Farronato G, Maspero C, Russo E, Periti G, Farronato D
Orthodontic Department, School of Dental Medicine, University of Milan, Italy.
J Clin Pediatr Dent. 2008 Fall;33(1):67-74. doi: 10.17796/jcpd.33.1.j82n127877250863.
The purpose of this study is to evaluate the usefulness of rapid palatal expansion in growing patients to eliminate the nasal pyramid stenosis as a cause of primary headache. Patients were invited to participate in the clinical study at the University of Milan, Department of Orthodontics. Forty-one growing patients of both genders suffering from primary neurovascular headaches and having transverse maxillary deficiency were studied before and after rapid palatal expansion. A clinical examination, postero-anterior radiography and rhinomanometry were performed. After rapid palatal expansion (RPE) therapy all patients showed a constant and important increase in the values relating to both skeletal and dental structures, a significant reduction in the mean nasal resistance, and a significant decrease or elimination of headache symptoms. This therapy provides a preventive alternative for surgical procedures, such as the neurovascular decompressive septo-ethmoidosphenoidectomy performed in adult patients.
本研究的目的是评估快速腭扩展术对生长发育期患者消除作为原发性头痛病因的鼻锥体狭窄的有效性。患者受邀参加米兰大学正畸科的临床研究。对41例患有原发性神经血管性头痛且存在上颌横向发育不足的生长发育期男女患者在快速腭扩展术前后进行了研究。进行了临床检查、正位X线摄影和鼻阻力测量。在快速腭扩展（RPE）治疗后，所有患者在骨骼和牙齿结构相关数值上均呈现持续且显著的增加，平均鼻阻力显著降低，头痛症状显著减轻或消除。这种治疗方法为手术程序提供了一种预防性替代方案，比如在成年患者中进行的神经血管减压性鼻中隔筛窦蝶窦切除术。
