Orthodontic Dentistry, The Nippon Dental University Niigata Hospital, 1-8 Hamaura-cho, Chuo-ku, Niigata, 951-8580, Japan.
Odontology. 2010 Feb;98(1):65-72. doi: 10.1007/s10266-009-0108-5. Epub 2010 Feb 16.
We found few studies on the association between maxillary sinus size and malocclusion in an electronic search using PubMed. The purpose of this study was to investigate maxillary sinus size in different malocclusion groups and the association between maxillary sinus size and dentofacial morphology by the use of lateral cephalometric radiographs. A total of 120 lateral cephalograms were used. These radiographs were derived from subjects with skeletal Class I, Class II, and Class III malocclusions, classified on the basis of the A-N-B angle. Each malocclusion group consisted of 20 boys and 20 girls ranging in age from 12 to 16 years. Two linear measurements and three area measurements were made to evaluate maxillary sinus size, and four angular and eight linear measurements were made to evaluate dentofacial morphology. Analysis of variance and Pearson's correlation analysis were performed for statistical comparison. The maxillary sinuses showed no significant differences in size between the different classes of skeletal malocclusion or between sexes. However, the maxillary sinus measurements were significantly correlated with several dentofacial morphological measurements. When formulating an orthodontic treatment plan, orthodontists should take into consideration the fact that the patients 12 to 16 years old with large cranial bases and nasomaxillary complexes tend to have larger maxillary sinuses, but there is no significant association between maxillary sinus size and the A-N-B angle denoting the sagittal skeletal jaw relationship.
我们在使用 PubMed 进行电子检索时，几乎没有发现关于上颌窦大小与错颌畸形之间关系的研究。本研究旨在通过侧颅面射线照片，调查不同错颌畸形组的上颌窦大小，以及上颌窦大小与牙颌面形态之间的关系。共使用了 120 张侧颅面射线照片。这些射线照片来自骨骼 I 类、II 类和 III 类错颌畸形的患者，根据 A-N-B 角进行分类。每个错颌畸形组包括 20 名年龄在 12 至 16 岁之间的男孩和 20 名女孩。进行了两项线性测量和三项面积测量，以评估上颌窦大小，进行了四项角度测量和八项线性测量，以评估牙颌面形态。进行方差分析和 Pearson 相关分析进行统计比较。不同骨骼错颌畸形类别的上颌窦大小或性别之间无显著差异。然而，上颌窦测量值与几个牙颌面形态测量值显著相关。在制定正畸治疗计划时，正畸医生应考虑到以下事实：12 至 16 岁的颅底和鼻上颌复合体较大的患者上颌窦往往较大，但上颌窦大小与表示矢状骨骼颌关系的 A-N-B 角之间没有显著关联。
