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上颌骨发育不全与无创通气：文献综述及新治疗方案建议

Maxillary Hypoplasia and Non-Invasive Ventilation: Literature Review and Proposed New Treatment Protocol.

作者信息

Meazzini Maria Costanza, Moretti Mattia, Canzi Gabriele, Sozzi Davide, Novelli Giorgio, Mazzoleni Fabio

机构信息

Pediatric Craniofacial Malformations Unit, Smile House Monza-Craniofacial Center, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy.

Operative Unit of Maxillo-Facial Surgery, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy.

出版信息

Children (Basel). 2024 Jun 13;11(6):720. doi: 10.3390/children11060720.

DOI:10.3390/children11060720
PMID:38929299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11201370/
Abstract

The impact of non-invasive ventilation (NIV) on pediatric maxillary growth is a subject of ongoing research considering its increased use in the pediatric population due to technological advancements and broader indications. This review examines the existing literature, encompassing original articles, case reports, and reviews, to evaluate the effects of NIV on maxillary development and explore potential treatment options. Although the majority of studies agree on the adverse effects of prolonged NIV on maxillary development, techniques for its correction remain understudied. Introducing a novel treatment protocol, we addressed the challenge of correcting severe midfacial hypoplasia in a child with congenital central hypoventilation syndrome (CCHS) undergoing NIV therapy, thus sidestepping the necessity for osteotomies. This proposed protocol holds promise in correcting the adverse impact of NIV on maxillary growth, emphasizing the need for further exploration into innovative treatment modalities.

摘要

考虑到技术进步和适应证的扩大，无创通气（NIV）在儿科人群中的使用日益增加，其对儿童上颌骨生长的影响是一个正在进行研究的课题。本综述审视了现有文献，包括原创文章、病例报告和综述，以评估无创通气对上颌骨发育的影响，并探索潜在的治疗选择。尽管大多数研究一致认为长期无创通气对上颌骨发育有不良影响，但其矫正技术仍研究不足。我们引入了一种新的治疗方案，解决了一名接受无创通气治疗的先天性中枢性低通气综合征（CCHS）患儿严重面中部发育不全的矫正难题，从而避免了截骨术的必要性。这一提出的方案有望纠正无创通气对上颌骨生长的不利影响，强调了进一步探索创新治疗方式的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d124/11201370/3c13fdb8b990/children-11-00720-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d124/11201370/e42741c39781/children-11-00720-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d124/11201370/2010fa2d1281/children-11-00720-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d124/11201370/cfbcf309d8af/children-11-00720-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d124/11201370/2ffb50244bfe/children-11-00720-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d124/11201370/409d342a19f0/children-11-00720-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d124/11201370/3c13fdb8b990/children-11-00720-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d124/11201370/e42741c39781/children-11-00720-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d124/11201370/2010fa2d1281/children-11-00720-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d124/11201370/cfbcf309d8af/children-11-00720-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d124/11201370/2ffb50244bfe/children-11-00720-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d124/11201370/409d342a19f0/children-11-00720-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d124/11201370/3c13fdb8b990/children-11-00720-g006.jpg

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本文引用的文献

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The Effect of Trans-Sutural Distraction Osteogenesis on Nasal Bone, Nasal Septum, and Nasal Airway in the Treatment for Midfacial Hypoplasia in Growing Patients.经缝牵引成骨术治疗生长发育期面中部发育不全对鼻骨、鼻中隔和鼻气道的影响。
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Long-term follow-up of late maxillary orthopedic advancement with the Liou-Alternate rapid maxillary expansion-constriction technique in patients with skeletal Class III malocclusion.骨骼 III 类错颌患者应用刘-交替快速上颌扩展-缩窄技术的长期随访。
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The impact of positive airway pressure on midface growth: a literature review.
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Mask interfaces for home non-invasive ventilation in infants and children.面罩接口在婴儿和儿童家庭无创通气中的应用。
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Short- and Long-Term Effects of Late Maxillary Advancement With the Liou-Alt-RAMEC Protocol in Unilateral Cleft Lip and Palate.采用刘-阿尔特-反向上颌骨扩弓矫治技术进行晚期上颌骨前移对单侧唇腭裂的短期和长期影响
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Auton Neurosci. 2018 Mar;210:1-9. doi: 10.1016/j.autneu.2017.11.003. Epub 2017 Nov 13.
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Maxillary deformity following CPAP treatment in myasthenia gravis.重症肌无力患者持续气道正压通气治疗后出现的上颌骨畸形。
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