高位头帽-口外弓肌激动器治疗Ⅱ类高角儿童患者前、后的上气道变化

doi:10.19439/j.sjos.2018.03.011

上海口腔医学 ›› 2018, Vol. 27 ›› Issue (3): 270-274.doi: 10.19439/j.sjos.2018.03.011

高位头帽-口外弓肌激动器治疗Ⅱ类高角儿童患者前、后的上气道变化

夏松¹，戴红卫¹，张翼²，王超¹，邱靓星¹，王华桥¹

1.重庆医科大学附属口腔医院正畸科，口腔疾病与生物医学重庆市重点实验室，重庆市高校市级口腔生物医学工程重点实验室，重庆 401147；
2.重庆市协尔口腔，重庆 400042

收稿日期:2017-08-10 修回日期:2017-10-25 出版日期:2018-07-20 发布日期:2018-07-20
通讯作者: 王华桥， E-mail：muscle_tina@163.com
作者简介:夏松（1987-），男，硕士，E-mail：753051420@qq.com
基金资助:
国家自然科学基金 (81570979，81400541)；重庆市卫计委科研项目（2015MSXMO51，2012-2-131）

Changes of upper airway in ClassⅡchildren with high mandibular plane angle before and after functional treatment by high headgear-activator

XIA Song¹, DAI Hong-wei¹, ZHANG Yi², WANG Chao¹, QIU Liang-xing¹, WANG Hua-qiao¹.

1.Stomatological Hospital of Chongqing Medical University; Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences; Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education. Chongqing 401147；
2. Chongqing ShareDent Clinic. Chongqing 400042, China

Received:2017-08-10 Revised:2017-10-25 Online:2018-07-20 Published:2018-07-20

摘要/Abstract

摘要： 目的： 研究生长发育高峰期Ⅱ类高角错畸形患者矫形治疗前、后上气道的变化。方法： 收集并拍摄23例生长发育高峰期患者经高位头帽-口外弓肌激动器矫形治疗前（T1）、矫形治疗后（T2）的锥形束CT（CBCT），将T1和T2的CBCT数据导入Minics17.0软件中进行测量。采用SPSS22.0软件包中的配对t检验对安氏Ⅱ类儿童患者矫形治疗前、后上气道的变化进行分析。结果： 患者经矫形治疗后，上气道总容积、腭咽容积、喉咽容积、舌咽容积，软腭尖平面、会厌尖平面上气道的横截面积和口咽段最小横截面积，软腭尖、会厌尖平面的矢状径、横径的变化均具有统计学意义（P<0.05）；上气道形态在软腭尖平面趋于圆形（P<0.05），而在会厌顶平面无显著变化（P>0.05）。结论： 高位头帽-口外弓肌激动器矫形治疗使下颌骨发育不足的高角儿童患者上气道容积增大，通气量增加，呼吸功能改善。

关键词: 高位头帽-肌激动器, 三维重建, 上气道, 下颌后缩, 高下颌平面角

Abstract: PURPOSE: This study was performed to investigate the changes of upper airway before and after functional correction in ClassⅡmalocclusion children with high mandibular plane angle at growth and development peak. METHODS: Cone-beam CT (CBCT) data of the upper airway were inputted into Minics 17.0 software for measurement of changes in the upper airway before and after functional treatment by high headgear-activator. The changes of upper airway before and after treatment were analyzed with SPSS22.0 software package. RESULTS: The change of the total volume of the upper airway, the volume of the velopharynx, glossopharynx, laryngopharynx; the sectional area of the tip of soft palate, roof of the epiglottis, the minimum sectional area of the oropharynx were significant (P<0.05). The upper airway morphology tended to be circular in the soft palate tip plane(P<0.05), but there was no significant difference in the plane of epiglottis(P>0.05). CONCLUSIONS: High headgear-activator corrected mandibular hypoplasia in children with increased airway volume, increased ventilation, improved respiratory function to prevent occurrence of obstructive sleep apnea hypopnea syndrome after adult.

Key words: High headgear-activator, Cone-beam CT, Upper airway, Three-dimensional reconstruction, Mandibular retrusion, High mandibular plane angle

中图分类号:

R783.5

夏松，戴红卫，张翼，王超，邱靓星，王华桥. 高位头帽-口外弓肌激动器治疗Ⅱ类高角儿童患者前、后的上气道变化[J]. 上海口腔医学, 2018, 27(3): 270-274.

XIA Song, DAI Hong-wei, ZHANG Yi, WANG Chao, QIU Liang-xing, WANG Hua-qiao.. Changes of upper airway in ClassⅡchildren with high mandibular plane angle before and after functional treatment by high headgear-activator[J]. Shanghai Journal of Stomatology, 2018, 27(3): 270-274.

参考文献

[1] 邹冰爽, 曾祥龙, 曾应魁. 安氏Ⅱ类1分类错颅面类型的研究 [J]. 中华口腔正畸学杂志, 1998, 5(2): 13-16.
[2] Zhong Z, Tang Z, Gao X, et al. A comparison study of upper airway among different skeletal craniofacial patterns in nonsnoring Chinese children [J]. Angle Orthod, 2010, 80(2): 267-274.
[3] El H, Palomo JM. An airway study of different maxillary and mandibular sagittal positions[J]. Eur J Orthod, 2013, 35(2): 262-270.
[4] Battagel JM, L'Estrange PR. The cephalometric morphology of patients with obstructive sleep apnoea (OSA) [J]. Eur J Orthod, 1996, 18(6): 557-569.
[5] Pancherz H. A cephalometric analysis of skeletal and dental changes contributing to Class II correction in activator treatment [J]. Am J Orthod, 1984, 85(2):125-134.
[6] Maspero C, Giannini L, Galbiati G, et al. Upper airway obstuction in class II patients. Effects of Andresen activator on the anatomy of pharyngeal airway passage. Cone beam evalution [J]. Stomatologija, 2015, 17(4):124-130.
[7] Aboudara C, Nielsen I, Huang JC, et al. Comparison of airway space with conventional lateral headfilms and 3-dimensional reconstruction from cone-beam computed tomography [J]. Am J Orthod Dentofacial Orthop, 2009, 135(4): 468-479.
[8] Iwasaki T, Hayasaki H, Takemoto Y, et al. Oropharyngeal airway in children with Class III malocclusion evaluated by cone-beam computed tomography [J]. Am J Orthod Dentofacial Orthop, 2009, 136(3): 318.e1-e9.
[9] Silva MA, Wolf U, Heinicke F, et al. Cone-beam computed tomography for routine orthodontic treatment planning: a radiation dose evaluation[J]. Am J Orthod Dentofacial Orthop, 2008, 133(5): 640.e1-e5.
[10] Erbas B, Kocadereli I. Upper airway changes after Xbow appliance therapy evaluated with cone beam computed tomography [J]. Angle Orthod, 2014, 84(4): 693-700.
[11] Baccetti T, Franchi L, McNamara JA Jr. An improved version of the cervical vertebral maturation (CVM) method for the assessment of mandibular growth [J]. Angle Orthod, 2002, 72(4): 316-323.
[12] 史建陆, 董丽玲, 李芸, 等. 安氏Ⅱ类下颌后缩儿童应用Twin-Block矫治器功能矫治前后上气道变化的锥形束CT研究 [J]. 实用口腔医学杂志, 2015, 31(4): 531-535.

[1]	唐汝萍, 刘帅, 赵震锦, 汪俊妍. 骨性Ⅲ类下颌偏斜患者颞下颌关节形态位置及上颌骨特征的三维评估[J]. 上海口腔医学, 2023, 32(1): 91-96.
[2]	郭靖晗, 於丽明, 李远远, 刘月华. 上颌扩弓联合双垫矫治器治疗对牙颌畸形口呼吸儿童上气道的影响[J]. 上海口腔医学, 2021, 30(6): 634-638.
[3]	毛晓燕, 杨佳音, 李佳, 徐睿. 成人骨性Ⅱ类错畸形上气道与上、下颌骨形态分析[J]. 上海口腔医学, 2021, 30(4): 419-423.
[4]	陈楠, 熊斌, 章婷, 夏文倩, 陆建锋, 高美琴. 夜间打鼾青少年安氏Ⅱ类错患者应用SGTB功能矫治前、后上气道的变化[J]. 上海口腔医学, 2021, 30(3): 273-277.
[5]	李怀奇, 叶金海, 王晨星, 朱载瓯, 武和明. 三维重建下3D打印技术在下颌骨缺损修复中的应用评价[J]. 上海口腔医学, 2021, 30(3): 283-287.
[6]	肖树林, 吴亚楠, 马瑞, 李俊慧. 隐形矫治器治疗骨性Ⅱ类高角患者上气道前后径及颌骨的变化[J]. 上海口腔医学, 2020, 29(4): 410-413.
[7]	雷杰, 肖遥, 罗茂璇, 徐晓梅. 12~14岁骨性Ⅱ类高角女性拔牙矫治前、后髁突位置与上气道结构变化[J]. 上海口腔医学, 2020, 29(3): 281-286.
[8]	王玉俏, 迟敬文, 刘轶凡, 冯枫, 吴慧, 刘文. 成人不同垂直骨面型颧牙槽嵴区骨皮质密度分析[J]. 上海口腔医学, 2019, 28(6): 652-656.
[9]	吴雨桐, 孙健, 李亚莉, 陈立强, 陈晨, 邓楠, 李莉, 王志浩. 骨性Ⅲ类错正颌手术前、后面部软、硬组织变化比率的三维研究[J]. 上海口腔医学, 2019, 28(2): 158-164.
[10]	姜卫, 夏松, 月慧, 李晓智. 上颌快速扩弓联合前方牵引后骨性Ⅲ类伴上颌骨发育不足患者上气道变化的meta分析[J]. 上海口腔医学, 2019, 28(2): 218-224.
[11]	陈威, 刘月华, 徐啟. 强支抗拔牙对双颌前突青少年上气道的影响[J]. 上海口腔医学, 2018, 27(4): 419-423.
[12]	聂萍，陶丽，朱妍菲，孙蕙珺，朱敏. 2种不同正颌术式对骨性Ⅲ类错畸形患者上气道形态的影响[J]. 上海口腔医学, 2018, 27(3): 280-284.
[13]	李骏, 潘乙怀, 赵瑜, 李玲. 锥形束CT对下颌前磨牙髓腔三维重建的精度分析[J]. 上海口腔医学, 2018, 27(2): 146-149.
[14]	胡小蓓, 张昆, 王大为, 雷浪. 不同矢状骨面型青少年患者上气道大小的锥形束CT分析[J]. 上海口腔医学, 2017, 26(5): 530-534.
[15]	李晅, 周慧玲, 娄新田, 胡铮, 沈刚. 功能矫治器对青春期骨性Ⅱ类患者上气道结构的影响[J]. 上海口腔医学, 2017, 26(2): 222-227.

高位头帽-口外弓肌激动器治疗Ⅱ类高角儿童患者前、后的上气道变化

Changes of upper airway in ClassⅡchildren with high mandibular plane angle before and after functional treatment by high headgear-activator

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价