›› 2019, Vol. 39 ›› Issue (9): 861-864.

• 综述 • 上一篇    

鼻窦与错牙合畸形关系的研究进展

姜婷1,唐国华2   

  1. 1. 上海交通大学医学院附属第九人民医院
    2. 上海交通大学口腔医学院附属第九人民医院
  • 收稿日期:2018-06-29 修回日期:2018-08-05 出版日期:2019-09-28 发布日期:2019-09-17
  • 通讯作者: 唐国华 E-mail:drtanggh@163.com

Research progress on the relationship between the paranasal sinus and malocclusion

  • Received:2018-06-29 Revised:2018-08-05 Online:2019-09-28 Published:2019-09-17

摘要: 鼻窦位于颅颌面中部,分为上颌窦、额窦、蝶窦、筛窦。鼻窦在颅颌复合体中占据大部分体积,探究鼻窦与错牙合畸形的关系有助于判定颅颌结构的稳定性。随着有限元技术与影像学的发展,鼻窦与错牙合畸形的关系逐渐被阐明。上颌窦体积与上颌骨体大小呈正相关,安氏Ⅱ类错牙合畸形的平均上颌窦体积大于Ⅲ类、Ⅰ类;垂直向上,高角患者因咀嚼肌力弱,对上颌窦底的功能性刺激不足,导致上颌窦窦底的位置较低;额窦与前牙区咬合关系较为密切,正常的覆牙合覆盖利于应力流传导,额窦体积较小;蝶窦、筛窦与错牙合畸形关系的研究结果尚缺乏。探究鼻窦、颅颌复合体和口颌系统间的力学关系,有助于判断颌骨间关系是否平衡稳定,对错牙合畸形的发生、治疗和预后有指导价值。

关键词: 鼻窦, 错牙合畸形, 气化

Abstract: Paranasal sinuses are located in the mid of the craniomandibular complex, including maxillary sinus, frontal sinus, sphenoid sinus and ethmoidal sinus. Paranasal sinuses take up most of the craniomandibular complex and exploring the relationship between the sinus and malocclusion is helpful to estimate the stability of craniomandibular structure. And this relationship is gradually clarified with the development of finite element technology and imageology. The maxillary sinus volume is positively correlated with the size of maxillary body, that is, the average volume of maxillary sinus is bigger in Class Ⅱ than Class I and Class Ⅲ. Vertically, the function stimulation to the maxillary sinus bottom is insufficient in the increasedFMPA patients with the weak masticatory muscle strength, resulting in the lower position of the maxillary sinus bottom. The size of frontal sinus is closely related to the occlusion of anterior teeth. The normal overjet and overbite induce a smooth flow to the sinus so it is smaller. The research on the relationship between sphenoid sinus, ethmoid sinus and malocclusion is still lacking. To explore the mechanical relationship between the sinus, craniomandibular complex and the maxillofacial system is helpful to determine whether the relationship between the maxilla and mandible is balanced and stable, which has some guiding values for the occurrence, treatment and prognosis of malocclusion.

Key words: paranasal sinus, malocclusion, pneumatization

中图分类号: