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比较鼻中隔偏曲患者与健康人在锥形束计算机断层扫描(CBCT)中的上气道尺寸。

Comparing dimensions of upper airway in patients with nasal septal deviation and healthy people in CBCT.

作者信息

Jafari-Pozve Nasim, Kiani Hamidreza, Aryanezhad Seyed-Sasan

机构信息

Department of Oral and Maxillofacial Radiology, Dental School, Isfahan (khorasgan) Branch, Islamic Azad University Isfahan, Iran.

School of Dentistry, Isfahan (khorasgan) Branch, Islamic Azad university Isfahan, Iran.

出版信息

Am J Nucl Med Mol Imaging. 2022 Feb 15;12(1):33-40. eCollection 2022.

Abstract

Nasal septal deviation causes the obstruction of the nasal lateral wall and sinus cavities as well as bringing some respiratory problems. Furthermore, the obstruction of the upper airway tract can cause changes in normal breathing process, which itself has an important effect on the normal development of both the mandibular and facial areas. This study aimed to assess the dimensions of airway in patients suffering from nasal septal deviation as well as comparing them with healthy individuals through CBCT images. This descriptive analytical study was performed on 127 patients (classified into two groups: with septal deviation (n=93) and without this deviation (n=34). In each patient, the presence and severity of nasal septal deviation as well as upper airway dimensions were examined from sagittal and coronal views. The obtained data were then analyzed using independent t-test and Mann-Whitney test.no significant difference was observed between the mean age of the two study groups (P=0.208). Among those subjects with and without nasal septal deviation, no significant difference was observed in the lateral view in nasopharynx (P=0.653), oropharynx (P=0.828), and hypopharynx (P=0.693) areas in terms of the anteroposterior airway dimensions. As well, no significant difference was observed in the transversal dimensions in coronal view in nasopharynx (P=0.098), oropharynx (P=0.438), and hypopharynx (P=0.676) areas. There was no significant difference in terms of anteroposterior airway dimensions in the lateral view as well as regarding transverse dimensions in coronal view in nasopharynx, oropharynx, and hypopharynx areas.

摘要

鼻中隔偏曲会导致鼻腔侧壁和鼻窦腔阻塞,并引发一些呼吸问题。此外,上呼吸道阻塞会导致正常呼吸过程发生改变,这本身对下颌和面部区域的正常发育具有重要影响。本研究旨在通过CBCT图像评估鼻中隔偏曲患者的气道尺寸,并将其与健康个体进行比较。本描述性分析研究对127例患者进行(分为两组:有鼻中隔偏曲组(n = 93)和无鼻中隔偏曲组(n = 34))。对每位患者,从矢状面和冠状面检查鼻中隔偏曲的存在及严重程度以及上呼吸道尺寸。然后使用独立t检验和曼-惠特尼检验对获得的数据进行分析。两个研究组的平均年龄之间未观察到显著差异(P = 0.208)。在有和无鼻中隔偏曲的受试者中,就前后气道尺寸而言,鼻咽部(P = 0.653)、口咽部(P = 0.828)和下咽(P = 0.693)区域在侧位视图中未观察到显著差异。同样,在鼻咽部(P = 0.098)、口咽部(P = 0.438)和下咽(P = 0.676)区域的冠状视图横向尺寸方面也未观察到显著差异。在鼻咽部、口咽部和下咽区域的侧位视图前后气道尺寸以及冠状视图横向尺寸方面均无显著差异。

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