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快速上颌扩弓对鼻软组织宽度影响的分析

Analysis of rapid maxillary expansion effects on nasal soft tissues widths.

作者信息

Santariello C, Nota A, Baldini A, Ballanti F, Cozza P

机构信息

Department of Orthodontics University of Rome "Tor Vergata", Rome, Italy -

出版信息

Minerva Stomatol. 2014 Sep;63(9):307-14.

Abstract

AIM

The aim of this study was to analyze the variations in nasal dimensions in prepubertal patients associated with RME therapy compared with an untreated age matched control group.

METHODS

A group of 61 subjects (26 F, 35 M; mean age 10.5±1.8 years) was enrolled in the study to undergo a rapid maxillary expansion therapy; 41 subjects (26 F, 15 M; mean age 10.7±2.2 years) were enrolled as a control group. Both groups underwent nasal soft tissues width measurements using a caliper at three separate time points: T0 - prior to the placement of RME; T1 - after completion of active expansion phase; T2 - at the removal of the expander (nearly 6 months after T1).

RESULTS

The ANOVA showed statistically significant increments (P<0.0001) of the greater alar cartilage (GAC) measurement (0.8±0.2 mm) in the study group, differences for the AB measurements were not statistically significant (P=0.0784).

CONCLUSION

The treatment of rapid maxillary expansion can induce an increase in GAC soft tissues width of about 1 mm in prepubertal patients. This increase could not be considered of clinical impact. The alar base width increase less than GAC, this increase is without statistical significance.

摘要

目的

本研究旨在分析与未接受治疗的年龄匹配对照组相比,青春期前接受快速上颌扩弓治疗(RME)患者的鼻腔尺寸变化。

方法

一组61名受试者(26名女性,35名男性;平均年龄10.5±1.8岁)被纳入本研究以接受快速上颌扩弓治疗;41名受试者(26名女性,15名男性;平均年龄10.7±2.2岁)被纳入作为对照组。两组均在三个不同时间点使用卡尺测量鼻腔软组织宽度:T0 - 放置RME之前;T1 - 主动扩弓阶段完成后;T2 - 去除扩弓器时(T1后近6个月)。

结果

方差分析显示,研究组大翼软骨(GAC)测量值有统计学意义的增加(P<0.0001)(0.8±0.2毫米),鼻翼基底(AB)测量值的差异无统计学意义(P=0.0784)。

结论

快速上颌扩弓治疗可使青春期前患者的GAC软组织宽度增加约1毫米。这种增加不具有临床意义。鼻翼基底宽度的增加小于GAC,且这种增加无统计学意义。

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