高位头帽-口外弓肌激动器治疗Ⅱ类高角儿童患者前、后的上气道变化

doi:10.19439/j.sjos.2018.03.011

上海口腔医学 ›› 2018, Vol. 27 ›› Issue (3): 270-274.doi: 10.19439/j.sjos.2018.03.011

高位头帽-口外弓肌激动器治疗Ⅱ类高角儿童患者前、后的上气道变化

夏松¹，戴红卫¹，张翼²，王超¹，邱靓星¹，王华桥¹

1.重庆医科大学附属口腔医院正畸科，口腔疾病与生物医学重庆市重点实验室，重庆市高校市级口腔生物医学工程重点实验室，重庆 401147；
2.重庆市协尔口腔，重庆 400042

收稿日期:2017-08-10 修回日期:2017-10-25 出版日期:2018-07-20 发布日期:2018-07-20
通讯作者: 王华桥， E-mail：muscle_tina@163.com
作者简介:夏松（1987-），男，硕士，E-mail：753051420@qq.com
基金资助:
国家自然科学基金 (81570979，81400541)；重庆市卫计委科研项目（2015MSXMO51，2012-2-131）

Changes of upper airway in ClassⅡchildren with high mandibular plane angle before and after functional treatment by high headgear-activator

XIA Song¹, DAI Hong-wei¹, ZHANG Yi², WANG Chao¹, QIU Liang-xing¹, WANG Hua-qiao¹.

1.Stomatological Hospital of Chongqing Medical University; Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences; Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education. Chongqing 401147；
2. Chongqing ShareDent Clinic. Chongqing 400042, China

Received:2017-08-10 Revised:2017-10-25 Online:2018-07-20 Published:2018-07-20

摘要/Abstract

摘要： 目的： 研究生长发育高峰期Ⅱ类高角错畸形患者矫形治疗前、后上气道的变化。方法： 收集并拍摄23例生长发育高峰期患者经高位头帽-口外弓肌激动器矫形治疗前（T1）、矫形治疗后（T2）的锥形束CT（CBCT），将T1和T2的CBCT数据导入Minics17.0软件中进行测量。采用SPSS22.0软件包中的配对t检验对安氏Ⅱ类儿童患者矫形治疗前、后上气道的变化进行分析。结果： 患者经矫形治疗后，上气道总容积、腭咽容积、喉咽容积、舌咽容积，软腭尖平面、会厌尖平面上气道的横截面积和口咽段最小横截面积，软腭尖、会厌尖平面的矢状径、横径的变化均具有统计学意义（P<0.05）；上气道形态在软腭尖平面趋于圆形（P<0.05），而在会厌顶平面无显著变化（P>0.05）。结论： 高位头帽-口外弓肌激动器矫形治疗使下颌骨发育不足的高角儿童患者上气道容积增大，通气量增加，呼吸功能改善。

关键词: 高位头帽-肌激动器, 三维重建, 上气道, 下颌后缩, 高下颌平面角

Abstract: PURPOSE: This study was performed to investigate the changes of upper airway before and after functional correction in ClassⅡmalocclusion children with high mandibular plane angle at growth and development peak. METHODS: Cone-beam CT (CBCT) data of the upper airway were inputted into Minics 17.0 software for measurement of changes in the upper airway before and after functional treatment by high headgear-activator. The changes of upper airway before and after treatment were analyzed with SPSS22.0 software package. RESULTS: The change of the total volume of the upper airway, the volume of the velopharynx, glossopharynx, laryngopharynx; the sectional area of the tip of soft palate, roof of the epiglottis, the minimum sectional area of the oropharynx were significant (P<0.05). The upper airway morphology tended to be circular in the soft palate tip plane(P<0.05), but there was no significant difference in the plane of epiglottis(P>0.05). CONCLUSIONS: High headgear-activator corrected mandibular hypoplasia in children with increased airway volume, increased ventilation, improved respiratory function to prevent occurrence of obstructive sleep apnea hypopnea syndrome after adult.

Key words: High headgear-activator, Cone-beam CT, Upper airway, Three-dimensional reconstruction, Mandibular retrusion, High mandibular plane angle

中图分类号:

R783.5

夏松，戴红卫，张翼，王超，邱靓星，王华桥. 高位头帽-口外弓肌激动器治疗Ⅱ类高角儿童患者前、后的上气道变化[J]. 上海口腔医学, 2018, 27(3): 270-274.

XIA Song, DAI Hong-wei, ZHANG Yi, WANG Chao, QIU Liang-xing, WANG Hua-qiao.. Changes of upper airway in ClassⅡchildren with high mandibular plane angle before and after functional treatment by high headgear-activator[J]. Shanghai Journal of Stomatology, 2018, 27(3): 270-274.

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高位头帽-口外弓肌激动器治疗Ⅱ类高角儿童患者前、后的上气道变化

Changes of upper airway in ClassⅡchildren with high mandibular plane angle before and after functional treatment by high headgear-activator

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