单独和与部逆转相结合的部进步对第三类缺陷空气道解剖学和功能的比较影响:一项受控前性临床研究
Hatice Başaran Bal1, Celal Irgın2
1Private Practice, Kayseri, Türkiye.
Turkish journal of orthodontics
|July 7, 2025
概括
在III类恶性闭塞患者中,大前进 (MxA) 和双骨切除 (MdS-MxA) 手术显著增加了上气道体积 (PAV). 这些程序没有影响呼吸暂停-呼吸暂停指数 (AHI) 或头部姿势 (HP).
科学领域:
- 矯正牙醫和臉外科手術 矯正牙醫和臉外科手術
- 睡眠医学 睡眠医学
- 头脑测量仪的使用方法
背景情况:
- 骨III类缺陷经常呈现出一个低塑性部,可能会影响喉气道.
- 手术正旨在改善面部美学和潜在的呼吸道功能.
- 了解不同手术技术对气道尺寸和睡眠参数的影响至关重要.
研究的目的:
- 评估大进度 (MxA) 和双手术 (MdS-MxA) 对上气道体积 (PAV) 的影响.
- 评估这些手术对呼吸暂停-呼吸暂停指数 (AHI),舌骨 (HB) 位置和头部姿势 (HP) 的影响.
- 为了比较年轻,健康的个体与III级骨缺陷的手术结果.
主要方法:
- 用三组进行前性临床研究:MxA,MdS-MxA和I类对照组 (每组12名受试者).
- 在手术前和手术后6个月的侧面脑电图,PAV的圆束计算断层扫描 (CBCT) 和AHI测量.
- 使用参数 (t-试验,ANOVA) 和非参数 (Wilcoxon,Kruskal-Wallis) 试验进行统计分析 (p<0.05).
主要成果:
- 两组MxA和MdS-MxA都显示了上气道体积 (PAV) 的显著增加.
- 在这两组手术中,大的前进大约为5.3毫米;下的后退为4.7毫米.
- 没有观察到头部姿势 (HP) 或呼吸暂停-呼吸暂停指数 (AHI) 的显著变化.
结论:
- 上部的提升和双上部手术有效地增加了第三类恶性闭塞的喉气道体积.
- 这些手术干预似乎不会对阻塞性睡眠呼吸暂停产生负面影响.
- 在MdS-MxA组中发生了最小的状骨位移,在MdS-MxA组中出现了轻微的下部位移.
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