Okşayan Rıdvan, Sökücü Oral, Yeşildal Seher
a Department of Orthodontics, Faculty of Dentistry , Eskişehir Osmangazi University , Eskişehir , Turkey.
b Department of Orthodontics, Faculty of Dentistry , Gaziantep University , Gaziantep , Turkey.
Acta Odontol Scand. 2017 Jul;75(5):345-349. doi: 10.1080/00016357.2017.1310294. Epub 2017 Apr 4.
This study aimed to compare sinus volume and dimensions in patients with high-, low-, and normal-angle vertical growth patterns using cone-beam computed tomography (CBCT).
According to skeletal vertical face growth patterns, 60 adults (31 female, 29 male, average age: 29.90 ± 10.91 years) were divided into three groups equally: high-angle, low-angle, and normal-angle groups. Cephalometric tracings were obtained from CBCT images and SN-GoGn (angle between Sella-Nasion line and Gonion-Gnathion line) cephalometric angular measurements used for the classification of skeletal vertical pattern evaluations. Morphological and dimensional changes in the maxillary sinuses were evaluated on CBCT images. Data were analyzed using the one-way ANOVA, Kruskall-Wallis, and Mann-Whitney U statistical tests.
There were no statistically significant differences among the groups in terms of age (p > .05). The low-angle vertical growth pattern group showed significantly better results than the high-angle group in the right maxillary sinus length parameter (p < .05).
According to the results, the high-angle subjects showed statistically lower values in terms of maxillary sinus length and width than the low-angle subjects. There were no effects of vertical face development on right and left maxillary sinus volumes. The results of this study may be useful in maxillary sinus evaluation when planning for orthognathic surgery and orthodontic mini screw application in various vertical face patterns.
本研究旨在使用锥形束计算机断层扫描(CBCT)比较高角、低角和正常角垂直生长模式患者的鼻窦容积和尺寸。
根据骨骼垂直面部生长模式,将60名成年人(31名女性,29名男性,平均年龄:29.90±10.91岁)平均分为三组:高角组、低角组和正常角组。从CBCT图像中获取头影测量描记,并使用蝶鞍-鼻根线(Sella-Nasion line)与下颌角-颏下点线(Gonion-Gnathion line)之间的头影测量角度(SN-GoGn)进行骨骼垂直模式评估分类。在CBCT图像上评估上颌窦的形态和尺寸变化。使用单因素方差分析、克鲁斯卡尔-沃利斯检验和曼-惠特尼U检验对数据进行分析。
各组之间在年龄方面无统计学显著差异(p>0.05)。低角垂直生长模式组在右上颌窦长度参数方面的结果显著优于高角组(p<0.05)。
根据结果,高角受试者在上颌窦长度和宽度方面的统计值低于低角受试者。垂直面部发育对上颌窦左右容积无影响。本研究结果可能有助于在为各种垂直面部模式的正颌手术和正畸微螺钉应用制定计划时进行上颌窦评估。