用快速口腔扩张器 (RPE) 治疗患者的气道空间和流量的变化:一项观察试点研究与未接受治疗的患者进行比较
Paolo Faccioni1, Alessia Pardo1, Giorgia Matteazzi1
1Section of Oral and Maxillofacial Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, 37124 Verona, Italy.
Journal of clinical medicine
|June 26, 2025
概括
快速口腔扩展器 (RPE) 治疗显著增加了横向大缺陷患者的鼻腔和气道体积. 虽然治疗组和对照组的空气流速都下降了,但RPE显示出有希望的体积改善.
科学领域:
- ортодонтика和牙科研究.
- 头骨面部的发展
- 气道生理学 气道生理学
背景情况:
- 已知快速口腔扩展器 (RPE) 可以增加鼻腔体积并改善鼻腔空气流.
- 横向大缺陷通常会影响气道尺寸和功能.
- 评估RPE后的体积和气流变化对于了解治疗疗效至关重要.
研究的目的:
- 在用牙固定器治疗RPE后,使用Cone Beam计算机断层扫描 (CBCT) 评估鼻腔,背和背气道的体积变化.
- 为了将这些体积和空气流速变化与未经处理的对照组进行比较.
- 评估RPE对面结构和气道尺寸的影响.
主要方法:
- 追溯性临床研究涉及16名接受RPE治疗的受试者 (A组) 和8名对照者 (B组).
- 使用3D-Slicer软件在基线 (T0) 和1年随访 (T1) 时分析了CBCT扫描.
- 测量包括鼻腔 (VN),后宫腔 (VRP) 和后光腔 (VRG) 体积,并进行飞行员空气流速计算.
主要成果:
- 组A显示VN,VRP和VRG的数量在统计学上显著增加.
- B组显示VN量显著增加.
- 两组都显示出空气流速变量在统计学上显著下降.
- 在A组和B组之间观察到VN体积变化的显著差异.
结论:
- 用牙固定进行的RPE治疗显示出有前途的结果,增加了后宫,后光和鼻腔体积.
- 观察到空气流速的临床变化,需要进一步调查.
- 这项试点研究突出了RPE在治疗横向大缺陷方面的体积益处.
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