Babacan Hasan, Sokucu Oral, Doruk Cenk, Ay Sinan
Cumhuriyet University, Department of Orthodontics, Faculty of Dentistry, Sivas, Turkey.
Angle Orthod. 2006 Jan;76(1):66-71. doi: 10.1043/0003-3219(2006)076[0066:RMEASA]2.0.CO;2.
The purpose of this study was to compare the effects of rapid maxillary expansion (RME) and surgically assisted rapid maxillary expansion (SARME) on nasal volume using acoustic rhinometric methods. Two groups of subjects were used in the study. Group 1 consisted of 10 subjects (mean age 12.30 +/- 0.82 years) who were treated with RME, and group 2 consisted of 10 subjects (mean age 18.70 +/- 2.54 years) who were treated by SARME. In both groups, all cases had a maxillary width deficiency with bilateral crossbites. Nasal volume records were taken by the same otorhinolaryngologist with an AR device. AR recordings were performed for each patient with and without the use of a decongestant. The first record was taken before expansion, and the second record was taken at the end of retention. The data for both groups were evaluated using Wilcoxon signed rank test and Mann-Whitney U-test. The nasal volume showed a significant increase in both the RME and the SARME groups (P < .05). The measurement with the use of decongestant was similar to that without use of decongestant on the both groups (P < .05), but the different increments in nasal volume between the RME and the SARME groups were not statistically significant. Although the mean ages between the RME and the SARME groups were different, the increase in nasal volume was similar in both groups.
本研究的目的是使用鼻声反射测量法比较快速上颌扩弓(RME)和外科辅助快速上颌扩弓(SARME)对鼻腔容积的影响。研究中使用了两组受试者。第1组由10名接受RME治疗的受试者组成(平均年龄12.30±0.82岁),第2组由10名接受SARME治疗的受试者组成(平均年龄18.70±2.54岁)。两组中所有病例均存在上颌宽度不足并伴有双侧反牙合。鼻腔容积记录由同一位耳鼻喉科医生使用鼻声反射装置进行。对每位患者在使用和不使用减充血剂的情况下进行鼻声反射记录。第一次记录在扩弓前进行,第二次记录在保持期末进行。两组数据采用Wilcoxon符号秩检验和Mann-Whitney U检验进行评估。RME组和SARME组的鼻腔容积均显著增加(P<0.05)。两组在使用减充血剂与未使用减充血剂时的测量结果相似(P<0.05),但RME组和SARME组鼻腔容积的不同增量无统计学意义。尽管RME组和SARME组的平均年龄不同,但两组鼻腔容积的增加相似。