Evaluation of the human airway using cone-beam computerized tomography

被引:81
作者
Tso, Hung Hsiag
Lee, Janice S. [2 ]
Huang, John C. [1 ]
Maki, Koutaro [3 ]
Hatcher, David [4 ]
Miller, Arthur J. [1 ]
机构
[1] Univ Calif San Francisco, Div Orthodont, Dept Orofacial Sci, Sch Dent, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Dept Oral & Maxillofacial Surg, Sch Dent, San Francisco, CA 94143 USA
[3] Showa Univ, Dept Orthodont, Tokyo, Japan
[4] Diagnost Digital Imaging, Sacramento, CA USA
来源
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY | 2009年 / 108卷 / 05期
关键词
OBSTRUCTIVE SLEEP-APNEA; ORAL APPLIANCE THERAPY; VOLUME SEGMENTATION ANALYSIS; MANDIBULAR ADVANCEMENT; FACIAL MORPHOLOGY; CHILDREN; SIZE; CT; CONFIGURATION; PREDICTORS;
D O I
10.1016/j.tripleo.2009.05.026
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objective. The goal of this project was to define and measure human airway space with radiographic volumetric 3-dimensional imaging and digital reconstruction of the pharynx using cone-beam computerized tomography. Study design. This was a randomized retrospective study. Ten patient scans were selected randomly from a pool of 196 subjects seeking dental treatment at the University of California, San Francisco. Digital Imaging and Communications in Medicine-format volume images were captured using a low-radiation rapid-scanning cone-beam computerized tomography system (Hitachi MercuRay). Results. Detailed progressive rostrocaudal cross-sectional area histograms indicated that 8 of the 10 subjects demonstrated a region of maximum constriction near the oropharynx level. The most restricted cross-sectional area varied from 90 mm(2) to 360 mm(2). Conclusions. The maximum constriction of the airway in 10 subjects quietly breathing for 10 seconds indicated variation in the level of the pharynx and the extent of the rostrocaudal zone of restriction. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:768-776)
引用
收藏
页码:768 / 776
页数:9
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