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7至14岁儿童不同前后位骨骼模式下上咽气道尺寸的比较评估:一项头影测量研究

A Comparative Assessment of the Upper Pharyngeal Airway Dimensions among Different Anteroposterior Skeletal Patterns in 7-14-Year-Old Children: A Cephalometric Study.

作者信息

Chianchitlert Ann, Luppanapornlarp Suwannee, Saenghirunvattana Bhudsadee, Sirisoontorn Irin

机构信息

Department of Clinical Dentistry, Walailak University International College of Dentistry (WUICD), Walailak University, 87 Ranong 2 Road, Dusit, Bangkok 10300, Thailand.

出版信息

Children (Basel). 2022 Aug 3;9(8):1163. doi: 10.3390/children9081163.

Abstract

BACKGROUND

The pharyngeal airway is a crucial part of the respiratory system's function. Assessing the pharyngeal airway dimensions in different skeletal types is important in the orthodontic treatment of growing patients. The aim of this study was to compare the upper pharyngeal airway dimensions of 7-14-year-old children with different skeletal types.

METHODS

Three-hundred-sixty-one lateral cephalometric radiographs were grouped based on their skeletal patterns determined by the ANB angle as skeletal type I ( = 123), type II ( = 121), and type III ( = 117). The radiographs were divided into 4 groups: 7/8 YO (7-8 years old), 9/10 YO, 11/12 YO, and 13/14 YO. The cephalometric measurements comprised SNA, SNB, ANB, Ad1-PNS, Ad2-PNS, McUP, and McLP. An ANOVA was used to compare the group results.

RESULTS

Significant differences in Ad1-PNS, Ad2-PNS, McUP, and McLP in skeletal types II and III were found between age groups. Most upper pharyngeal airway dimensions in skeletal types II and III children were significantly wider in the 13/14 YO group than in the other age groups.

CONCLUSION

The upper pharyngeal airway dimensions increased age-dependently in 7-14-year-old children, especially in skeletal types II and III. The upper pharyngeal airway dimensions could serve as a guide in differentiating the different skeletal classes in clinical settings.

摘要

背景

咽气道是呼吸系统功能的关键部分。评估不同骨骼类型患者的咽气道尺寸,对于生长发育期患者的正畸治疗具有重要意义。本研究旨在比较7至14岁不同骨骼类型儿童的上咽气道尺寸。

方法

361张头颅侧位片根据由ANB角确定的骨骼类型进行分组,分为骨骼Ⅰ型(=123例)、Ⅱ型(=121例)和Ⅲ型(=117例)。这些X线片被分为4组:7/8岁组(7至8岁)、9/10岁组、11/12岁组和13/14岁组。头影测量包括SNA、SNB、ANB、Ad1-PNS、Ad2-PNS、McUP和McLP。采用方差分析比较各组结果。

结果

在Ⅱ型和Ⅲ型骨骼类型中,不同年龄组之间的Ad1-PNS、Ad2-PNS、McUP和McLP存在显著差异。Ⅱ型和Ⅲ型骨骼类型儿童的大多数上咽气道尺寸在13/14岁组中显著宽于其他年龄组。

结论

7至14岁儿童的上咽气道尺寸随年龄增长而增加,尤其是在Ⅱ型和Ⅲ型骨骼类型中。上咽气道尺寸可作为临床鉴别不同骨骼类别的参考指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f77/9406918/75987c564c30/children-09-01163-g001.jpg

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