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使用锥形束计算机断层扫描评估唇腭裂患儿的气道特征

Assessment of the Airway Characteristics in Children with Cleft Lip and Palate using Cone Beam Computed Tomography.

作者信息

Agarwal Anirudh, Marwah Nikhil

机构信息

Professor and Head, Department of Orthodontics, Jaipur Dental College, Jaipur Rajasthan, India.

Professor and Head, Department of Pedodontics, Mahatma Gandhi Dental College Jaipur, Rajasthan, India.

出版信息

Int J Clin Pediatr Dent. 2016 Jan-Mar;9(1):5-9. doi: 10.5005/jp-journals-10005-1324. Epub 2016 Apr 22.

Abstract

OBJECTIVE

The aim of our study is to use cone beam computed tomography (CBCT) to assess the dimensional changes in the nasopharyngeal soft-tissue characteristics in children of Indian origin with repaired cleft lip and palate (CLP) and to compare the results with patients with ideal occlusion.

MATERIALS AND METHODS

A sample of 20 children (10 girls, 10 boys) with repaired CLP was selected. Cone beam computed tomography scans were taken to measure the nasopharyngeal airway changes in terms of linear measurements and sagittal cross-sectional areas. Error analysis was performed to prevent systematic or random errors. Independent means t-tests and Pearson correlation analysis were used to evaluate sex differences and the correlations among the variables.

RESULTS

Nasopharyngeal soft-tissue characteristics were different in the control and the study groups. Subjects with repaired CLP had lesser lower aerial width, lower adenoidal width and lower airway width. The upper airway width was also significantly lesser. The retropalatal and the total airway area were significantly greater in the control group.

CONCLUSION

The narrow pharyngeal airway in patients with CLP might result in functional impairment of breathing in patients. Further investigations are necessary to clarify the relationship between pharyngeal structure and airway function in patients with CLP. How to cite this article: Agarwal A, Marwah N. Assessment of the Airway Characteristics in Children with Cleft Lip and Palate using Cone Beam Computed Tomography. Int J Clin Pediatr Dent 2016;9(1):5-9.

摘要

目的

本研究旨在使用锥形束计算机断层扫描(CBCT)评估印度裔唇腭裂(CLP)修复患儿鼻咽部软组织特征的尺寸变化,并将结果与咬合正常的患者进行比较。

材料与方法

选取20例唇腭裂修复患儿(10名女孩,10名男孩)作为样本。通过锥形束计算机断层扫描测量鼻咽气道的线性测量值和矢状截面积变化。进行误差分析以防止系统误差或随机误差。采用独立样本t检验和Pearson相关性分析来评估性别差异以及变量之间的相关性。

结果

对照组和研究组的鼻咽部软组织特征存在差异。唇腭裂修复患儿的下气道宽度、腺样体宽度和气道宽度较小。上气道宽度也明显较小。对照组的腭后气道面积和总气道面积明显更大。

结论

唇腭裂患者狭窄的咽气道可能导致呼吸功能受损。需要进一步研究以阐明唇腭裂患者咽结构与气道功能之间的关系。如何引用本文:Agarwal A, Marwah N. 使用锥形束计算机断层扫描评估唇腭裂患儿的气道特征。《国际临床儿科牙科学杂志》2016;9(1):5 - 9。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a41a/4890054/58190e3458ef/ijcpd-09-005-g001.jpg

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