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使用锥形束计算机断层扫描评估不同矢状错牙合畸形中舌骨位置及其与气道尺寸的相关性。

Assessment of Hyoid Bone Position and its Correlation With Airway Dimensions in Different Sagittal Malocclusions Using Cone Beam Computed Tomography.

作者信息

Singh Priya, Nambiar Supriya, Desai Asavari, Philip Nidhin, Ongole Ravikiran

机构信息

Department of Orthodontics and Dentofacial Orthopaedics, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.

Department of Oral Medicine and Radiology, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.

出版信息

Int J Dent. 2025 May 26;2025:6702204. doi: 10.1155/ijod/6702204. eCollection 2025.

Abstract

To evaluate the changes in the position of the hyoid bone in different skeletal malocclusions and correlate it with pharyngeal airway dimension using cone beam computed tomography (CBCT). Ninety healthy adult subjects between 18 and 25 years with normo divergent facial pattern (FMA range 21° and 28°) from the postgraduate orthodontic clinic of the Institution. The subjects were divided into three groups consisting of 30 patients each, on the basis of the ANB angle. Each group was subdivided into two according to gender to evaluate if any sexual dimorphism exists in airway dimensions and hyoid bone position. Oropharyngeal volume was maximum in Class I group (15.18) and least in Class II group (12.06), which was statistically significant with a value of 0.015. Horizontal distance from highest point of the hyoid bone and true vertical in Class II group had the highest value of 21.51 and Class I had the least value of 17.31, which was statistically significant with value of 0.027. Vertical measurement between the hyoid bone and the posterior nasal spine (PNS) in Class III subjects was around 57.01, and Class I subjects had the least value of 51.20. Nasopharyngeal volume was higher in the male group with a value of -2.798 and was statistically significant. The hyoid bone is posteriorly positioned in Class II skeletal pattern. Oropharyngeal volume was least in Class II skeletal base individuals. In males, pharyngeal volume was larger than females, and the hyoid bone was placed inferiorly compared to females.

摘要

使用锥形束计算机断层扫描(CBCT)评估不同骨骼错牙合畸形中舌骨位置的变化,并将其与咽气道尺寸相关联。从该机构的研究生正畸诊所选取90名年龄在18至25岁之间、面部模式正常发散(FMA范围为21°至28°)的健康成年受试者。根据ANB角将受试者分为三组,每组30例患者。根据性别将每组再细分为两组,以评估气道尺寸和舌骨位置是否存在性别差异。I类组的口咽体积最大(15.18),II类组最小(12.06),差异具有统计学意义,P值为0.015。II类组舌骨最高点与真垂线的水平距离最高值为21.51,I类组最低值为17.31,差异具有统计学意义,P值为0.027。III类受试者舌骨与后鼻棘(PNS)之间的垂直测量值约为57.01,I类受试者最低值为51.20。男性组的鼻咽体积较高,P值为-2.798,具有统计学意义。II类骨骼模式中舌骨向后移位。II类骨骼基底个体的口咽体积最小。在男性中,咽部体积大于女性,且舌骨位置比女性更低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec00/12129593/6dc5b96daa33/IJD2025-6702204.001.jpg

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