Department of Orthodontics, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China.
J Oral Rehabil. 2024 Nov;51(11):2460-2466. doi: 10.1111/joor.13849. Epub 2024 Aug 29.
Nasal obstruction in humans leads to mouth breathing and subsequent hypoxia in the entire body. Furthermore, nasal obstruction in growing children affects craniofacial growth and development.
To investigate the effects of unilateral nasal obstruction (UNO) on craniofacial growth in mice of different ages, particularly on the morphology of the nasomaxillary complex and mandible.
Mice aged 3, 6 and 12 weeks were selected as representatives of juvenile, adolescent and adult stages, respectively. A total of 30 male C57BL/6J mice (10 mice each at the ages of 3, 6 and 12 weeks) were used in this study for a 3-week experiment. The mice in each age stage were randomly and evenly assigned to either the control group (C3+3, C6+3 and C12+3) or the experimental group (E3+3, E6+3 and E12+3). The UNO model in experimental group was constructed by plugging the mouse's left nostril, thereby disrupting its normal nasal breathing pattern and inducing hypoxia. The control group underwent the sham procedure. After 3 weeks, the length, width and height of the cranium, nasomaxillary complex and mandible of each group were measured on two-dimensional images constructed by micro-computed tomography. Furthermore, the impact of UNO on mouse growth was evaluated through the measurement of femoral length.
In juvenile mice, UNO inhibited the growth of cranial width, cranial height and mandibular length. In adolescent mice, UNO impeded the growth of the femoral length, cranial length, nasomaxillary length and mandibular length. In adult mice, no significant negative effects of UNO on craniofacial growth were found.
Referring to the experimental results, in addition to actively treating nasal obstruction in patients, it is important to monitor the growth of the mandible in juveniles, as well as the nasomaxillary and mandibular growth in adolescents during orthodontic clinical practice.
人类的鼻腔阻塞会导致张口呼吸,并使全身缺氧。此外,儿童的鼻腔阻塞会影响颅面的生长发育。
研究单侧鼻腔阻塞(UNO)对不同年龄段小鼠颅面生长的影响,特别是对鼻上颌复合体和下颌骨形态的影响。
选择 3 周、6 周和 12 周龄的雄性 C57BL/6J 小鼠作为幼年、青少年和成年阶段的代表,每组 10 只。本研究共进行了 3 周的实验,每组有 30 只雄性 C57BL/6J 小鼠(3 周龄、6 周龄和 12 周龄各 10 只)。每个年龄组的小鼠被随机平均分为对照组(C3+3、C6+3 和 C12+3)和实验组(E3+3、E6+3 和 E12+3)。实验组的 UNO 模型通过堵塞小鼠的左鼻孔建立,从而破坏其正常的鼻腔呼吸模式并诱导缺氧。对照组进行假手术处理。3 周后,通过 micro-CT 构建的二维图像测量各组颅骨、鼻上颌复合体和下颌骨的长度、宽度和高度。此外,通过测量股骨长度评估 UNO 对小鼠生长的影响。
在幼年小鼠中,UNO 抑制了颅宽、颅高和下颌骨长度的生长。在青少年小鼠中,UNO 阻碍了股骨长度、颅长、鼻上颌长度和下颌骨长度的生长。在成年小鼠中,UNO 对颅面生长没有明显的负面影响。
根据实验结果,除了积极治疗患者的鼻腔阻塞外,在正畸临床实践中,还应注意监测青少年下颌骨的生长,以及青少年时期的鼻上颌和下颌骨生长。