Online ISSN: 2515-8260

Keywords : lateral cephalogram

Lateral Cephalogram and CBCT as a diagnostic aid for analysis of airway- Review Article

Dr. Somya Banerjee; Dr. Sunita Shrivastav; Dr. Ranjit Kamble; Dr. Purva V. Dhannawat

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 1802-1808

Introduction- As we know that form follows function, the altered nasorespiratory function can lead to altered craniofacial growth. This predisposes to mouth breathing, OSA, adenoid hypertrophy which are a matter of grave importance today. Many orthodontic procedures may lead to reduced lower airway space if underlying conditions are not paid enough attention to. This forces the orthodontist to be more precise in their diagnosis and treatment planning especially planning formulated in accordance with obstructive sleep apnoea. The early diagnosis and early intervention of these conditions can prevent more severe associated problems. There are multiple evaluations of airway status undertaken by anesthetist and ENT surgeon some of which may benefit orthodontist for timely intervention. These methods include roentgenograms, CT,CT bronchography, virtual bronchoscopy, MRI, 3D printing, Ultrasonography, Nasal endoscopy, rhinomanometry. CBCT and lateral cephalogram are the most commonly used diagnostic tool for airway analysis. The reliability of lateral cephalogram in the analysis of airway has been questioned several times in the past few years which puts up a need for evaluation of the technique and its reliability.
Objective- The aim of this article is to review all those literatures that relate to upper airway analysis using Lateral cephalogram to those of CBCT scans and to evaluate the reliability of lateral cephalogram. 
Conclusion- Lateral cephalogram can be used as an initial diagnostic aid for the analysis of airways. Although the three-dimensional airway is analysed using two-dimensional technique it is nonetheless an appropriate diagnostic tool for airway analysis.

Co-Relation Between Presence Of Ponticulus Posticus On The Lateral Cephalogram With Cervical Pain And Vertigo

Mekhala Mandar Ratnaparkhi; Pranjali Mahesh Pokharkar; Amit Mhapuskar; Darshan R.Prasad Hiremutt; Richa Jain; Niharika Vasant Telrandhe

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 4047-4053

Aim & Objectives: The objective of the study was to find out the co-relation between presence of different forms of ponticulus posticus and their association with cervical pain and vertigo.
MATERIAL & METHODS: The prospective single blinded study was conducted with a sample size of 400 patients (200 male and 200 female) who were referred to the Department of Oral Radiology for Lateral Cephalogram and who also fulfilled the inclusion and exclusion criteria. The patients were given a preformatted questionnaire to be filled following which their Lateral Cephalogram was made. Subsequently, the radiographs were analysed for the presence of Ponticulus Posticus.
Results: Out of 400 patients studied, 28 patients had cervical pain and 68% of them showed presence of ponticulus posticus on the lateral cephalogram. While in the 3 patients with vertigo, 67% of them showed the presence of ponticulus posticus.
Conclusion: We concluded that there was a high association of ponticulus posticus with cervical pain and vertigo.