Alyessary Akram S, Othman Siti A, Yap Adrian U J, Radzi Zamri, Rahman Mohammad T
University of Malaya, Faculty of Dentistry, Department of Paediatric Dentistry and Orthodontics, Kuala Lumpur, Malaysia; Karbala University, College of dentistry, Department of Orthodontics, Karbala, Iraq.
University of Malaya, Faculty of Dentistry, Department of Paediatric Dentistry and Orthodontics, Kuala Lumpur, Malaysia.
Int Orthod. 2019 Mar;17(1):12-19. doi: 10.1016/j.ortho.2019.01.001. Epub 2019 Feb 4.
This systematic review aims to determine the effects of non-surgical rapid maxillary expansion (RME) on breathing and upper airway structures.
An electronic search of the scientific literature from January 2005 to June 2016 was done using Web of Science, Dentistry & Oral Sciences Source and PubMed databases. A combination of search terms "rapid maxillary expansion", "nasal", "airway" and "breathing" were used. Studies that involved surgical or combined RME-surgical treatments and patients with craniofacial anomalies were excluded.
The initial screening yielded a total of 183 articles. After evaluation of the titles, abstracts and accessing the full text, a total of 20 articles fulfilled both inclusion/exclusion criteria and possessed adequate evidence to be incorporated into this review.
Non-surgical RME was found to improve breathing, increase nasal cavity geometry and decrease nasal airway resistance in children and adolescents.
本系统评价旨在确定非手术快速上颌扩弓（RME）对呼吸及上气道结构的影响。
利用科学网、牙科学与口腔科学资源库及PubMed数据库，对2005年1月至2016年6月的科学文献进行电子检索。使用了“快速上颌扩弓”“鼻腔”“气道”和“呼吸”等检索词的组合。排除涉及手术或RME与手术联合治疗的研究以及患有颅面畸形的患者。
初步筛选共得到183篇文章。在对标题、摘要进行评估并查阅全文后，共有20篇文章符合纳入/排除标准且有足够证据纳入本评价。
发现非手术RME可改善儿童和青少年的呼吸，增加鼻腔容积并降低鼻气道阻力。
