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不同前后位骨骼模式下的悬雍垂-舌-咽尺寸

Uvulo-glosso-pharyngeal dimensions in different anteroposterior skeletal patterns.

作者信息

Abu Allhaija Elham Saleh, Al-Khateeb Susan Nadeem

机构信息

Department of Orthodontics, School of Dentistry, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

Angle Orthod. 2005 Nov;75(6):1012-8. doi: 10.1043/0003-3219(2005)75[1012:UDIDAS]2.0.CO;2.

Abstract

The aim of this study was to investigate the uvulo-glosso-pharyngeal dimensions in subjects with different anteroposterior jaw relationship. Cephalometric radiograph of 90 subjects (45 females and 45 males, aged 14-17 years) were divided into three groups according to the ANB angle, ie, group 1, skeletal Class I (ANB angle 1-5); group 2, skeletal Class II (ANB angle >5); and group 3, skeletal Class III (ANB angle <1). In addition, each group was divided into two subgroups according to sex. Statistical analysis was undertaken using analysis of variance and least significant difference test. Pearson's Correlation test was also performed. Sex differences were found in Class I and III subjects. No sex differences were detected in Class II subjects. On average, tongue length was significantly shorter in Class III subjects (P < .05), tongue height was reduced in Class II female subjects, the soft palate was thicker in Class III females and the vertical airway length (VAL) was reduced in Class II male subjects (P < .01). In Class II subjects, the hyoid bone was closer to the mandible vertically and to C3 horizontally compared with Class I (P < .01) and Class III (P < .001) male subjects. Anteroposterior skeletal pattern showed a weak, but significant correlation with inferior pharyngeal airway space (R = -0.24, P = .024), vertical position of hyoid bone in relation to mandibular plane (R = -0.26, P = .014), and anteroposterior position of hyoid bone in relation to C3 (R = -0.561, P = .000). In conclusion, uvulo-glosso-pharyngeal dimensions are affected by anteroposterior skeletal pattern.

摘要

本研究的目的是调查具有不同前后颌关系的受试者的悬雍垂 - 舌 - 咽尺寸。90名受试者(45名女性和45名男性,年龄14 - 17岁)的头影测量X线片根据ANB角分为三组,即,第1组,骨骼I类(ANB角1 - 5);第2组,骨骼II类(ANB角>5);第3组,骨骼III类(ANB角<1)。此外,每组根据性别分为两个亚组。采用方差分析和最小显著差检验进行统计分析。还进行了Pearson相关检验。在I类和III类受试者中发现了性别差异。在II类受试者中未检测到性别差异。平均而言,III类受试者的舌长明显较短(P <.05),II类女性受试者的舌高降低,III类女性的软腭更厚,II类男性受试者的垂直气道长度(VAL)降低(P <.01)。与I类(P <.01)和III类(P <.001)男性受试者相比,II类受试者的舌骨在垂直方向上更靠近下颌骨,在水平方向上更靠近C3。前后骨骼模式与下咽气道空间呈弱但显著的相关性(R = -0.24,P =.024),舌骨相对于下颌平面的垂直位置(R = -0.26,P =.014),以及舌骨相对于C3的前后位置(R = -0.561,P =.000)。总之,悬雍垂 - 舌 - 咽尺寸受前后骨骼模式的影响。

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