非综合征唇腭裂患者与骨性Ⅲ类人群的上气道三维结构分析研究

doi:10.13591/j.cnki.kqyx.2023.06.009

Abstract

Abstract:

Objective To conduct a three-dimensional comparative study on upper airway symmetry between patients with non-syndromic cleft lip and palate and populations with skeletal Class Ⅲ. Methods Fifty-one cases of non-syndromic cleft lip and palate patientsand 50 cases of skeletal Class Ⅲ populationswere included. Cone-beam CT was taken, and Dolphin 3D 11.9 software was used for three-dimensional measurement and analysis. SPSS 25.0 software package was used for independent sample test to compare the volume, height and minimum area of the upper airway. Results The minimum cross-sectional area of the upper airway nasopharyngeal segment of patients with non-syndromic cleft lip and palate was larger than that of skeletal Class Ⅲ population(P<0.01). The upper airway pharyngeal segment height of patients with non-syndromic cleft lip and palate was smaller than that of skeletal Class Ⅲ population(P<0.01). There was no significant difference in the other segments of the upper airway(P>0.05). Conclusion There are differences in the three-dimensional structure of the upper airway between NSCLP patients and skeletal Ⅲ population, except for the similarity in the glossopharyngeal segment, indicating that the cause of cleft lip and palate is not only abnormal anatomical structure, but also affected by other functional factors. Therefore, respiratory problems need multi-disciplinary diagnosis and treatment.

Key words: non-syndromic cleft lip, cone-beam CT, upper airway

CLC Number:

R783.5

XIAO Yuhuan, HOU Wei, SHI Jiali, LIU Fei, WANG Zhendong, ZHOU Weina. Three-dimensional analysis of upper airway in patients with non-syndromic cleft lip and palate and skeletal Class Ⅲ[J]. Stomatology, 2023, 43(6): 529-533.

Figures/Tables 6

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References 28

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测量项目	定义
V_总/mm³	上气道总体积,自上气道穹隆顶至会厌顶平面,即V鼻咽+腭咽+舌咽
V_鼻咽/mm³	鼻咽体积,自上气道穹隆顶至前鼻棘平面
V_腭咽/mm³	腭咽体积,自前鼻棘平面至软腭游离缘平面
V_舌咽/mm³	舌咽体积,自软腭游离缘平面至会厌顶平面
S_鼻咽/mm²	鼻咽段最小横截面积(根据软件测定)
S_腭咽/mm²	腭咽段最小横截面积(根据软件测定)
S_舌咽/mm²	舌咽段最小横截面积(根据软件测定)
H_总/mm	上气道总高度,自上气道穹隆顶至会厌顶平面,即H鼻咽+腭咽+舌咽
H_鼻咽/mm	鼻咽高度,自上气道穹隆顶至前鼻棘平面
H_腭咽/mm	腭咽高度,自前鼻棘平面至软腭游离缘平面
H_舌咽/mm	舌咽高度,自软腭游离缘平面至会厌顶平面

测量项目	试验组(n=51)	对照组(n=50)	P
V_总/mm³	17 024.9±5 532.2	16 152.5±5 165.1	0.415
V_鼻咽/mm³	6 456.5±2 528.9	5 688.2±2 118.3	0.101
V_腭咽/mm³	5 778.5±2 475.9	6 137.5±2 528.6	0.473
V_舌咽/mm³	4 789.9±2 064.4	4 326.8±2 085.1	0.265
S_鼻咽/mm²	160.8±80.6	98.0±36.4	0.000^**
S_腭咽/mm²	70.1±44.9	66.6±25.6	0.630
S_舌咽/mm²	81.1±41.2	84.0±28.1	0.677
H_总/mm	56.15±8.38	60.84±8.37	0.006^**
H_鼻咽/mm	15.50±3.64	15.47±3.24	0.965
H_腭咽/mm	20.28±5.56	25.95±4.55	0.000^**
H_舌咽/mm	20.37±5.28	19.42±4.31	0.323

Three-dimensional analysis of upper airway in patients with non-syndromic cleft lip and palate and skeletal Class Ⅲ

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