacial Abnormalities. https://cyberleninka.ru/article/n/rol-multispiralnoy-kompyuternoy-tomografii-v-otsenke-izmeneniy-obema-verhnih-dyhatelnyh-putey-pri-hirurgicheskom-lechenii.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Ireland AJ, Cunningham SJ, Petrie A, Cobourne MT, Acharya P, Sandy JR, Hunt NP. An index of orthognathic functional treatment need (IOFTN). J Orthod. 2014 Jun;41(2):77–83. doi: 10.1179/1465313314Y.0000000100. PMID: 24951095; PMCID: PMC4063315.</mixed-citation><mixed-citation xml:lang="en">Ireland AJ, Cunningham SJ, Petrie A, Cobourne MT, Acharya P, Sandy JR, Hunt NP. An index of orthognathic functional treatment need (IOFTN). J Orthod. 2014 Jun;41(2):77–83. doi: 10.1179/1465313314Y.0000000100. PMID: 24951095; PMCID: PMC4063315.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Симакова А.А., Горбатова Л.Н., Гржибовский А.М., Арутюнян К.С., Рыжков И.А. Состояние верхних дыхательных путей и его влияние на развитие зубочелюстной системы. Стоматология. 2022;101(2):93–99. https://doi.org/10.17116/stomat202210102193.</mixed-citation><mixed-citation xml:lang="en">Simakova AA, Gorbatova LN, Grjibovski AM, Arutyunyan KS, Ryzhkov IA. Dimensions of the upper airways and its impact on the dentoalveolar system development. Stomatology. 2022;101(2):93–99. (In Russ.) https://doi.org/10.17116/stomat202210102193.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
