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儿童中耳炎与牙列不齐之间的相关性。

Correlation between otitis media and dental malocclusion in children.

作者信息

Giuca M R, Caputo E, Nastasio S, Pasini M

机构信息

Dept. of Surgery, Unit of Paediatric Dentistry

出版信息

Eur Arch Paediatr Dent. 2011 Oct;12(5):241-4. doi: 10.1007/BF03262815.

DOI:10.1007/BF03262815
PMID:21993063
Abstract

AIM

To determine the possible correlation between otitis media and dental malocclusion in children.

METHODS

Fifty subjects (26 males and 24 females; mean age: 7.8 +/- 1 years) were assessed: 25 patients, with otitis media formed the study group, while 25 healthy subjects formed the control group. An otolaryngological examination and dental cast measurements were performed in order to evaluate adenoids, tonsils and dental relationships, respectively.

RESULTS

A significant correlation (p<0.05) was found between otitis media and enlargement of adenoids (13 patients, 52% in the study group) and tonsils (11 patients, 44% in the study group). Furthermore, a significant predominance (p<0.05) of posterior crossbite was found in the study group (19 children, 76%), in comparison to the control group (4 children, 16%). No correlation between otitis media and overjet, overbite, Angle Class relationship, or inadequate oral habits were found.

CONCLUSIONS

Posterior cross-bite and adenoids-tonsils enlargement are factors significantly associated with otitis media in children.

摘要

目的

确定儿童中耳炎与牙列错合之间可能存在的相关性。

方法

对50名受试者(26名男性和24名女性;平均年龄:7.8±1岁)进行评估:25例中耳炎患者组成研究组,25名健康受试者组成对照组。分别进行耳鼻喉科检查和牙模测量,以评估腺样体、扁桃体和牙列关系。

结果

发现中耳炎与腺样体肥大(研究组13例患者,占52%)和扁桃体肥大(研究组11例患者,占44%)之间存在显著相关性(p<0.05)。此外,与对照组(4名儿童,占16%)相比,研究组(19名儿童,占~76%)后牙反合明显占优势(p<0.05)。未发现中耳炎与覆盖、覆合、安氏分类关系或不良口腔习惯之间存在相关性。

结论

后牙反合以及腺样体-扁桃体肥大是与儿童中耳炎显著相关的因素。

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Antibiotics and acute otitis media in children.儿童抗生素与急性中耳炎
JAMA. 2011 Mar 9;305(10):997; author reply 997-8. doi: 10.1001/jama.2011.240.
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Diagnosis, microbial epidemiology, and antibiotic treatment of acute otitis media in children: a systematic review.儿童急性中耳炎的诊断、微生物流行病学和抗生素治疗:系统评价。
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Otitis media with effusion and dental occlusion: is there any relationship?分泌性中耳炎与咬合不正:二者有关联吗?
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Otitis media.中耳炎
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Recent advances in otitis media.中耳炎的最新进展。
Pediatr Infect Dis J. 2009 Oct;28(10 Suppl):S133-7. doi: 10.1097/INF.0b013e3181b6d81a.
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Theories of otitis media pathogenesis, with a focus on Indigenous children.中耳炎发病机制理论,重点关注原住民儿童。
Med J Aust. 2009 Nov 2;191(S9):S50-4. doi: 10.5694/j.1326-5377.2009.tb02927.x.
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Management of children with otitis media: a summary of evidence from recent systematic reviews.儿童中耳炎的管理:近期系统评价的证据总结
J Paediatr Child Health. 2009 Oct;45(10):554-62; quiz 562-3. doi: 10.1111/j.1440-1754.2009.01564.x. Epub 2009 Sep 14.
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