儿童腺样体肥大对下颌骨发育的影响

张虹

doi:10.13201/j.issn.1001-1781.2013.17.016

儿童腺样体肥大对下颌骨发育的影响

张虹^,

- 河北工程大学附属医院耳鼻咽喉-头颈外科(河北邯郸, 056002)
基金项目:
河北省科技厅资助项目 (No:07276101D-18)

详细信息

通讯作者: 张虹,E-mail:zh720716@sina.com

中图分类号: R766.1

收稿日期: 2012-08-04

Adenoidal hypertrophy and the mandibular growth pattern in children

ZHANG Hong^,

- Department of Otolaryngology-Head and Neck Surgery, the Affiliated Hospital of Hebei Engineering University, Handan, 056002, China

More Information

Corresponding author: ZHANG Hong, E-mail: zh720716@sina.com

Received Date: 04 August 2012

摘要

摘要: 目的:探讨儿童腺样体肥大对下颌骨发育的影响。方法:病史大于2年、A/N≥0.71伴腺样体肥大者(腺样体肥大组)共30例,无鼻病史、A/N≤0.60为对照组共28例,对两组儿童的声反射鼻测量和X线头颅测量指标进行分析。结果:声反射鼻测量显示腺样体肥大组患儿鼻气道阻力明显大于对照组(P<0.01),鼻腔最小横截面积明显小于对照组(P<0.01),鼻咽腔容积明显小于对照组(P<0.01);头颅测量显示腺样体肥大组儿童面部形态呈明显的垂直向生长,下颌平面变斜,下颌角变大;直线相关分析显示鼻咽腔容积与面高比例明显相关(r=0.390,P<0.05)。结论:腺样体肥大可影响儿童的颌面发育,主要是对下颌的位置和形态有影响。
- 头影测量 /
- 鼻测量,声学 /
- 腺样体肥大 /
- 鼻气道阻塞 /
- 颌面发育
Abstract: Objective: To assess the influence of nasal adenoidal hypertrophy(AH)in children on the mandibular growth pattern.Method: The patients were divided to two groups aged from 3 to 12 years.In the AH group (30 children),the cases who had symptom of NAO for more than two years and A/N≥0.71(the adenoids/nasapharynx according to the cephalometry) were selected. In the control group (28 children), the cases who had no symptom of NAO and A/N≤0.60 were selected. All data of acoustic rhinometry (AR) and cephalometry were analyzed.Result: Compared with the controls, the total nasal airway resistance (TNAR) was significant increased(P<0.01),the bilaterior nasal cavity minimal cross sectional area (MCSA) was significant decreased(P<0.01),and the nasopharyngeal volume (NPV) was significant decreased(P<0.01). There were significant differences between the AH group and the controls in TNAR, NPV and MCSA. Comparing with the controls,the children with AH showed apparently vertical growth pattern, and larger gonion and retrusion chin. There was positive correlation between NPV and FH ratio.Conclusion: It indicated that AH might be one of the factors related to the difference of craniofacial morphology, especially of the mandibular growth pattern.
- cephalometry /
- rhinometry,acoustic /
- adenoidal hypertrophy /
- nasal airway obstructive /
- dentofacial development

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参考文献(6)

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