›› 2013, Vol. 33 ›› Issue (11): 756-760.

• 基础与临床研究 • 上一篇    下一篇

不同矢状骨面型无鼾症青年上气道形态的锥形束CT分析

张良1,李瑶琴1,陈文静2,林汤毅2,侯伟3,李文艳4   

  1. 1. 南京医科大学口腔医学院
    2. 江苏省口腔医院
    3. j江苏省口腔医院
    4. 南京医科大学附属口腔医院
  • 收稿日期:2013-06-27 修回日期:2013-08-30 出版日期:2013-11-28 发布日期:2013-11-25
  • 通讯作者: 张良 E-mail:zh9921@126.com

Threedimensional analysis of upper airway morphology among nonsnoring youths with different sagittal skeletal patterns

  • Received:2013-06-27 Revised:2013-08-30 Online:2013-11-28 Published:2013-11-25

摘要: 目的 研究不同矢状骨面型的无鼾症青年错〖HT5”,7”SS〗牙〖KG-*3〗合 畸形患者上气道形态和舌骨位置的差异。方法在自然头位下,对 Ⅰ类、Ⅱ类和Ⅲ类矢状骨面型无鼾症青年错〖HT5”,7”SS〗牙〖KG-*3〗合 畸形患者各30例进行锥形束CT 扫描,借助Dolphin imaging 11.0图像分析软件进行三维重建,并分别测量上气道腭后区、舌后区的矢状径、横径、轴面面积以及上气道容积,最小轴面面积和上气道长度。使用Winceph 7.0软件对侧位片进行头影测量以及舌骨位置的测量, 并对测量结果进行统计学分析。结果Ⅰ类、Ⅱ类矢状骨面型组舌后区及腭后区轴面面积均小于Ⅲ类矢状骨面型组。Ⅱ类矢状骨面型组与Ⅲ类矢状骨面型组间的舌后区矢状径,横径,上气道容积,舌骨位置有显著差异性。结论不同矢状骨面型无鼾症青年错〖HT5”,7”SS〗牙〖KG-*3〗合 畸形患者上气道形态和舌骨位置存在一定的差异,差异有统计学意义。矢状向颌骨关系对上气道形态和舌骨位置有一定影响。

关键词: 矢状骨面型, 上气道, 锥形束CT, 舌骨, sagittal skeletal pattern, upper airway, Cone-Beam CT, hyoid

Abstract: Objective To investigate the differences of the upper airway morphology and the hyoid position among nonsnorig youths with different sagittal skeletal patterns. Methods 90 nonsnoing youths with malocclusion were divided into three groups based on their ANB angles:class Ⅰ group,class Ⅱ group and class Ⅲ group. CBCT scans were performed on all patients in natural head posture. Dolphin Imaging 11.0 was used for threedimensional reconstruction.The anteroposterior (AP) and lateral (LAT)dimensions,crosssectional areas(CSA) of retropalatal region and retroglossal region,airway volume(AV),minimum axial area(MAA),and length of airway were measured.Cephalometric radiographs and the position of the hyoid bone were analyzed with Winceph 7.0. All data were statistically analyzed and evaluated. Results RPCSA、RGCSA were smaller in classⅠand class Ⅱ group than in class Ⅲ group. RGL AT,RGAP,AV and the position of the hyoid were statistically different between Class Ⅱand ClassⅢ group(P<0.05). Correlations among upper airway morphology,hyoid position,and head posture were confirmed. Conclusions Differences in the upper airway morphology and hyoid position are statistically significant among the three groups. The upper airway morphology and the hyoid position of nonsnoring youths with malocclusion can be affected by the sagittal skeletal patterns.

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