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根据支抗方法对上颌前牵引矫治器对咽气道间隙影响的比较。

Comparison of the effects on the pharyngeal airway space of maxillary protraction appliances according to the methods of anchorage.

作者信息

Seo Won-Gyo, Han Se-Jin

机构信息

Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University, 119 Dandae-ro, Dongnam-gu, Cheonan, South Korea.

出版信息

Maxillofac Plast Reconstr Surg. 2017 Jan 25;39(1):3. doi: 10.1186/s40902-017-0101-9. eCollection 2017 Dec.

DOI:10.1186/s40902-017-0101-9
PMID:28184366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5265226/
Abstract

BACKGROUND

The purpose of the study is to compare the effects on the pharyngeal airway space of skeletal anchored face mask with those of tooth-borne facemask.

METHODS

We used two types of facemask for maxillary protraction, the tooth-borne facemask (TBFM) and the skeletal anchored facemask (SAFM), and evaluated the effects of each facemask on the pharyngeal airway. Twenty-eight patients (mean age 10.3 years) were treated with the TBFM and 24 patients (mean age 11.2 years) were treated with the SAFM. Lateral cephalometric radiographs were taken before treatment (T1) and after treatment (T2) to assess changes in the dimensions of the upper airway. Statistical analysis was performed with independent tests, matched tests, Mann-Whitney tests, and Kruskal-Wallis tests.

RESULTS

There were marked increases in upper airway dimensions in both groups following treatment, but the SAFM group had a significantly greater increase in airway dimensions than the TBFM group. Also, the SAFM subgroups showed more improved airway measurements than the TBFM subgroups in both the superior and inferior pharyngeal airways.

CONCLUSIONS

SAFM is more effective than TBFM in increasing upper airway dimensions.

摘要

背景

本研究的目的是比较骨锚式面罩和牙支持式面罩对咽气道间隙的影响。

方法

我们使用两种类型的面罩进行上颌前牵引，即牙支持式面罩（TBFM）和骨锚式面罩（SAFM），并评估每种面罩对咽气道的影响。28例患者（平均年龄10.3岁）接受了TBFM治疗，24例患者（平均年龄11.2岁）接受了SAFM治疗。在治疗前（T1）和治疗后（T2）拍摄头颅侧位片，以评估上气道尺寸的变化。采用独立样本t检验、配对t检验、Mann-Whitney U检验和Kruskal-Wallis检验进行统计分析。

结果

两组治疗后上气道尺寸均有明显增加，但SAFM组气道尺寸的增加明显大于TBFM组。此外，SAFM亚组在咽气道上部和下部的气道测量结果均比TBFM亚组有更明显的改善。

结论

SAFM在增加上气道尺寸方面比TBFM更有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d447/5265226/3b180191dbdf/40902_2017_101_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d447/5265226/e2cd0db0af71/40902_2017_101_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d447/5265226/2fbfa69fb451/40902_2017_101_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d447/5265226/706a6d066907/40902_2017_101_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d447/5265226/d8d05b871210/40902_2017_101_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d447/5265226/3b180191dbdf/40902_2017_101_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d447/5265226/e2cd0db0af71/40902_2017_101_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d447/5265226/2fbfa69fb451/40902_2017_101_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d447/5265226/706a6d066907/40902_2017_101_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d447/5265226/d8d05b871210/40902_2017_101_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d447/5265226/3b180191dbdf/40902_2017_101_Fig5_HTML.jpg

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