Di Carlo Gabriele, Saccucci Matteo, Ierardo Gaetano, Luzzi Valeria, Occasi Francesca, Zicari Anna Maria, Duse Marzia, Polimeni Antonella
Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy.
Department of Pediatrics, Sapienza University of Rome, Rome, Italy.
Biomed Res Int. 2017;2017:5460429. doi: 10.1155/2017/5460429. Epub 2017 Jul 16.
This study aimed to investigate the quality of cone beam computed tomography (CBCT) studies evaluating the effects of rapid maxillary expansion on upper airway morphology.
A database search was conducted using PubMed, Ovid, and Cochrane Library up to December 2016. Studies in which CBCT was adopted to visualize the upper airway before and after rapid maxillary expansion were included. The population target was growing patients. Methodological quality assessment was performed.
The screening process resulted in the exclusion of 1079 references, resulting in only 9 remaining papers that fulfilled the inclusion criteria. No randomized clinical trials were found. The quality scores ranged from 36% to 68% of the maximum achievable, and the mean quality score of the studies was 50%. No good quality studies were detected in our sample.
Inconsistencies in the CBCT protocols utilized were detected between studies. Head posture, tongue position, and segmentation protocols were not consistent. These discrepancies were reflected in the different results obtained in the studies. A valid and consistent protocol with regard to head and tongue positioning, as well as nasal cavity volume segmentation, is required.
本研究旨在调查评估快速上颌扩弓对上气道形态影响的锥形束计算机断层扫描（CBCT）研究的质量。
截至2016年12月，使用PubMed、Ovid和Cochrane图书馆进行数据库检索。纳入采用CBCT观察快速上颌扩弓前后上气道的研究。目标人群为正在生长发育的患者。进行了方法学质量评估。
筛选过程排除了1079篇参考文献，最终仅9篇论文符合纳入标准。未发现随机临床试验。质量得分在可达到的最高分的36%至68%之间，研究的平均质量得分为50%。在我们的样本中未检测到高质量研究。
研究之间检测到所使用的CBCT方案存在不一致。头部姿势、舌位和分割方案不一致。这些差异反映在研究中获得的不同结果上。需要一个关于头部和舌位定位以及鼻腔容积分割的有效且一致的方案。
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