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婴幼儿上颌窦的发育

Development of the maxillary sinus in infants and children.

作者信息

Bhushan Bharat, Rychlik Karen, Schroeder James W

机构信息

Department of Surgery, Division of Otolaryngology Head & Neck Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, USA; Department of Otolaryngology Head & Neck Surgery, Northwestern University Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Biostatistics Research Core, Stanley Manne Research Institute, Ann & Robert H. Lurie Children's Hospital of Chicago, USA.

出版信息

Int J Pediatr Otorhinolaryngol. 2016 Dec;91:146-151. doi: 10.1016/j.ijporl.2016.10.022. Epub 2016 Oct 26.

Abstract

OBJECTIVE

To examine the age related volume change of the maxillary sinus in children by measuring the change of the height, weight, and depth using computed tomography (CT).

METHODS

Children <18 years of age who underwent a CT Scan of the sinuses for reasons other than sinus related issues were included in the study.

RESULTS

139 patients were included (68 females and 71 Males) and the mean age of the patients was 9.6 ± 5.4 years. The cohort was divided into three groups based on their ages - Age <6 years (n = 45), age between 6 and 12 years (n = 44) and age > 12 years (n = 50). Patients in each age group demonstrated an increase in their Maxillary sinus height (p<0.001). Patients < 6years of age and between 6 and 12 years of age had a significant increase in their maxillary sinus width and depth (p < 0.001). The maxillary sinus width, depth and volume did not increase significantly after the age of 12 years in these patients.

CONCLUSION

We demonstrated periods of significant size increase of the maxillary sinuses as determined by different dimensions in children at various ages. The height of the maxillary sinus has steady growth from birth to at least the age of 18 years. The width and depth increase up to 12 years of age.

摘要

目的

通过计算机断层扫描(CT)测量上颌窦的高度、宽度和深度变化,以研究儿童上颌窦与年龄相关的容积变化。

方法

纳入因鼻窦相关问题以外的原因接受鼻窦CT扫描的18岁以下儿童。

结果

共纳入139例患者(68例女性和71例男性),患者平均年龄为9.6±5.4岁。根据年龄将队列分为三组——年龄<6岁(n = 45)、年龄在6至12岁之间(n = 44)和年龄>12岁(n = 50)。每个年龄组的患者上颌窦高度均增加(p<0.001)。6岁以下和6至12岁的患者上颌窦宽度和深度显著增加(p < 0.001)。这些患者12岁以后上颌窦宽度、深度和容积没有显著增加。

结论

我们证明了不同年龄段儿童上颌窦在不同维度上显著增大的时期。上颌窦高度从出生到至少18岁都有稳定增长。宽度和深度在12岁之前增加。

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