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本文引用的文献

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The usefulness of cephalometric measurement as a diagnostic tool for obstructive sleep apnea syndrome: a retrospective study.头影测量作为阻塞性睡眠呼吸暂停综合征诊断工具的实用性：一项回顾性研究。
Oral Surg Oral Med Oral Pathol Oral Radiol. 2015 Jan;119(1):20-31. doi: 10.1016/j.oooo.2014.07.537. Epub 2014 Sep 30.
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Palatal surface and volume in mouth-breathing subjects evaluated with three-dimensional analysis of digital dental casts-a controlled study.通过数字牙模三维分析评估口呼吸受试者的腭面和体积——一项对照研究。
Eur J Orthod. 2015 Feb;37(1):101-4. doi: 10.1093/ejo/cju018. Epub 2014 Jul 12.
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Hard palate dimensions in nasal and mouth breathers from different etiologies.不同病因导致的经鼻呼吸者和经口呼吸者的硬腭尺寸
J Soc Bras Fonoaudiol. 2011 Dec;23(4):308-14. doi: 10.1590/s2179-64912011000400004.
4
Obesity and craniofacial structure as risk factors for obstructive sleep apnoea: impact of ethnicity.肥胖和颅面结构作为阻塞性睡眠呼吸暂停的危险因素：种族的影响。
Respirology. 2012 Feb;17(2):213-22. doi: 10.1111/j.1440-1843.2011.02082.x.
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Genioglossus activity available via non-arousal mechanisms vs. that required for opening the airway in obstructive apnea patients.舌骨颏舌肌活动可通过非觉醒机制获得，而阻塞性睡眠呼吸暂停患者需要其来打开气道。
J Appl Physiol (1985). 2012 Jan;112(2):249-58. doi: 10.1152/japplphysiol.00312.2011. Epub 2011 Sep 15.
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Three-dimensional evaluation of early crossbite correction: a longitudinal study.三维评价早期前牙反牙合的矫治效果：一项纵向研究。
Eur J Orthod. 2013 Feb;35(1):7-13. doi: 10.1093/ejo/cjq198. Epub 2011 Feb 10.
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The effect of mouth breathing versus nasal breathing on dentofacial and craniofacial development in orthodontic patients.口呼吸与鼻呼吸对正畸患者牙颌面及颅面发育的影响。
Laryngoscope. 2010 Oct;120(10):2089-93. doi: 10.1002/lary.20991.
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Three-dimensional computed tomographic analysis of airway anatomy in patients with obstructive sleep apnea.阻塞性睡眠呼吸暂停患者气道解剖结构的三维计算机断层扫描分析
J Oral Maxillofac Surg. 2010 Feb;68(2):354-62. doi: 10.1016/j.joms.2009.09.087. Epub 2010 Jan 15.
9
Soft palate length and upper airway relationship in OSA and non-OSA subjects.软腭长度与 OSA 和非 OSA 患者上呼吸道的关系。
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10
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阻塞性睡眠呼吸暂停中腭部形态的三维分析及其与上气道面积的关系。

Three-dimensional analyses of palatal morphology and its relation to upper airway area in obstructive sleep apnea.

作者信息

Kecik Defne

出版信息

Angle Orthod. 2017 Mar;87(2):300-306. doi: 10.2319/051116-377.1. Epub 2016 Sep 13.

DOI:10.2319/051116-377.1
PMID:27622701
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8384357/
Abstract

OBJECTIVE

To evaluate the relationship between palatal morphology and pharyngeal airway morphology in patients who have obstructive sleep apnea (OSA) and compare with a nonsnoring and nonapneic control group.

MATERIALS AND METHODS

Three-dimensional maxillary dental cast measurements from 25 OSA patients (6 women, 19 men) with a mean age of 41.5 (4.8) years, and 25 control group participants (14 women, 11 men) without any symptom of OSA with a mean age of 38.3 (3.7) were correlated with an analysis of pharyngeal area evaluated with lateral cephalograms. Intermolar and intercanine widths and palatal volumes were calculated on the dental casts, and the upper airway area measurements were performed on lateral cephalograms.

RESULTS

OSA patients had smaller oropharyngeal volume and upper airway when compared with controls (P < .001). Palatal area measurements were significantly smaller in OSA (P < .001). OSA patients had significantly narrower maxilla with smaller intermolar and intercanine widths (P < .001). A positive correlation was found between the palatal morphology and pharyngeal dimensions.

CONCLUSIONS

A significant correlation exists between palatal morphology and pharyngeal airway.

摘要

目的

评估阻塞性睡眠呼吸暂停（OSA）患者的腭部形态与咽气道形态之间的关系，并与无打鼾和呼吸暂停的对照组进行比较。

材料与方法

对25例平均年龄为41.5（4.8）岁的OSA患者（6名女性，19名男性）和25例无OSA症状、平均年龄为38.3（3.7）岁的对照组参与者（14名女性，11名男性）的三维上颌牙模测量数据，与通过头颅侧位片评估的咽腔面积进行相关性分析。在牙模上计算磨牙间和尖牙间宽度以及腭部容积，并在头颅侧位片上进行上气道面积测量。

结果

与对照组相比，OSA患者的口咽容积和上气道较小（P <.001）。OSA患者的腭部面积测量值明显较小（P <.001）。OSA患者的上颌骨明显更窄，磨牙间和尖牙间宽度更小（P <.001）。腭部形态与咽部尺寸之间存在正相关。

结论

腭部形态与咽气道之间存在显著相关性。