青少年儿童腺样体肥大的影像学测量诊断与正畸治疗的相关性

doi:10.13591/j.cnki.kqyx.2024.04.013

Abstract

Abstract:

Adenoid hypertrophy is a common condition in adolescents and children. Children with adenoid hypertrophy have a typical “adenoid face” with narrow maxilla, elongated mandible, high palatal lid, open lips, and lack of expression if the disease persists. The degree of adenoid hypertrophy is closely related to the effect of orthodontic treatment, and it is also one of the most common causes for obstructive sleep apneahypopnea syndrome(OSAHS) in children. Therefore, the diagnosis of adenoid hypertrophy is important to clinical practice. The orthodontist can use different parameters indexed in the images to analyze, make a diagnosis and finally assess the feasibility of orthodontic treatment and develop an orthodontic plan. This article mainly reviews and summarizes imaging measurements and diagnosis of adenoid hypertrophy for orthodontic clinical treatment.

Key words: orthodontics, adolescent, adenoid hypertrophy, imaging, measurement, diagnosis

CLC Number:

R783.5

YAO Chengliang, WU Xiuping. Correlation between imaging measurements and diagnosis of adenoid hypertrophy and orthodontic treatment in adolescent children[J]. Stomatology, 2024, 44(4): 307-311.

Figures/Tables 3

References 43

[1]	Hai W. Chronic adenoiditis[J]. J Int Med Res, 2020, 48(11):030006052097145.
[2]	Orji FT, Ezeanolue BC. Evaluation of adenoidal obstruction in children: Clinical symptoms compared with roentgenographicassessment[J]. J Laryngol Otol, 2008, 122(11):1201-1205. doi: 10.1017/S0022215108001916 pmid: 18394205
[3]	Liu JL, Li SH, Cai YM, et al. Automated radiographic evaluation of adenoid hypertrophy based on VGG-lite[J]. J Dent Res, 2021, 100(12):1337-1343. doi: 10.1177/00220345211009474
[4]	Pereira L, Monyror J, Almeida FT, et al. Prevalence of adenoid hypertrophy: A systematic review and meta-analysis[J]. Sleep Med Rev, 2018, 38:101-112. doi: S1087-0792(16)30137-X pmid: 29153763
[5]	Iwasaki T, Hayasaki H, Takemoto Y, et al. Oropharyngeal airway in children with Class Ⅲ malocclusion evaluated by cone-beam computed tomography[J]. Am J Orthod Dentofacial Orthop, 2009, 136(3):318.e1-318.e9;discussion 318-319.
[6]	Joseph AA, Elbaum J, Cisneros GJ, et al. A cephalometric comparative study of the soft tissue airway dimensions in persons with hyperdivergent and normodivergent facial patterns[J]. J Oral Maxillofac Surg, 1998, 56(2):135-139;discussion 139-140. doi: 10.1016/S0278-2391(98)90850-3
[7]	Mattos CT, Cruz CV, da Matta TCS, et al. Reliability of upper airway linear, area, and volumetric measurements in cone-beam computed tomography[J]. Am J Orthod Dentofacial Orthop, 2014, 145(2):188-197. doi: 10.1016/j.ajodo.2013.10.013
[8]	Zhang LP, Liu H. Influence of adenoid hypertrophy on malocclusion and maxillofacial development in children[J]. Evid Based Complement Alternat Med, 2022, 2022:2052359.
[9]	Solow B, Siersbaek-Nielsen S, Greve E. Airway adequacy, head posture, and craniofacial morphology[J]. Am J Orthod, 1984, 86(3):214-223. doi: 10.1016/0002-9416(84)90373-7 pmid: 6591801
[10]	Lione R, Buongiorno M, Franchi L, et al. Evaluation of maxillary arch dimensions and palatal morphology in mouth-breathing children by using digital dental casts[J]. Int J Pediatr Otorhinolaryngol, 2014, 78(1):91-95. doi: 10.1016/j.ijporl.2013.09.028
[11]	Festa P, Mansi N, Varricchio AM, et al. Association between upper airway obstruction and malocclusion in mouth-breathing children[J]. Acta Otorhinolaryngol Ital, 2021, 41(5):436-442. doi: 10.14639/0392-100X-N1225 pmid: 34734579
[12]	Ceccanti G, Caruso S, Pasini M, et al. Facial skeletal alterations in mouth breathing paediatric patients: Cephalometric evaluations[J]. J Biol Regul Homeost Agents, 2020, 34(1 Suppl. 1):23-32.
[13]	Medeiros da Fonsêca JD, Aliverti A, Benício K, et al. Breathing pattern and muscle activity using different inspiratory resistance devices in children with mouth breathing syndrome[J]. ERJ Open Res, 2022, 8(2):00480-02021.
[14]	Shavakhi M, Mohamadian F, ZarifNajafi H. The effects of the headgear therapy on the airway dimensions in patients with Class Ⅱ malocclusion: A systematic review[J]. Dent Med Probl, 2019, 56(2):191-196. doi: 10.17219/dmp/105957
[15]	Xie JY, Huang CR, Yin K, et al. Effects of orthodontic treatment with activator appliance on patients with skeletal Class II malocclusion: A systematic review and meta-analysis[J]. Ann Palliat Med, 2021, 10(12):12319-12334. doi: 10.21037/apm-21-3205 pmid: 35016488
[16]	Arens R, McDonough JM, Corbin AM, et al. Upper airway size analysis by magnetic resonance imaging of children with obstructive sleep apnea syndrome[J]. Am J Respir Crit Care Med, 2003, 167(1):65-70. doi: 10.1164/rccm.200206-613OC
[17]	沈翎, 林宗通, 许杨杨, 等. 儿童OSAHS与腺样体和扁桃体大小的关系探讨[J]. 临床耳鼻咽喉头颈外科杂志, 2014, 28(6):381-385.
[18]	Marcus CL, Brooks LJ, Draper KA, et al. Diagnosis and management of childhood obstructive sleep apnea syndrome[J]. Pediatrics, 2012, 130(3):576-584. doi: 10.1542/peds.2012-1671 pmid: 22926173
[19]	Schechter MS. Technical report: Diagnosis and management of childhood obstructive sleep apnea syndrome[J]. Pediatrics, 2002, 109(4):e69. doi: 10.1542/peds.109.4.e69 pmid: 11927742
[20]	曾国辉, 李郧, 滕尧树, 等. 动态腺样体-鼻咽腔比率在OSAHS患儿疾病评估中的应用研究[J]. 临床耳鼻咽喉头颈外科杂志, 2017, 31(15):1174-1177.
[21]	Chung Leng Muñoz I, BeltriOrta P. Comparison of cephalometric patterns in mouth breathing and nose breathing children[J]. Int J Pediatr Otorhinolaryngol, 2014, 78(7):1167-1172. doi: 10.1016/j.ijporl.2014.04.046
[22]	Rakosi T, Schilli W. Class Ⅲ anomalies: A coordinated approach to skeletal, dental, and soft tissue problems[J]. J Oral Surg, 1981, 39(11):860-870.
[23]	Jha AK, Chandra S. Early management of Class Ⅲ malocclusion in mixed dentition[J]. Int J Clin Pediatr Dent, 2021, 14(2):331-334.
[24]	Moideen SP, Mytheenkunju R, Govindan Nair A, et al. Role of adenoid-nasopharyngeal ratio in assessing adenoid hypertrophy[J]. Indian J Otolaryngol Head Neck Surg, 2019, 71(Suppl 1):469-473. doi: 10.1007/s12070-018-1359-7
[25]	Pagella F, Pusateri A, Chu F, et al. Adenoid assessment in paediatric patients: The role of flexible nasal endoscopy[J]. Int J ImmunopatholPharmacol, 2011, 24(S4):49-54.
[26]	Önal M, YIlmaz T, Bilgiç E, et al. Possible role of apoptosis in pathogenesis of adenoid hypertrophy and chronic adenoiditis: Prospective case-control study[J]. Auris Nasus Larynx, 2015, 42(6):449-452. doi: 10.1016/j.anl.2015.04.012 pmid: 26003878
[27]	邹明舜. 儿童增殖腺-鼻咽腔比率测定的临床价值[J]. 中华放射学杂志, 1997, 31(3):190-192.
[28]	Baldassari CM, Choi S. Assessing adenoid hypertrophy in children: X-ray or nasal endoscopy?[J]. Laryngoscope, 2014, 124(7):1509-1510. doi: 10.1002/lary.v124.7
[29]	Jana M, Gupta AK. Novel use of ultrasound in evaluation of adenoid hypertrophy in children[J]. Indian J Pediatr, 2020, 87(11):885-886. doi: 10.1007/s12098-020-03487-6
[30]	廖昕, 陈卫国, 程勇, 等. 儿童腺样体肥大的X线诊断分析(附120例报告)[J]. 实用放射学杂志, 2007, 23(9):1239-1241.
[31]	Wang YJ, Jiao HJ, Mi CR, et al. Evaluation of adenoid hypertrophy with ultrasonography[J]. Indian J Pediatr, 2020, 87(11):910-915. doi: 10.1007/s12098-020-03203-4
[32]	Major MP, Witmans M, El-Hakim H, et al. Agreement between cone-beam computed tomography and nasoendoscopy evaluations of adenoid hypertrophy[J]. Am J Orthod Dentofacial Orthop, 2014, 146(4):451-459. doi: 10.1016/j.ajodo.2014.06.013
[33]	Gao DK, Sun XY, Yang Y, et al. Diagnostic value of CBCT in Chinese children with adenoid hypertrophy[J]. Laryngoscope Investig Oto, 2022, 7(5):1308-1314. doi: 10.1002/lio2.v7.5
[34]	Surov A, Ryl I, Bartel-Friedrich S, et al. MRI of nasopharyngeal adenoid hypertrophy[J]. Neuroradiol J, 2016, 29(5):408-412. doi: 10.1177/1971400916665386 pmid: 27531860
[35]	邓莹莹, 陈观尚, 郑启文, 等. CT和MRI在检查儿童腺样体肥大(AH)中的价值比较[J]. 现代医用影像学, 2019, 28(12):2651-2653.
[36]	Kurien M, Lepcha A, Mathew J, et al. X-Rays in the evaluation of adenoid hypertrophy: It’s role in the endoscopic era[J]. Indian J Otolaryngol Head Neck Surg, 2005, 57(1):45-47. doi: 10.1007/BF02907627
[37]	Major MP, Flores-Mir C, Major PW. Assessment of lateral cephalometric diagnosis of adenoid hypertrophy and posterior upper airway obstruction: A systematic review[J]. Am J Orthod Dentofacial Orthop, 2006, 130(6):700-708. doi: 10.1016/j.ajodo.2005.05.050
[38]	张宝华, 付孝根. DR在评价儿童腺样体肥大中的临床价值[J]. 医疗装备, 2009, 22(2):55-57.
[39]	Fujioka M, Young LW, Girdany BR. Radiographic evaluation of adenoidal size in children: Adenoidal-nasopharyngeal ratio[J]. AJR Am J Roentgenol, 1979, 133(3):401-404. doi: 10.2214/ajr.133.3.401
[40]	Yueniwati Y, Halim N. Diagnostic test value of assessment adenoid enlargement with and without airway obstruction using lateral soft tissues X-ray compared to nasoendoscopy[J]. Indian J Otolaryngol Head Neck Surg, 2019, 71(S3):1739-1744. doi: 10.1007/s12070-017-1089-2
[41]	李东辉, 任甄华, 王晓曼, 等. 小儿腺样体肥大的X线表现(附136例总结及与132例正常对照)[J]. 临床放射学杂志, 1999, 18(11):694-697.
[42]	王艳春, 林美金. 鼻咽部侧位片对腺样体肥大的诊断价值[J]. 中国误诊学杂志, 2008, 8(13):3088-3089.
[43]	袁林秀. 鼻咽侧位X线片在儿童腺样体肥大诊断中的应用价值[J]. 中国实用医刊, 2013, 40(2):119-120.

Correlation between imaging measurements and diagnosis of adenoid hypertrophy and orthodontic treatment in adolescent children

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 3

References 43

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	JIN Min, CHEN Yumao, HAN Minxuan, LU Shijun. Application progress of digital indirect bonding technology in orthodontic bracket positioning [J]. Stomatology, 2024, 44(3): 227-231.
[2]	TIAN Xin, WU Sihua, DAN Hongxia, ZENG Xin, WANG Jiongke, CHEN Qianming. New developments in the clinical presentation and diagnosis of granulomatosis with polyangiitis [J]. Stomatology, 2024, 44(3): 209-213.
[3]	FU Kaiyuan, LEI Jie. Update of the classification, diagnosis and management of temporomandibular disorders [J]. Stomatology, 2024, 44(1): 6-10.
[4]	WANG Yong, WANG Lin. Comments on several basic concepts related to mechanics in orthodontics [J]. Stomatology, 2024, 44(1): 60-62.
[5]	WEI Lili, LI Bo, CHENG Yong. Advances in the clinical application of MRI in temporomandibular joint disorders [J]. Stomatology, 2024, 44(1): 11-15.
[6]	ZHAO Ning, FANG Bing. Research progress of orthodontics and temporomandibular disorders [J]. Stomatology, 2024, 44(1): 20-23.
[7]	KANG Fujia, ZHANG Xiya, YU Lei, WANG Songqing, ZHANG Haoyan, LI Xinyi, ZHU Xianchun. Three-dimensional finite element analysis of maxillary anterior teeth intrusionby clear aligner assisted with micro-implant [J]. Stomatology, 2023, 43(9): 796-802.
[8]	ZHOU Bin, WU Xiaoyong, LIU Mingyan. Effect of invisible functional appliance in the treatment of skeletal Class Ⅱ malocclusion in adolescents [J]. Stomatology, 2023, 43(7): 643-646.
[9]	XU Qingqing, WANG Yumeng, LI Mengyuan, ZHANG Yuerong, XU Hai, JIANG Fei, ZHANG Guangdong. Correlation analysis of morphological features with root canal anatomy of mandibular first premolars [J]. Stomatology, 2023, 43(7): 625-632.
[10]	WU Chunlan, HU Yue, WANG Tingting, YU Dedong, DENG Gang, LI Chaolun. The consistency studyon different methods of oral vestibular groove depth measurements [J]. Stomatology, 2023, 43(6): 512-517.
[11]	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.
[12]	LI Xueying,ZOU Xiaoying,YUE Lin. Predisposing factors, clinical diagnosis and treatment strategy of tooth resorption [J]. Stomatology, 2023, 43(4): 289-293.
[13]	YANG Xia, YE Qingyuan, SONG Changlong, HOU Rui, YANG Yaowu, WEI Jianhua. Progress of research on diagnosis and treatment of the first bite syndrome [J]. Stomatology, 2023, 43(2): 188-192.
[14]	FAN Yongjie,KOU Yating. Effect of different tips of posteriors in extraction treatment on three-dimensional forces of teeth with clear aligners [J]. Stomatology, 2023, 43(2): 104-109.
[15]	ZHANG Tianyu,JIANG Lu. Research progress of IgG4-related disease in oral cavity [J]. Stomatology, 2023, 43(12): 1106-1111.