幼年特发性关节炎患儿的面部骨骼变化
Facioskeletal changes in children with juvenile idiopathic arthritis.
作者信息
Twilt M, Schulten A J M, Nicolaas P, Dülger A, van Suijlekom-Smit L W A
机构信息
Erasmus MC Sophia Children's Hospital, Department of Paediatrics, Sp 1545, PO Box 2060, 3000 CB Rotterdam, The Netherlands.
出版信息
Ann Rheum Dis. 2006 Jun;65(6):823-5. doi: 10.1136/ard.2005.042671.
Abstract
OBJECTIVE
To investigate the facioskeletal morphology in patients with juvenile idiopathic arthritis (JIA) with and without temporomandibular joint (TMJ) involvement.
METHODS
Eighty five patients were included. TMJ involvement was defined by orthopantomogram alterations. Lateral cephalograms were used to determine linear and angular measurements and occlusion.
RESULTS
Patients regardless of their TMJ status had a 67% chance for retrognathia and a 52% chance for posterior rotation of the mandible and, respectively, 82% and 58% if TMJ involvement were present. Changes were not uniformly distributed among the different subtypes.
CONCLUSION
Patients with JIA have an altered facial morphology, especially in the presence of TMJ involvement.
摘要
目的
研究伴或不伴颞下颌关节（TMJ）受累的幼年特发性关节炎（JIA）患者的面骨骼形态。
方法
纳入85例患者。TMJ受累通过曲面体层摄影改变来定义。使用头颅侧位片确定线性和角度测量值以及咬合情况。
结果
无论TMJ状态如何，患者出现下颌后缩的几率为67%，下颌后旋的几率为52%；若存在TMJ受累，则分别为82%和58%。不同亚型之间的变化分布并不均匀。
结论
JIA患者存在面部形态改变，尤其是在TMJ受累的情况下。
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