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睡眠呼吸紊乱患者的上气道尺寸与 TMJ 位置的相关性。

Correlation between upper airway dimension and TMJ position in patients with sleep disordered breathing.

机构信息

School of Dentistry and Oral Health, Griffith University, Gold Coast, Australia.

Private Practice, Brisbane, Australia.

出版信息

Cranio. 2023 Jul;41(4):331-339. doi: 10.1080/08869634.2020.1853465. Epub 2020 Dec 8.

DOI:10.1080/08869634.2020.1853465
PMID:33287679
Abstract

OBJECTIVE

The goal was to perform a 10-year retrospective study on the correlation between sleep disordered breathing (SDB) and upper airway dimensions, as well as the relation between SDB status and TMJ position. The study also examined links between airway dimensions and TMJ position.

METHODS

Patients were categorized into Control (n = 28) or SDB (n = 45). Cone beam (CBCT) data was analyzed using ™.

RESULTS

Although there were distinctive features within the SDB group, these did not show a correlation of significance with airway dimensions. SDB patients were more likely to have their condyles posteriorly seated. Other factors, such as presence of TMD, limited mouth opening, and pain upon palpation of masticatory muscles also significantly affected the TMJ position. Volumetric airway analysis showed links to TMJ position.

CONCLUSION

SDB patients have a smaller airway volume and have a significant relationship between airway volume and TMJ position with their condyles seated more posteriorly.

摘要

目的

对睡眠呼吸紊乱(SDB)与上呼吸道尺寸之间的相关性进行 10 年回顾性研究,并研究 SDB 状态与 TMJ 位置之间的关系。该研究还检查了气道尺寸与 TMJ 位置之间的关系。

方法

患者分为对照组(n=28)或 SDB 组(n=45)。使用 ™ 分析锥形束 CT(CBCT)数据。

结果

虽然 SDB 组有明显的特征,但与气道尺寸没有相关性。SDB 患者的髁突更向后移位。其他因素,如 TMD 的存在、张口受限以及咀嚼肌触诊时疼痛,也显著影响 TMJ 位置。容积气道分析显示与 TMJ 位置有关。

结论

SDB 患者的气道容积较小,气道容积与 TMJ 位置之间存在显著关系,其髁突更向后移位。

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