状骨的位置与由骨或牙传播的手术辅助快速 palatal 扩张:一个回顾性队列研究
Jonas Q Schmid1, Thomas Stamm2, Claudius Middelberg2
1Department of Orthodontics, University of Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany. jonasquirin.schmid@ukmuenster.de.
Clinical oral investigations
|October 23, 2025
概括
手术辅助快速 palatal 扩张 (SARPE) 导致最小的舌骨运动,变化不太可能影响呼吸道功能. 扩展器的类型和大小并没有显著影响舌骨的稳定性.
科学领域:
- 矯正牙醫和臉外科手術 矯正牙醫和臉外科
- 头骨面部的发展
- 气道生理学 气道生理学
背景情况:
- 手术辅助快速 palatal 扩张 (SARPE) 用于扩大 palat.
- 沙尔佩对舌骨位置和呼吸道的潜在影响尚未得到充分证实.
- 舌骨的位置对于上呼吸道的通透性至关重要.
研究的目的:
- 为了评估SARPE后的舌骨位置变化.
- 为了比较骨和牙的SARPE器件之间的舌骨变化.
- 为了研究扩张体积和舌骨位移之间的相关性.
主要方法:
- 对接受SARPE的成年患者进行了回顾性队列研究.
- 希拉克斯 (由骨质传播) 和横板分散体 (由牙传播) 群体的比较.
- 在SARPE之前和之后,状骨位置的头脑测量分析.
主要成果:
- 舌骨的位置基本保持稳定,变化一般在2毫米以下.
- 观察到状状腺-骨距离的统计学显著下降.
- 设备类型影响了垂直的舌 - 胸距离和骨倾斜,但变化很小.
结论:
- SARPE会导致状骨的轻微运动,但在临床上可能无关紧要.
- 舌骨位置的变化是独立于使用的膨胀装置或膨胀的程度.
- 通过状骨位移,SARPE不太可能显著改变气道功能.
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