Gianni E, Farronato G P
Istituto di Clinica Odontoiatrica e Stomatologica, Università degli Studi di Milano.
Ital J Neurol Sci. 1995 Nov;16(8 Suppl):57-68.
The aim of the research was to study the interrelationship between the primary neurovascular headaches, the various levels dimension of nasal pyramid and the rapid palatal expansion. Twenty-five patients, of both sexes and on developmental age, were studied before and after the rapid palatal expansion. All patients showed palatal hypoplasia and were suffering from primary neurovascular headache. The research was based on the cephalometric and rhinomanometric data. The radiographic documentation of each patient consisted of three postero-anterior teleradiographic projection; the first before application of the disjunction device, the second immediately after disjunction and the third at the end of the contention period. The rhinomanometric evaluation studied the reduction of nasal resistance values before and after palatal expansion. In all patients a constant increase in the values relating both skeletal and dental structures was observed. The nasal septum, if deviated, appeared straightend. The nasal resistances were decreased. The concomitant headache symptomatology presented resolution or recovery in the 98% of treated patients. The results should confirm the hypothesis of the central-peripheral theory of "primary headaches" and the possibility to treat the primary headaches by rapid palatal disjunction in eliminating the stenosis at various levels of nasal pyramid.
该研究的目的是探讨原发性神经血管性头痛、鼻锥体不同层面维度与快速腭扩展之间的相互关系。对25例处于发育年龄的男女患者在快速腭扩展前后进行了研究。所有患者均表现为腭发育不全，并患有原发性神经血管性头痛。该研究基于头影测量和鼻阻力测量数据。每位患者的影像学记录包括三张后前位远距离X线摄影投影；第一张在应用分离装置前，第二张在分离后立即拍摄，第三张在维持期结束时拍摄。鼻阻力测量评估研究了腭扩展前后鼻阻力值的降低情况。在所有患者中，观察到与骨骼和牙齿结构相关的值持续增加。鼻中隔若有偏曲，会变直。鼻阻力降低。98%的接受治疗患者的伴随头痛症状得到缓解或康复。这些结果应能证实“原发性头痛”的中枢-外周理论假说，以及通过快速腭分离消除鼻锥体不同层面狭窄来治疗原发性头痛的可能性。
