面罩治疗和大扩张后,口腔和喉气道的三维体积变化:一项前性比较研究
Fakhr Maraabeh1,2, Ramy Shihabi1,2, Xianzhe He1,2
1Department of Orthodontics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
BMC oral health
|March 29, 2025
概括
面罩治疗 (FM) 有或没有缓慢的上扩张 (SME) 在III类恶性闭塞中增加了口腔和鼻体积. 与单独的FM相比,SME并没有显著增强喉气道变化.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 头骨面部的发展
- 气道生理学 气道生理学
背景情况:
- 第三类缺陷常常涉及到尾和喉尺寸的狭窄.
- 面罩治疗 (FM) 用于纠正III类缺陷.
- 缓慢的上扩张 (SME) 可以与FM相结合,以增强上延伸.
研究的目的:
- 为了评估三维体积变化在口腔和喉气道在FM治疗后或没有SME.
- 为了比较口腔的维度变化 (长度,高度,宽度).
- 评估对不同喉气道段 (鼻,耳,眼) 的影响.
主要方法:
- 26名患者 (10-14岁) 患有III类恶性闭塞,分为FM/SME和FM组.
- 用圆束计算断层扫描 (CBCT) 来评估治疗前 (T0) 和治疗后 (T1) 的体积变化.
- 统计分析包括正常性测试,配对和独立的t测试以及曼-惠特尼测试.
主要成果:
- 两组都显示出总体和后面的口腔体积的显著增加.
- 鼻体积在两组中都显著增加.
- 没有观察到黄喉或光喉体积的显著变化.
结论:
- 无论是FM还是FM/SME治疗都对口腔和鼻体积产生了积极的影响.
- FM/SME导致口腔体体积增加略大 (16%) 比FM单独增加 (11.4%),但在统计学上并不显著.
- 与FM单独相比,将FM与SME相结合并没有为喉气道体积提供显著的额外好处.
相关概念视频
Suctioning the Oropharyngeal Airway
126
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
126
Suctioning the Nasopharyngeal Airway
194
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
194
Respiratory Volumes
1.1K
Respiratory volumes are crucial metrics, meticulously measured to quantify the air exchanged in and out of the lungs during various phases of the breathing cycle. These precise measurements are vital for assessing lung function, diagnosing respiratory conditions, and monitoring overall respiratory health. Each parameter provides specific insights into the mechanics of breathing and the functional capacity of the lungs.
Tidal Volume (TV) Tidal volume (TV) is the air inhaled or exhaled in a...
Tidal Volume (TV) Tidal volume (TV) is the air inhaled or exhaled in a...
1.1K
Respiratory Volumes and Capacities I
775
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...
775
Respiratory Volumes and Capacities
1.4K
The respiratory system is responsible for the intake of oxygen and the expulsion of carbon dioxide from the body. Respiratory volumes describe the volume of air in the lungs at different phases of the respiratory cycle. Tidal volume is the air breathed in and out during normal, quiet breathing. Inspiratory reserve volume is the air that can be forcefully inspired beyond the tidal volume. In contrast, expiratory reserve volume refers to the air that can be expelled from the lungs after a normal...
1.4K
Mechanical Ventilation III: Noninvasive Ventilation
51
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
51


