Three-dimensional computed tomography analysis of airway volume changes after rapid maxillary expansion

被引:104
作者
Smith, Tamara [1 ]
Ghoneima, Ahmed [1 ,2 ]
Stewart, Kelton [1 ]
Liu, Sean [1 ]
Eckert, George [3 ]
Halum, Stacy [4 ]
Kula, Katherine [1 ]
机构
[1] Indiana Univ, Sch Dent, Dept Orthodont & Oral Facial Genet, Indianapolis, IN 46202 USA
[2] Al Azhar Univ, Fac Med Dent, Cairo, Egypt
[3] Indiana Univ, Sch Med, Dept Biostat, Indianapolis, IN 46202 USA
[4] Indiana Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Indianapolis, IN 46202 USA
关键词
PALATAL EXPANSION; ACOUSTIC RHINOMETRY; DENTAL CHANGES; NASAL CAVITY; RESISTANCE; SKELETAL; DIMENSIONS;
D O I
10.1016/j.ajodo.2011.12.017
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Introduction: In this retrospective study with 3-dimensional computed tomography, we evaluated airway volume, soft-palate area, and soft-tissue thickness changes before and after rapid maxillary expansion in adolescents. Another purpose was to determine whether rapid maxillary expansion caused changes in the palatal and mandibular planes and facial height. Methods: The sample comprised 20 patients who were treated with rapid maxillary expansion. Spiral tomographs were taken before and 3 months after treatment. Reliability studies were performed, and then volumetric, soft-palate area, soft-tissue thickness, and cephalometric parameters were compared on the tomographs. Intraclass correlations were performed on the reliability measurements. Before and after rapid maxillary expansion measurements were compared by using Wilcoxon signed rank tests. Spearman correlation coefficients were used to evaluate the associations among the airway volume, soft-palate area, soft-tissue thickness, and cephalometric measurements. Significance was accepted at P <= 0.05 for all tests. Results: Intraclass correlation coefficients were >= 0.90 for all reliability measures. Significant increases from before to after rapid maxillary expansion were found in nasal cavity and nasopharynx volumes, and for the measurements of MP-SN, S-PNS, N-ANS, ANS-Me, and N-Me. Significant positive correlations existed between changes in PP-SN and N-ANS, and ANS-Me and N-Me. Conclusions: Rapid maxillary expansion causes significant increases in nasal cavity volume, nasopharynx volume, anterior and posterior facial heights, and palatal and mandibular planes. (Am J Orthod Dentofacial Orthop 2012;141:618-26)
引用
收藏
页码:618 / 626
页数:9
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