Fricke N B, Omnell M L, Dutcher K D, Hollender L G, Engrav L H
Burn Center, University of Washington, Seattle, USA.
J Burn Care Rehabil. 1996 Jul-Aug;17(4):338-45. doi: 10.1097/00004630-199607000-00010.
Pressure garments alter facial growth. We conducted a prospective study of facial growth in children wearing such garments to quantify these skeletal and dental disturbances. Three children with total face masks and three children with devices covering the lower face were studied. Panoramic and cephalometric radiographs were obtained at the start of treatment, approximately 6 months later, and at the end of the treatment. Clinical examinations were performed to document occlusal status and subsequent changes. Total face masks affected maxillary horizontal growth more than vertical growth. Mandibular growth changed from the normal anterior and inferior direction to a more inferior direction. With partial face masks, the most notable change was increased proclination of anterior teeth. Facial growth and the position of anterior teeth appear to be affected by the combination of the extent of the burn and skin graft and the type of pressure garments worn during the time of rehabilitation.
压力衣会改变面部生长。我们对穿着此类压力衣的儿童面部生长进行了一项前瞻性研究，以量化这些骨骼和牙齿紊乱情况。研究了三名佩戴全脸面罩的儿童和三名佩戴覆盖下脸装置的儿童。在治疗开始时、大约6个月后以及治疗结束时获取全景和头影测量X线片。进行临床检查以记录咬合状态及后续变化。全脸面罩对上颌水平生长的影响大于垂直生长。下颌生长方向从正常的向前下方向变为更向下的方向。对于部分脸面罩，最显著的变化是前牙前倾增加。面部生长和前牙位置似乎受到烧伤范围、皮肤移植情况以及康复期间所穿压力衣类型的综合影响。
