在下前进装置和上前进手术对上呼吸道的影响之间的三维比较
Marcela Gurgel1,2, Lucia Cevidanes2, Fabio Costa3
1Department of Dental Clinic, School of Dentistry, Federal University of Ceará, Fortaleza, 1273 Monsenhor Furtado St, CE, Brazil.
BMC oral health
|June 30, 2023
概括
尾前进 (MMA) 与尾前进装置 (MAD) 相比,提供了更大的上呼吸道扩张. MMA导致逆时钟方向下旋转,而MAD则导致顺时钟方向旋转,以不同的方式影响气道尺寸.
科学领域:
- 牙科 牙科是指牙科的专业.
- 矯正牙科 矯正牙科是一種矯正牙科.
- 睡眠医学 睡眠医学
背景情况:
- 部推进装置 (MAD) 和部推进装置 (MMA) 改善上呼吸道 (UA) 的通透性.
- 以前的研究表明,CPAP的结果与CPAP相似,但没有直接比较MAD和MMA之间的UA扩大.
研究的目的:
- 在MAD与MMA治疗后,以三维方式评估UA变化和下旋转.
- 为了比较MAD和MMA在扩大上呼吸道的有效性.
主要方法:
- 17名接受MAD治疗的患者和17名接受MMA治疗的患者在BMI,体重和身高方面进行了匹配.
- 在治疗前和治疗后使用圆束计算机断层扫描 (CBCT) 扫描.
- 测量包括UA总体体积/表面积,口腔喉体积/表面积和下旋转.
主要成果:
- 无论是MAD还是MMA,都显著增加了上方口腔大腔体积,而MMA显示出更大的增加.
- 与MAD不同的是,MMA显著增加了下方口腔大喉体积.
- MAD导致了顺时针下旋转,而MMA则显示逆时针旋转,与UA体积变化有不同的相关性.
结论:
- MAD疗法导致部按时旋转和上方口腔大扩大.
- 在所有地区,MMA治疗导致逆时针旋转和更大的整体UA扩张.
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