幼年特发性关节炎患儿的髁突改变与面部生长
Condylar alterations and facial growth in children with juvenile idiopathic arthritis.
作者信息
Cedströmer Anna-Lena, Andlin-Sobocki Anna, Abbu Nadjwan, Hedenberg-Magnusson Britt, Dahlström Lars, Berntson Lillemor
机构信息
Department of Behavioral and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Orthodontics, Folktandvården Eastman Institutet, Stockholm, Stockholms län AB, Sweden.
出版信息
J Orofac Orthop. 2020 May;81(3):163-171. doi: 10.1007/s00056-020-00216-8. Epub 2020 Feb 20.
PURPOSE
The aim of this retrospective study was to evaluate facial growth in children with juvenile idiopathic arthritis (JIA) by means of lateral head cephalometric radiographs and relate the findings to temporomandibular joint (TMJ) condylar changes on panoramic radiographs.
METHODS
Radiographic and medical records were evaluated in 65 children with JIA. Cephalometric and panoramic analyses were performed for the impact of condylar changes on facial growth. We compared children with condylar alterations, minor or major, with those without condylar alterations.
RESULTS
Based on panoramic radiographs, no condylar alterations were seen in 27 of the 65 children and condylar alterations were seen in 38 children (i.e., 23 had minor and 15 major condylar alterations). The cephalometric analyses of the children with condylar changes showed significant growth disturbances with a more retrognathic mandible (SNB; p = 0.03), retruded chin position (SNPog; p = 0.02), larger mandibular angulation (ML/NSL; p = 0.009) and maxillary angulation (NL/NSL; p = 0.03) compared with children without condylar alterations. Children with minor condylar alterations had a significantly more retruded chin position (SNPog) than those with no condylar changes (p = 0.04).
CONCLUSIONS
Condylar changes in the TMJ, judged on panoramic radiography, in children with JIA, have impact on craniofacial growth. Even minor alterations seem to have an impact.
目的
本回顾性研究旨在通过头颅侧位X线片评估幼年特发性关节炎（JIA）患儿的面部生长情况，并将结果与全景X线片上颞下颌关节（TMJ）髁突的变化相关联。
方法
对65例JIA患儿的影像学和病历进行评估。进行头影测量和全景分析，以研究髁突变化对面部生长的影响。我们将有髁突改变（轻微或严重）的患儿与无髁突改变的患儿进行比较。
结果
根据全景X线片，65例患儿中27例未见髁突改变，38例患儿有髁突改变（即23例轻微改变，15例严重改变）。对有髁突改变的患儿进行头影测量分析显示，与无髁突改变的患儿相比，存在明显的生长紊乱，下颌后缩更明显（SNB；p = 0.03），颏部位置后移（SNPog；p = 0.02），下颌角更大（ML/NSL；p = 0.009），上颌角更大（NL/NSL；p = 0.03）。有轻微髁突改变的患儿颏部位置后移（SNPog）比无髁突改变的患儿更明显（p = 0.04）。
结论
根据全景X线片判断，JIA患儿TMJ的髁突变化对颅面生长有影响。即使是轻微改变似乎也有影响。
Zotero 插件