Talmant J, Deniaud J
Département d'O.D.F., Faculté de Chirurgie Dentaire, Nantes.
Orthod Fr. 2000 Apr;71(2):127-41.
Cause and effect relationships existing between "nasal breathing impairment" and "relapse" have inherited from controversies which have animated the debate between the different schools of orthodontics for more than a century. Those differences of opinion seem to have their origin in the lack of accuracy inherent with the general acceptance of the two concepts of "normal nasal ventilation" and "relapse". Rather than retracing their history, we would like to put forward a few proposals aimed at getting rid of the doubtful trouble the present difficulty confronts us with. We have therefore endeavored: 1. to define most exactly our concepts of "optimal nasal ventilation" and "relapse"; 2. to determine, afterwards, the mechanics responsible for facial shape alterations due to nasal obstruction; 3. hence, to deduce the therapeutic behavior enabling us to master those alterations more extensively. Bearing in mind that, in order to legitimate the risk of a treatment, acknowledge its benefit and justify its cost (which may become prohibitive because of relapse), the clinician has to base his options on a body of consistent arguments.
“鼻腔呼吸障碍”与“复发”之间存在的因果关系源于一个多世纪以来正畸学不同流派之间争论不休的争议。这些观点差异似乎源于对“正常鼻腔通气”和“复发”这两个概念普遍接受时所固有的准确性不足。与其追溯它们的历史，我们更想提出一些建议，以摆脱当前困难给我们带来的可疑麻烦。因此，我们努力做到：1. 尽可能精确地定义“最佳鼻腔通气”和“复发”的概念；2. 随后确定因鼻腔阻塞导致面部形态改变的力学原理；3. 从而推导出能让我们更广泛地控制这些改变的治疗方法。要记住，为了使治疗风险合理、认可其益处并证明其成本合理（由于复发，成本可能高得令人望而却步），临床医生必须基于一系列连贯的论据来做出选择。
