影响颌面部发育的上气道阻塞相关因素的研究进展

doi:10.13591/j.cnki.kqyx.2023.06.017

摘要/Abstract

摘要：

在生长发育期,长期上气道阻塞会影响颌面部的正常生长发育,其已成为近年的研究热点。而不同因素作用致上气道阻塞影响颌面部发育的具体机制和表现呈多样性和复杂性,因此,深入了解各种上气道阻塞相关因素对颌面部的影响有助于临床医生早期诊断及干预颌面部的异常发育。本文从上气道单个部位狭窄影响颌面部发育因素、上气道多个部位狭窄影响颌面部发育因素和其他因素三个主要方面的近5年新进展作一综述。

关键词: 颌面部发育, 上气道阻塞, 腺样体肥大, 神经肌肉疾病

Abstract:

During the growth period, long-term upper airway obstruction will affect normal development of maxillofacial region, which has become a research hotspot in recent years. Mechanisms and manifestations of upper airway obstruction caused by different factors affecting maxillofacial development are diverse and complex. Therefore, an in-depth understanding of the impact of various factors related to upper airway obstruction in the maxillofacial region is helpful for clinicians to early diagnose and intervene in the abnormal development of maxillofacial region. This article reviews research progress in five years from three main aspects, ① factors of single site upper airway stenosis affecting the maxillofacial region; ② factors of multiple site upper airway stenosis affecting the maxillofacial region; ③ other factors.

Key words: maxillofacial development, upper airway obstruction, adenoid hypertrophy, neuromuscular disease

中图分类号:

R783.5

魏志峰, 杨彤彤, 王靖鸿. 影响颌面部发育的上气道阻塞相关因素的研究进展[J]. 口腔医学, 2023, 43(6): 573-576.

WEI Zhifeng, YANG Tongtong, WANG Jinghong. Progress of research on factors of upper airway obstruction affecting maxillofacial development[J]. Stomatology, 2023, 43(6): 573-576.

参考文献 31

[1]	Sato T, Yamaguchi M, Murakami Y, et al. Changes in maxillofacial morphology due to improvement of nasal obstruction in rats[J]. Orthod Craniofac Res, 2018, 21(2):84-89. doi: 10.1111/ocr.12220 pmid: 29493884
[2]	Farronato M, Lanteri V, Fama A, et al. Correlation between malocclusion and allergic rhinitis in pediatric patients: A systematic review[J]. Children (Basel), 2020, 7(12):260.
[3]	Jafari-Pozve N, Kiani H, AryanezhadSS. Comparing dimensions of upper airway in patients with nasal septal deviation and healthy people in CBCT[J]. Am J Nucl Med Mol Imaging, 2022, 12(1):33-40. pmid: 35295889
[4]	Rodrigues MM, Passeri LA, Monnazzi MS, et al. Evaluation of nasal obstruction in various sagittal skeletal deformity of jaws[J]. J Craniofac Surg, 2017, 28(8):e790-e792. doi: 10.1097/SCS.0000000000001812
[5]	Poddębniak J, Zielnik-Jurkiewicz B. Impact of adenoid hypertrophy on the open bite in children[J]. Otolaryngol Pol, 2019, 73(4):8-13. doi: 10.5604/01.3001.0013.1536 pmid: 31474619
[6]	Wang HW, Qiao XT, Qi SQ, et al. Effect of adenoid hypertrophy on the upper airway and craniomaxillofacial region[J]. TranslPediatr, 2021, 10(10):2563-2572.
[7]	Kim HJ, Hong SN, Lee WH, et al. Soft palate cephalometric changes with a mandibular advancement device may be associated with polysomnographic improvement in obstructive sleep apnea[J]. Eur Arch Otorhinolaryngol, 2018, 275(7):1811-1817. doi: 10.1007/s00405-018-5007-3 pmid: 29796743
[8]	Nachmani A, Masalha M, Biadsee A, et al. Differences in craniofacial morphology between platybasic and nonplatybasic patients with velopharyngeal dysfunction and control subjects[J]. Am J Orthod Dentofacial Orthop, 2022, 162(1):e5-e16. doi: 10.1016/j.ajodo.2021.12.016
[9]	Iwasaki T, Sato H, Suga H, et al. Relationships among nasal resistance, adenoids, tonsils, and tongue posture and maxillofacial form in Class Ⅱ and Class Ⅲ children[J]. Am J Orthod Dentofacial Orthop, 2017, 151(5):929-940. doi: 10.1016/j.ajodo.2016.10.027
[10]	赵婷婷, 王敏, 杨郑, 等. 儿童与成年不同骨面型正畸患者扁桃体肥大率初探[J]. 中华口腔医学杂志, 2022, 57(3):266-271.
[11]	Ulualp S. Outcomes of tongue base reduction and lingual tonsillectomy for residual pediatric obstructive sleep apnea after adenotonsillectomy[J]. Int Arch Otorhinolaryngol, 2019, 23(4):e415-e421. doi: 10.1055/s-0039-1685156
[12]	Iwasaki T, Suga H, Yanagisawa-Minami A, et al. Relationships among tongue volume, hyoid position, airway volume and maxillofacial form in paediatric patients with Class-I, Class-Ⅱ and Class-Ⅲ malocclusions[J]. Orthod Craniofac Res, 2019, 22(1):9-15. doi: 10.1111/ocr.2019.22.issue-1
[13]	IhanHren N, BarbiČ U. Tongue volume in adults with skeletal Class Ⅲ dentofacial deformities[J]. Head Face Med, 2016, 12: 12. doi: 10.1186/s13005-016-0110-4 pmid: 27004947
[14]	Meazzini MC, Besana M, Tortora C, et al. Long-term longitudinal evaluation of mandibular growth in patients with Beckwith-Wiedemann Syndrome treated and not treated with glossectomy[J]. J Craniomaxillofac Surg, 2020, 48(12):1126-1131. doi: 10.1016/j.jcms.2020.09.004
[15]	da Costa ED, Roque-Torres GD, Brasil DM, et al. Correlation between the position of hyoid bone and subregions of the pharyngeal airway space in lateral cephalometry and cone beam computed tomography[J]. Angle Orthod, 2017, 87(5):688-695. doi: 10.2319/022217-133.1 pmid: 28686091
[16]	王志会, 贾莹, 丁琪. 不同垂直骨面型骨性Ⅲ类错𬌗颅-舌骨的平面投影关系[J]. 中国临床解剖学杂志, 2021, 39(3):282-285.
[17]	胡小蓓, 王大为, 刘超, 等. 青少年错𬌗患者上气道大小与颅面部骨骼形态的相关性分析[J]. 宁夏医科大学学报, 2018, 40(3):286-291, 300.
[18]	Forte AJ, Lu XN, Hashim PW, et al. Analysis of airway and midface in crouzonsyndromes[J]. Ann Plast Surg, 2019, 82(6):686-691. doi: 10.1097/SAP.0000000000001740
[19]	Nakao T, Katayama M, Fujimori Y, et al. 17-year follow-up after mandibular distraction performed in an infant with robin sequence[J]. Plast Reconstr Surg Glob Open, 2020, 8(2):e2651. doi: 10.1097/GOX.0000000000002651
[20]	张志勇, 刘永红, 孙彦杰, 等. 中心核肌病患者口腔颌面部特征及MRI表现[J]. 中华口腔医学杂志, 2017, 52(7):415-420.
[21]	Fontinha C, Engvall M, Sjögreen L, et al. Occlusal traits and longitudinal dental changes in children and adolescents with congenital or childhood onset myotonic dystrophy[J]. Eur J Orthod, 2021, 43(5):527-533. doi: 10.1093/ejo/cjaa068
[22]	戴玉辉. 腺样体扁桃体肥大对儿童颌面部发育的影响[D]. 大连: 大连医科大学, 2017.
[23]	Gulotta G, Iannella G, Vicini C, et al. Risk factors for obstructive sleep apnea syndrome in children: State of the art[J]. Int J Environ Res Public Health, 2019, 16(18):3235. doi: 10.3390/ijerph16183235
[24]	Giuca MR, Carli E, Lardani L, et al. Pediatric obstructive sleep apnea syndrome: Emerging evidence and treatment approach[J]. Sci World J, 2021, 2021: 5591251.
[25]	Liu Y, Lowe AA, Zeng X, et al. Cephalometric comparisons between Chinese and Caucasian patients with obstructive sleep apnea[J]. Am J Orthod Dentofacial Orthop, 2000, 117(4):479-485. doi: 10.1016/S0889-5406(00)70169-7
[26]	Pérez-Rodríguez LM, Diéguez-Pérez M, Millón-Cruz A, et al. Airways cephalometric norms from a sample of Caucasian children[J]. J Clin Exp Dent, 2021, 13(9):e941-e947.
[27]	Gholinia F, Habibi L, AmrollahiBoyouki M. Cephalometricevaluation of the upper airway in different skeletal classifications of jaws[J]. J Craniofac Surg, 2019, 30(5):e469-e474. doi: 10.1097/SCS.0000000000005637
[28]	Chambi-Rocha A, Cabrera-Domínguez ME, Domínguez-Reyes A. Breathing mode influence on craniofacial development and head posture[J]. J Pediatr (Rio J), 2018, 94(2):123-130. doi: 10.1016/j.jped.2017.05.007
[29]	孙炳丞, 刘磊, 杨林, 等. 雌激素对雌性大鼠舌下神经核及颏舌肌的影响[J]. 上海口腔医学, 2017, 26(2):146-150.
[30]	Cho SH, Jeon JY, Jang KS, et al. Gender-specific cephalometric features related to obesity in sleep apnea patients: Trilogy of soft palate-mandible-hyoid bone[J]. Maxillofac Plast Reconstr Surg, 2019, 41(1):58. doi: 10.1186/s40902-019-0242-0 pmid: 31879661
[31]	Sandoval C, Díaz A, Manríquez G. Relationship between craniocervical posture and skeletal class: A statistical multivariate approach for studying Class Ⅱ and Class Ⅲ malocclusions[J]. Cranio, 2021, 39(2):133-140. doi: 10.1080/08869634.2019.1603795