快速膜膨胀对鼻膜结构和睡眠呼吸障碍在患有阻塞性睡眠呼吸暂停的儿童中的影响
P Pirelli1, V Fiaschetti2, G Mampieri1
1Department of Clinical Sciences and Translational Medicine, University Tor Vergata, Rome, Italy.
Australian dental journal
|December 9, 2024
概括
部膨胀 (RME) 在患有睡眠呼吸暂停的儿童中显著增加上呼吸道体积. 这种结构变化与睡眠期间呼吸的改善相关,提供了潜在的治疗途径.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 睡眠医学 睡眠医学
- 儿科牙科 儿科牙科
背景情况:
- 睡眠呼吸障碍 (SDB) 在患有缺陷闭塞的儿童中常见.
- 膜低成形可能导致上呼吸道阻塞.
- 快速大扩张 (RME) 是一种扩大的正牙手术.
研究的目的:
- 评估RME对上呼吸道解剖结构的影响.
- 确定RME诱导的气道变化与SDB的改善之间的相关性.
- 评估鼻腔,鼻和鼻尺寸的变化.
主要方法:
- 23名患有缺陷和阻塞性睡眠呼吸暂停 (OSA) 的儿童接受了RME.
- 在RME之前和之后进行了临床评估,多睡眠学和CBCT扫描.
- 分析了气道尺寸和SDB参数 (例如,呼吸暂停-呼吸暂停指数).
主要成果:
- RME成功地扩大了中层和增加了鼻骨宽度.
- 观察到上呼吸道总体体积,鼻腔,鼻和口的显著增加.
- 空气道体积扩张与SDB的改善相关,特别是呼吸暂停-呼吸暂停指数.
结论:
- 在患有OSA和缺陷闭塞的儿童中,RME有效地增强了上呼吸道结构.
- 观察到的解剖学变化,包括增加的呼吸道体积,与减少SDB严重程度有关.
- RME为改善睡眠呼吸障碍提供了一种可行的正牙干预措施.
更多相关视频
相关概念视频
Sleep Apnea
128
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
128
Assessment of Airway, Skin Color, and Use of Accessory Muscles
970
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
970
Physical Assessment of the Respiratory Tract I: Health History
160
Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
160
Respiratory Volumes and Capacities I
934
Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
934
Suctioning the Nasopharyngeal Airway
281
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
281


