缓慢大扩张和替代快速大扩张协议对裂口口腔病例的气道体积的影响:基于圆束计算机断层扫描的研究
Amany M I Diab1, Basma B H Mohammed1, Mohamed M Ghoneim2
1Dental Medicine, Al-Azhar University, Cairo, EGY.
Cureus
|June 3, 2024
概括
交替快速大扩张和收缩 (Alt-RAMEC) 和慢速大扩张 (SME) 均显著增加了裂口患者的裂口体积. 然而,这两种方法都没有显示出喉气道体积变化的显著差异.
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背景情况:
- 口腔裂会影响面发育,可能会影响气道尺寸.
- 大扩张是 palatal 缺陷的常见治疗方法.
- 了解不同扩张技术对气道体积的影响至关重要.
研究的目的:
- 为了比较交替快速大扩张和收缩 (Alt-RAMEC) 与慢速大扩张 (SME) 对口气道体积在口腔裂口患者的影响.
- 为了评估这些扩张方法后各种面参数的变化.
主要方法:
- 22名口腔裂口患者 (8-12岁) 被分为Alt-RAMEC和SME组.
- 两组都使用了带差异开口 (EDO) 的扩展器.
- 圆束计算机断层扫描 (CBCT) 评估了治疗前和治疗后6个月的喉气道体积.
主要成果:
- 无论是Alt-RAMEC还是SME,都显著增加了裂隙体积 (分别为p=0.001和p=0.003).
- 两组之间鼻或口体积没有发现显著差异.
- 在治疗前和治疗后,喉气道的总体体积在两种方法之间显示出非显著的差异 (p>0.005).
结论:
- 替代RAMEC和SME治疗导致裂体积显著增加.
- 这两种扩张技术都没有在这个患者队列中改善喉气道体积方面表现出显著的优势.
- 进一步的研究可能会探索长期影响和口裂患者的口扩张的最佳时间.
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