Assessment of pharyngeal airway in Korean adolescents according to skeletal pattern, sex, and cervical vertebral maturation: A cross-sectional CBCT study.

IF 2.6 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Korean Journal of Orthodontics Pub Date : 2022-05-16 DOI:10.4041/kjod21.267
Tassneem Elagib, Hee-Moon Kyung, Bui Quang Hung, Mihee Hong
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Abstract

Objective: To investigate airway volumes using cone-beam computed tomography (CBCT) by skeletal patterns, sex, and cervical vertebral maturation (CVM) stages in Korean adolescents.

Methods: The sample consisted of pretreatment CBCT and cephalograms of 95 adolescents (aged 12-19) obtained out of 1,611 patients examined for orthodontic treatment from 2018 to 2020 in Kyungpook National University Dental Hospital. The samples were classified into two sex groups; three skeletal pattern groups, four chronological age groups and four CVM stages. Nasopharyngeal volumes (NPV), oropharyngeal volumes (OPV), total pharyngeal airway volume (TAV) and minimum cross-sectional area (MCA) measurements were taken from the CBCT. Multiple linear regression analyses to find out which one of the independent variables are good predictors for airway variables. Significant factors were analyzed by two-way multivariate analysis of variance (MANOVA) then multiple comparisons were analyzed using a t-test, and Fisher least significant difference.

Results: Age, sex, CVM, and Sella-Nasion-B point have significant influence on airway variable. Males and females showed similar patterns of change in chronological age groups 1-3; however, males had larger NPV, OPV, and MCA at CVM in group 4. According to CVM stages, males had larger OPV, TAV, and MCA at CVM stage 6 (p-value: 0.019, 0.021, 0.015, respectively) and no sex differences at CVM stages 3, 4, and 5.

Conclusions: Skeletal patterns have an effect on airway volume. Sex differences were found in CVM 6.

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根据骨骼类型、性别和颈椎成熟程度评估韩国青少年咽气道:一项横断面CBCT研究。
目的:利用锥形束计算机断层扫描(CBCT)研究韩国青少年的气道容积与骨骼类型、性别和颈椎成熟(CVM)阶段的关系。方法:样本包括2018 - 2020年庆北大学口腔医院正畸治疗的1611例青少年患者中95例(12-19岁)的预处理CBCT和脑电图。这些样本被分为两个性别组;三个骨骼模式组,四个实际年龄组和四个CVM阶段。通过CBCT测量鼻咽容积(NPV)、口咽容积(OPV)、咽气道总容积(TAV)和最小横截面积(MCA)。多元线性回归分析,找出哪一个自变量是气道变量的良好预测因子。显著性因素分析采用双因素方差分析(MANOVA),多因素比较采用t检验,Fisher最小显著性差异。结果:年龄、性别、CVM、Sella-Nasion-B点对气道变量有显著影响。男性和女性在1-3年龄组表现出相似的变化模式;然而,第4组男性在CVM时的NPV、OPV和MCA更大。根据CVM分期,男性在CVM第6期OPV、TAV和MCA较大(p值分别为0.019、0.021和0.015),在CVM第3、4和5期无性别差异。结论:骨骼类型对气道容积有影响。CVM 6存在性别差异。
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来源期刊
Korean Journal of Orthodontics
Korean Journal of Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.50
自引率
10.50%
发文量
48
审稿时长
>12 weeks
期刊介绍: The Korean Journal of Orthodontics (KJO) is an international, open access, peer reviewed journal published in January, March, May, July, September, and November each year. It was first launched in 1970 and, as the official scientific publication of Korean Association of Orthodontists, KJO aims to publish high quality clinical and scientific original research papers in all areas related to orthodontics and dentofacial orthopedics. Specifically, its interest focuses on evidence-based investigations of contemporary diagnostic procedures and treatment techniques, expanding to significant clinical reports of diverse treatment approaches. The scope of KJO covers all areas of orthodontics and dentofacial orthopedics including successful diagnostic procedures and treatment planning, growth and development of the face and its clinical implications, appliance designs, biomechanics, TMJ disorders and adult treatment. Specifically, its latest interest focuses on skeletal anchorage devices, orthodontic appliance and biomaterials, 3 dimensional imaging techniques utilized for dentofacial diagnosis and treatment planning, and orthognathic surgery to correct skeletal disharmony in association of orthodontic treatment.
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