在患有骨II类不良闭塞的患者中,单和双手术后气道空间的变化
Nurver Karslı1, Ayşe Tuba Altuğ2
1Karadeniz Technical University Faculty of Dentistry, Department of Orthodontics, Trabzon, Turkey.
Turkish journal of orthodontics
|September 30, 2024
概括
在II类缺陷患者中,下前进 (MA) 和双手术 (2J-S) 都显著改善了喉气道空间 (PAS). 这些程序增加了气道尺寸,特别是在口腔喉和下喉区域.
科学领域:
- 矯正牙醫和臉外科手術
- 航空航道管理的管理.
- 骨缺陷纠正 骨缺陷纠正
背景情况:
- 二级缺陷常常涉及一个逆性下,可能会影响喉气道空间 (PAS).
- 像下 (MA) 和双手术 (2J-S) 这样的手术干预用于纠正骨差异.
- 了解这些手术对PAS和舌位置的影响对于治疗规划至关重要.
研究的目的:
- 为了比较单 mandibular 进步 (MA) 与双手术 (2J-S) 对喉气道空间 (PAS) 和舌骨位置的影响.
- 为了评估这些外科手术后PAS线性和面积测量的变化.
- 为了评估对舌骨垂直和水平定位的影响.
主要方法:
- 追溯性研究包括11名接受MA治疗的患者和12名接受2J-S治疗的患者,用于II类缺陷.
- 在治疗前 (T1) 和治疗后 (T2) 的46个记录的脑电测量分析.
- 使用威尔科克森签名等级和曼-惠特尼U测试进行统计分析,以比较组内和组间的变化.
主要成果:
- 两种MA和2J-S都显著增加了垂直的舌位置 (舌-Vert).
- 2J-S组显示了水平状体位置 (Hyoid-Hor) 的显著下降.
- 这两种手术都增加了前后后呼吸道尺寸,口腔 (A2) 和下 (A3) 区域显著增加.
结论:
- 两种MA和2J-S都有效增加喉气道空间在II类恶性闭塞的患者.
- 这些手术干预导致下喉,口喉和整体气道测量的显著改善.
- 在MA和2J-S之间做出选择可能会影响舌骨的重新定位,需要在治疗计划中考虑.
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