国际口腔医学杂志

国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (5): 544-449.doi: 10.7518/gjkq.2017.05.010

• 正畸专栏 • 上一篇    下一篇

正畸治疗对上气道形态影响的研究进展

徐晶, 张晓蓉   

  1. 昆明医科大学附属口腔医院正畸科 昆明 650031
  • 收稿日期:2016-12-04 修回日期:2017-06-21 出版日期:2017-09-01 发布日期:2017-09-01
  • 通讯作者: 张晓蓉,主任医师,博士,Email：xiaorongzhang36@hot-mail.com
  • 作者简介:徐晶,硕士,Email：466457589@qq.com

Research progress on the effects of orthodontic treatment on the upper airway

Xu Jing, Zhang Xiaorong   

  1. Dept. of Orthodontics, Affiliated Stomatological Hospital, Kunming Medical University, Kunming 650031, China
  • Received:2016-12-04 Revised:2017-06-21 Online:2017-09-01 Published:2017-09-01

RichHTML

9

PDF (PC)

284

被引次数

7

摘要： 上气道是由软硬组织围成的“生命腔隙”,在呼吸、言语等方面起着重要的作用,其大小及通畅与否将影响正常的呼吸与睡眠。上气道的形态大小受到周围软硬组织的影响,而正畸治疗常能改变上下颌骨及其周围软组织,从而改变上气道的形态及生理功能。近年来,随着人们对睡眠呼吸障碍疾病深入的认识,口腔正畸治疗对上气道的影响研究成为目前研究的热点。笔者将对目前的一些研究作一综述。

关键词: 上气道, 正畸治疗, 解剖形态, 影响因素

Abstract: The upper airway, which is regarded as the “lacuna of life”, is surrounded by hard and soft tissues and plays a very important role in breathing and phonating. The hard and soft tissues around the upper airway affect its size, patency, and morphology, which in turn affect normal breathing and sleeping. The upper and lower jaws and the soft tissues can be changed by orthodontic treatment, which changes the morphology and physiological function of the upper airway. In recent years, with a deeper understanding of sleep-related breathing disorders, research on the effects of the orthodontic treatment on the upper airway has become very popular. This paper illustrates recent studies on the progress of orthodontic treatment effects on the upper airway.

Key words: upper airway, orthodontic treatment, anatomic form, influencing factor

中图分类号: 

  • R783.5
[1] Ceylan I, Oktay H. A study on the pharyngeal size in different skeletal patterns[J]. Am J Orthod Den-tofacial Orthop, 1995, 108(1):69-75.
[2] Linder-Aronson S, Woodside DG, Lundström A. Mandibular growth direction following adenoide-ctomy[J]. Am J Orthod, 1986, 89(4):273-284.
[3] Schwab RJ. Upper airway imaging[J]. Clin Chest Med, 1998, 19(1):33-54.
[4] Martin O, Muelas L, Viñas MJ. Nasopharyngeal ce-phalometric study of ideal occlusions[J]. Am J Orthod Dentofacial Orthop, 2006, 130(4):436.e1-436.e9.
[5] Gu M, McGrath CP, Wong RW, et al. Cephalometric norms for the upper airway of 12-year-old Chinese children[J]. Head Face Med, 2014, 10:38.
[6] Schendel SA, Jacobson R, Khalessi S. Airway growth and development: a computerized 3-dimensional analysis[J]. J Oral Maxillofac Surg, 2012, 70(9): 2174-2183.
[7] Arens R, Sin S, Nandalike K, et al. Upper airway structure and body fat composition in obese children with obstructive sleep apnea syndrome[J]. Am J Respir Crit Care Med, 2011, 183(6):782-787.
[8] Zhong Z, Tang Z, Gao X, et al. A comparison study of upper airway among different skeletal craniofacial patterns in nonsnoring Chinese children[J]. Angle Orthod, 2010, 80(2):267-274.
[9] Arens R, McDonough JM, Costarino AT, et al. Magnetic resonance imaging of the upper airway structure of children with obstructive sleep apnea syndrome[J]. Am J Respir Crit Care Med, 2001, 164 (4):698-703.
[10] Durán J, Esnaola S, Rubio R, et al. Obstructive sleep apnea-hypopnea and related clinical features in a population-based sample of subjects aged 30 to 70 yr[J]. Am J Respir Crit Care Med, 2001, 163(3 Pt 1): 685-689.
[11] Guilleminault C, Tilkian A, Dement WC. The sleep apnea syndromes[J]. Annu Rev Med, 1976, 27:465- 484.
[12] Mello Junior CF, Guimarães Filho HA, Gomes CA, et al. Radiological findings in patients with obs-tructive sleep apnea[J]. J Bras Pneumol, 2013, 39(1): 98-101.
[13] 高雪梅, 曾祥龙, 傅民魁, 等. 阻塞性睡眠呼吸暂停综合征上气道阻塞点的磁共振研究[J]. 现代口腔医学杂志, 2000, 14(3):185-187.
Gao XM, Zeng XL, Fu MK, et al. Magnetic resonance imaging of obstructive site in sleep apnea syndrome [J]. J Modern Stomatol, 2000, 14(3):185-187.
[14] Chervin RD, Clarke DF, Huffman JL, et al. School performance, race, and other correlates of sleep-disordered breathing in children[J]. Sleep Med, 2003, 4(1):21-27.
[15] Weider DJ, Baker GL, Salvatoriello FW. Dental malocclusion and upper airway obstruction, an oto-laryngologisty’s perspective[J]. Int J Pediatr Otorhino-laryngol, 2003, 67(4):323-331.
[16] Rappai M, Collop N, Kemp S, et al. The nose and sleep-disordered breathing: what we know and what we do not know[J]. Chest, 2003, 124(6):2309-2323.
[17] Harari D, Redlich M, Miri S, et al. The effect of mouth breathing versus nasal breathing on dento-facial and craniofacial development in orthodontic patients[J]. Laryngoscope, 2010, 120(10):2089-2093.
[18] 聂萍, 朱敏, 卢晓峰. 骨性上颌发育不足青少年上气道及周围结构的X线头影测量研究[J]. 中华口腔正畸学杂志, 2010, 17(2):85-88.
Nie P, Zhu M, Lu XF. Cephalometric evaluation of upper airway and craniofacial structures in teenagers with maxillary retrognathism[J]. Chin J Orthodont, 2010, 17(2):85-88.
[19] Lee JW, Park KH, Kim SH, et al. Correlation between skeletal changes by maxillary protraction and upper airway dimensions[J]. Angle Orthod, 2011, 81(3): 426-432.
[20] 聂萍, 朱敏, 卢晓峰. 上颌前牵引对骨性Ⅲ类错患者上气道形态的影响[J]. 上海口腔医学, 2009, 18(3):229-233.
Nie P, Zhu M, Lu XF. Effects of maxillary protrac-tion on craniofacial structures and upper airway di-mensions in skeletal Class Ⅲ malocclusions[J]. Shanghai J Stomatol, 2009, 18(3):229-233.
[21] 李巍然, 高琳, 孙玲, 等. 单侧完全性唇腭裂术后反前方牵引治疗对上气道的影响[J]. 中华口腔正畸学杂志, 2010, 17(1):26-29.
Li WR, Gao L, Sun L, et al. Effects of the maxillary protraction on the upper pharyngeal widths in the patients of operated UCLP with anterior crossbite[J]. Chin J Orthodont, 2010, 17(1):26-29.
[22] Oktay H, Ulukaya E. Maxillary protraction appliance effect on the size of the upper airway passage[J]. Angle Orthod, 2008, 78(2):209-214.
[23] Hiyama S, Suda N, Ishii-Suzuki M, et al. Effects of maxillary protraction on craniofacial structures and upper-airway dimension[J]. Angle Orthod, 2002, 72 (1):43-47.
[24] Zheng ZH, Yamaguchi T, Kurihara A, et al. Three-dimensional evaluation of upper airway in patients with different anteroposterior skeletal patterns[J]. Orthod Craniofac Res, 2014, 17(1):38-48.
[25] Oz U, Orhan K, Rubenduz M. Two-dimensional lateral cephalometric evaluation of varying types of Class Ⅱ subgroups on posterior airway space in pos-tadolescent girls: a pilot study[J]. J Orofac Orthop, 2013, 74(1):18-27.
[26] El H, Palomo JM. An airway study of different maxillary and mandibular sagittal positions[J]. Eur J Orthod, 2013, 35(2):262-270.
[27] 张良, 李瑶琴, 陈文静, 等. 不同矢状骨面型无鼾症青年上气道形态的锥形束CT分析[J]. 口腔医学, 2013, 33(11):756-760, 764.
Zhang L, Li YQ, Chen WJ, et al. Three-dimensional analysis of upper airway morphology among non-snoring youths with different sagittal skeletal pat-terns[J]. Stomatology, 2013, 33(11):756-760, 764.
[28] Ozbek MM, Memikoglu TU, Gögen H, et al. Oro-pharyngeal airway dimensions and functional-ortho-pedic treatment in skeletal Class Ⅱ cases[J]. Angle Orthod, 1998, 68(4):327-336.
[29] Jena AK, Singh SP, Utreja AK. Effectiveness of twin-block and mandibular protraction appliance-Ⅳin the improvement of pharyngeal airway passage dimensions in Class Ⅱ malocclusion subjects with a retrognathic mandible[J]. Angle Orthod, 2013, 83(4): 728-734.
[30] Ghodke S, Utreja AK, Singh SP, et al. Effects of twin-block appliance on the anatomy of pharyngeal airway passage(PAP) in class Ⅱ malocclusion sub-jects[J]. Prog Orthod, 2014, 15:68.
[31] Restrepo C, Santamaría A, Peláez S, et al. Orophar-yngeal airway dimensions after treatment with func-tional appliances in class Ⅱ retrognathic children [J]. J Oral Rehabil, 2011, 38(8):588-594.
[32] Hänggi MP, Teuscher UM, Roos M, et al. Long-term changes in pharyngeal airway dimensions following activator-headgear and fixed appliance treatment[J]. Eur J Orthod, 2008, 30(6):598-605.
[33] Yassaei S, Tabatabaei Z, Ghafurifard R. Stability of pharyngeal airway dimensions: tongue and hyoid changes after treatment with a functional appliance [J]. Int J Orthod Milwaukee, 2012, 23(1):9-15.
[34] 高雪梅. 扩弓治疗阻塞性睡眠呼吸暂停低通气综合征[J]. 中国临床医生, 2013, 41(7):6-7.
Gao XM. Maxillary expansion for the treatment of OSAHS[J]. Chin J Clinic, 2013, 41(7):6-7.
[35] Cameron CG, Franchi L, Baccetti T, et al. Long-term effects of rapid maxillary expansion: a posteroan-terior cephalometric evaluation[J]. Am J Orthod Dentofacial Orthop, 2002, 121(2):129-135, 193.
[36] Monini S, Malagola C, Villa MP, et al. Rapid maxil-lary expansion for the treatment of nasal obstruction in children younger than 12 years[J]. Arch Otolar-yngol Head Neck Surg, 2009, 135(1):22-27.
[37] Zeng J, Gao X. A prospective CBCT study of upper airway changes after rapid maxillary expansion[J]. Int J Pediatr Otorhinolaryngol, 2013, 77(11):1805- 1810.
[38] Al Maaitah E, El Said N, Abu Alhaija ES. First pre-molar extraction effects on upper airway dimension in bimaxillary proclination patients[J]. Angle Orthod, 2012, 82(5):853-859.
[39] Valiathan M, El H, Hans MG, et al. Effects of ex-traction versus non-extraction treatment on orophar-yngeal airway volume[J]. Angle Orthod, 2010, 80 (6):1068-1074.
[40] Sharma K, Shrivastav S, Sharma N, et al. Effects of first premolar extraction on airway dimensions in young adolescents: a retrospective cephalometric appraisal[J]. Contemp Clin Dent, 2014, 5(2):190- 194.
[41] Germec-Cakan D, Taner T, Akan S. Uvulo-glosso-pharyngeal dimensions in non-extraction, extraction with minimum anchorage, and extraction with ma-ximum anchorage[J]. Eur J Orthod, 2011, 33(5): 515-520.
[42] 屠嫩斐. 应用口外弓正畸治疗中的阻塞性睡眠呼吸暂停综合征[J]. 现代实用医学, 2008, 20(4):319- 320.
Tu NF. The obstructive sleep apnea syndrome in the use of orthopedic headgear treatment[J]. Modern Pract Med, 2008, 20(4):319-320.
[43] Godt A, Koos B, Hagen H, et al. Changes in upper airway width associated with Class Ⅱ treatments (headgear vs activator) and different growth pat-terns[J]. Angle Orthod, 2011, 81(3):440-446.
[44] Kirjavainen M, Kirjavainen T. Upper airway dimen-sions in Class Ⅱ malocclusion. Effects of headgear treatment[J]. Angle Orthod, 2007, 77(6):1046-1053.
[45] 姜子茜, 郑博文, 安娜, 等. AngleⅡ 1 错非拔牙矫治前后上气道矢状径及舌骨位置变化临床研究[J]. 中国实用口腔科杂志, 2015, 8(5):274-277.
Jiang ZX, Zheng BW, An N, et al. Clinical research of upper airway sagittal dimension and the position of hyoid in non-extraction patients with angle’s Ⅱ 1 malocclusion[J]. Chin J Pract Stomatol, 2015, 8(5): 274-277.
[1] 赵玉洁,管晓燕,李小兰,陈琦君,王倩,刘建国. 巨噬细胞极化参与正畸牙移动的研究进展[J]. 国际口腔医学杂志, 2020, 47(4): 478-483.
[2] 陈艺尹,刘俊圻,李承浩. 牙槽突裂的裂隙特点及正畸治疗对唇腭裂患者牙槽突植骨术的影响[J]. 国际口腔医学杂志, 2020, 47(3): 345-350.
[3] 薛伶俐,李雅冬. 经首次根治性手术治疗口腔鳞状细胞癌患者的生存相关影响因素分析[J]. 国际口腔医学杂志, 2020, 47(2): 166-174.
[4] 吕靖,彭静,栗璞. 双生子颅面深度和上气道宽度的遗传和环境因素研究[J]. 国际口腔医学杂志, 2020, 47(2): 175-181.
[5] 陈玉,姜欢,刘楠,陆晨萌,唐中元,韩茹钰,胡敏. 正畸治疗对骨性Ⅱ类错畸形患者上气道及周围结构变化的影响[J]. 国际口腔医学杂志, 2019, 46(5): 578-584.
[6] 高洁,马锐,葛振林. 热激活镍钛弓丝矫治效率的系统评价[J]. 国际口腔医学杂志, 2019, 46(4): 393-399.
[7] 何育薇,张智君,谢雨朗,梁英豪. 青少年正畸患者的心理状况研究[J]. 国际口腔医学杂志, 2019, 46(4): 413-419.
[8] 李天成,夏恺,邹淑娟,刘钧. 正畸治疗中拔牙对上气道影响的系统评价[J]. 国际口腔医学杂志, 2019, 46(2): 156-165.
[9] 刘玲玲,刘树泰. 上颌腭侧软组织厚度的测量方法及影响因素[J]. 国际口腔医学杂志, 2019, 46(2): 234-237.
[10] 孟怡彤,张晓东. 成人个别正常颌上气道不同软件三维测量的比较研究[J]. 国际口腔医学杂志, 2018, 45(6): 690-694.
[11] 赵金,赖光云,汪俊. 全身麻醉下儿童口腔疾病治疗家长接受度现况的研究进展[J]. 国际口腔医学杂志, 2018, 45(6): 739-744.
[12] 李锦锦, 潘剑. 自体牙移植及其结合正畸治疗的研究进展[J]. 国际口腔医学杂志, 2018, 45(1): 91-96.
[13] 潘颖丹, 刘艺琴, 肖立伟. 替牙期唇腭裂患者的正畸治疗[J]. 国际口腔医学杂志, 2017, 44(4): 380-384.
[14] 姚霜, 刘晓君, 周治, 杨鸘, 季娟娟, 周新, 沈勇. 咬合调整对牙周炎正畸治疗患者牙周状况的影响[J]. 国际口腔医学杂志, 2017, 44(1): 50-54.
[15] 普盼君,路莹,葛天歌,张沙,陈泽文,黄宁. 正畸患者付出与收益的调查与研究[J]. 国际口腔医学杂志, 2016, 43(6): 654-657.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 陈勇 梁甲兴. 错牙合畸形患者对正畸治疗的配合性[J]. 国际口腔医学杂志, 2004, 31(03): 243 -245 .
[2] 刘习强,黄洪章. 靶向纳米转基因载体在头颈肿瘤中的研究现状[J]. 国际口腔医学杂志, 2004, 31(05): 368 -370 .
[3] 崔伯瑜. 4种根管封闭剂甲醛释放量的比较[J]. 国际口腔医学杂志, 2000, 27(05): .
[4] 浩志超1综述 孟玉坤2审校. 牙科用氧化锆陶瓷的低温时效及其影响因素[J]. 国际口腔医学杂志, 2012, 39(4): 494 -497 .
[5] 李卓睿1综述 柳忠豪2审校. 即刻种植种植体周围骨缺损间隙的处理[J]. 国际口腔医学杂志, 2012, 39(1): 120 -123 .
[6] 任国欣 郭伟. 紫杉类药物在头颈癌临床治疗中的研究进展[J]. 国际口腔医学杂志, 2004, 31(03): 220 -222 .
[7] 杨敏综述 刘福祥审校. 激光扫描在头面部软组织三维重建和测量中的应用[J]. 国际口腔医学杂志, 2010, 37(3): 351 -351～354 .
[8] 韶青华 陈振琦. 牙槽突裂植骨与颌骨生长发育的关系[J]. 国际口腔医学杂志, 2013, 40(1): 132 -134 .
[9] 程林综述 何惠宇审校. 三维有限元法在牙列缺损修复中的应用[J]. 国际口腔医学杂志, 2012, 39(2): 230 -232 .
[10] 李永凯1 段丁瑜2 赵蕾2，3 吴亚菲2，3 徐屹2，3 . 牙周菌斑生物膜的体外模型建立[J]. 国际口腔医学杂志, 2012, 39(1): 37 -42 .