单侧完全性唇腭裂患者髁突及下颌升支对称性的锥形束CT研究

doi:10.13701/j.cnki.kqyxyj.2016.03.014

口腔医学研究 ›› 2016, Vol. 32 ›› Issue (3): 269-271.DOI: 10.13701/j.cnki.kqyxyj.2016.03.014

单侧完全性唇腭裂患者髁突及下颌升支对称性的锥形束CT研究

邢菲菲¹, 张锡忠^2*, 魏志强²

1. 南开大学医学院天津 300071;
2. 天津市口腔医院正畸科天津 300041

收稿日期:2015-09-15 出版日期:2016-03-28 发布日期:2016-03-29
通讯作者: 张锡忠,E-mail:zhangxizhong9999@hotmail.com
作者简介:邢菲菲(1989~ ),女,硕士在读,医师,主要从事口腔正畸科的临床研究工作。
基金资助:
国家临床重点专科建设项目(口腔正畸专业) 批准文号:国卫医办函【2013】544号

Condylar and Ramus Asymmetry in Patients with Unilateral Cleft Lip and Palate Evaluated with Cone-beam Computed Tomography.

XING Fei-fei¹, ZHANG Xi-zhong^2*, WEI Zhi-qiang²

1. Medical Collage of Nankai University, Tianjin 300071, China;
2. Department of Stomatology, Tianjin Stomatological Hospital, Tianjin 300041, China

Received:2015-09-15 Online:2016-03-28 Published:2016-03-29

摘要/Abstract

摘要： 目的: 评价单侧完全性唇腭裂(UCLP)患者下颌骨髁突及升支垂直向对称性。方法: 取25例单侧完全性唇腭裂患者作为实验组,25例同年龄正常牙合人群作为对照组,两组均拍摄锥形束CT(CBCT)图像,对下颌髁突高度(CH)、升支高度(RH)及髁突与升支高度和(CH+RH)进行测量分析及不对称指数计算,所得数据使用SPSS17.0进行配对样本t检验和独立样本t检验。结果: 单侧完全性唇腭裂患者健侧与患侧下颌髁突高度、髁突与升支高度和具有统计学意义。单侧完全性唇腭裂组与对照组髁突与升支高度和不对称指数具有统计学意义。结论: 单侧完全性唇腭裂患者下颌骨髁突高度、髁突与升支高度和存在不对称畸形,患侧明显小于健侧,且髁突与升支高度和不对称指数与正常牙合人群比较存在差异。

关键词: 单侧完全性唇腭裂, CBCT, 对称性

Abstract: Objective: To evaluate condylar and ramus mandibular vertical asymmetry of patients affected by unilateral cleft lip and palate (UCLP). Methods: The study included an experimental group of 25 UCLP patients and a control group of 25 healthy subjects. Cone-beam computed tomography (CBCT) images were taken. Measurements of mandibular condyle, ramus and condyle plus ramus heights were analyzed, as well as asymmetry indices. Paired samples t test and an independent t test of the measurements were performed using SPSS 17.0. Results: There was a statistically significant difference between the normal and cleft sides in the condyle height and condyle plus ramus height in the UCLP group. The independent t test showed a statistically significant difference between the cleft group and the control group in condyle plus ramus height and asymmetry index values. Conclusion: The condyle height and condyle plus ramus height were significantly lower in the cleft side in the UCLP patients, demonstrating vertical asymmetry. There was significant difference in condyle plus ramus height and asymmetry index between UCLP patients and the control.

Key words: Unilateral cleft lip and palate, CBCT, Symmetry

中图分类号:

R782.2

邢菲菲, 张锡忠, 魏志强. 单侧完全性唇腭裂患者髁突及下颌升支对称性的锥形束CT研究[J]. 口腔医学研究, 2016, 32(3): 269-271.

XING Fei-fei, ZHANG Xi-zhong, WEI Zhi-qiang. Condylar and Ramus Asymmetry in Patients with Unilateral Cleft Lip and Palate Evaluated with Cone-beam Computed Tomography.[J]. Journal of Oral Science Research, 2016, 32(3): 269-271.

参考文献

[1] Veli I, Uysal T, Ozer T, et al. Mandibular asymmetry in unilateral and bilateral posterior crossbite patients using cone-beam computed tomography [J]. Angle Orthodontist, 2011, 81(6)∶966-974
[2] 邱严力,田倩倩,杜凤芝,等.单侧完全性唇腭裂患者下颌骨对称性分析[J].实用医学杂志,2009,(17)∶2875-2877
[3] Kurt G. Mandibular asymmetry in cleft lip and palate patients [J]. Eur J Orthod, 2010, 32(1)∶19-23
[4] Habets L, Bezuur J, van Ooij C, et al. The orthopantomogram, an aid in diagnosis of temporomandibular joint problems I. The factor of vertical magnification [J]. J Oral Rehabil, 1987, 14(5)∶475-480
[5] Habets L, Bezuur J, Naeiji M, et al. The Orthopantomogram, an aid in diagnosis of temporomandibular joint problems II. The vertical symmetry [J]. J Oral Rehabil, 1988, 15(5)∶465-471
[6] Baumgaertel S, Palomo JM, Palomo L, et al. Reliability and accuracy of cone-beam computed tomography dental measurements [J]. American journal of orthodontics and dentofacial orthopedics, 2009, 136(1)∶19-25
[7] 许晓岑,房莉,曾飞煌,等.口腔正畸中3种常用头影测量技术的对比研究[J].口腔医学研究,2014,30(4)∶348-351
[8] 王美青,姚秀芳,颜朝云,等.咬合与髁状突形态的对称性间的相关关系解剖学[J].实用口腔医学杂志,2001,18(2)∶147-150
[9] Cohen SR, Burstein FD, Stewart MB, et al. Maxillary-midface distraction in children with cleft lip and palate: a preliminary report [J]. Plastic & Reconstructive Surgery, 1997, 99(4)∶1421-1428
[10] Celikoglu M, Halicioglu K, Buyuk SK, et al. Condylar and ramal vertical asymmetry in adolescent patients with cleft lip and palate evaluated with cone-beam computed tomography. American journal of orthodontics and dentofacial orthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 2013, 144(5)∶691-697
[11] Kilic N, Kiki A, Oktay H. Condylar asymmetry in unilateral posterior crossbite patients [J]. American Journal of Orthodontics & Dentofacial Orthopedics, 2008, 133(3)∶382-387

[1]	杨绿丽, 沈斯特, 陈晓玲, 林垚. 下颌第一前磨牙C形牙根根面沟及根管分型的CBCT研究[J]. 口腔医学研究, 2020, 36(9): 830-834.
[2]	张晗, 李永辉, 杨若仪, 白璐, 吴聿淼, 李祥, 王谜, 朱宪春. 隐形矫治在口腔扫描图像上牙列中线的确定方法[J]. 口腔医学研究, 2020, 36(8): 761-765.
[3]	吴连俊, 姚李韬, 张彩霞, 刘传通. 切牙管形态学特征的CBCT测量分析[J]. 口腔医学研究, 2020, 36(7): 693-697.
[4]	李天一, 徐明耀, 万延俊, 张阳, 成雨生, 张红闯, 王超, 张扬. 两种腭裂修复方式治疗过宽不完全腭裂的临床效果比较[J]. 口腔医学研究, 2020, 36(2): 148-151.
[5]	谢燕燕, 高红, 王雪芹. 上颌中切牙与多生牙融合1例[J]. 口腔医学研究, 2020, 36(2): 185-186.
[6]	张荷馨, 李新月. 重度牙周炎拔牙后位点保存不同膜覆盖技术的疗效评价[J]. 口腔医学研究, 2020, 36(10): 962-967.
[7]	宋娟. 单侧完全性唇腭裂患者鼻腔通气情况的临床研究[J]. 口腔医学研究, 2020, 36(1): 24-27.
[8]	王雪涛, 李璁, 李向春, 李芳凝. CBCT对下颌第三磨牙手术术式选择的影响作用[J]. 口腔医学研究, 2020, 36(1): 33-36.
[9]	邹晨, 邹道星, 艾毅龙. 口内三维扫描结合CBCT建立数字化模型的研究[J]. 口腔医学研究, 2019, 35(9): 902-905.
[10]	任留阳, 熊晖. 上颌快速扩弓对安氏Ⅱ类1分类青少年患者上气道体积的影响[J]. 口腔医学研究, 2019, 35(8): 786-789.
[11]	闫弘静,李志民,冯婧,宋子琦,王博,张丽,张祖燕. 锥形束临床应用现状分析[J]. 口腔医学研究, 2019, 35(2): 155-158.
[12]	刘之奥, 徐卫华, 郑之峻. 基于CBCT的后段牙合平面和下颌骨形态间相关性研究[J]. 口腔医学研究, 2019, 35(11): 1078-1083.
[13]	刘俊玲, 李洪发, 闫卉. CBCT观察快慢速扩弓牙齿移动方式的异同[J]. 口腔医学研究, 2018, 34(8): 902-904.
[14]	杨佳鑫, 王建国, 张锡忠, 魏志强. 基于锥形束CT的单侧完全性唇腭裂患者上前牙牙槽骨厚度及高度的研究[J]. 口腔医学研究, 2018, 34(6): 636-639.
[15]	薛美荣, 都冰丽, 荆璇, 武秀萍. 成人Ⅱ类骨面型上颌骨后牙区骨皮质厚度和安全性的锥形束CT研究[J]. 口腔医学研究, 2018, 34(6): 662-665.

单侧完全性唇腭裂患者髁突及下颌升支对称性的锥形束CT研究

Condylar and Ramus Asymmetry in Patients with Unilateral Cleft Lip and Palate Evaluated with Cone-beam Computed Tomography.

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics