在患有/没有UCLP和患有/没有OSA的儿童中对上气道的比较评估
Prang Wiwattanadittakul1, Nuntigar Sonsuwan2, Sangsom Prapayasatok3
1Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University T. Suthep, A. Muang, Chiang Mai, 50200, Thailand.
Sleep & breathing = Schlaf & Atmung
|November 30, 2024
概括
患有单边唇裂 (UCLP) 和阻塞性睡眠呼吸暂停 (OSA) 的儿童的口腔气道较小. 这突显了气道结构在诊断和预防小孩子的OSA方面的重要性.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 头骨面部异常 头骨面部异常
背景情况:
- 患有单边唇裂 (UCLP) 的儿童可能已经改变了上呼吸道解剖学.
- 阻塞性睡眠呼吸暂停 (OSA) 是儿童常见的并发症,可能受到气道尺寸的影响.
研究的目的:
- 为了比较UCLP和没有UCLP的儿童的上气道体积和光层大小.
- 调查阻塞性睡眠呼吸暂停 (OSA) 对有或没有UCLP的儿童呼吸道尺寸的影响.
主要方法:
- 对66名泰国儿童 (5-12岁) 进行前性研究,有或没有UCLP,有或没有OSA.
- 圆束计算断层扫描 (CBCT) 用于测量鼻,口和鼻下呼吸道的体积和光度.
- 被试被分为年轻 (5-9岁) 和青春期前 (10-12岁) 的年龄组.
主要成果:
- 患有UCLP和OSA的年龄较小的儿童显示,与没有OSA的非裂儿童相比,口腔大气道体积和光量显著减少.
- 在青春期前的样本中,在年龄组之间没有发现气道体积或光度的显著差异.
- 总的来说,上气道尺寸在各年龄组之间是可比的.
结论:
- 在患有UCLP和OSA的年幼儿童中,口腔气道尺寸显著减少.
- 气道结构,特别是口腔喉,对于诊断和预防小儿病患者的OSA至关重要.
- 气道大小是一个关键因素,但不是儿童OSA的唯一决定因素;还有其他有助于的因素.
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