利用全景 X 射线照相术确定土耳其双相情感障碍 I 患者的下颌骨形态。

IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Journal of Nervous and Mental Disease Pub Date : 2024-11-01 Epub Date: 2024-09-30 DOI:10.1097/NMD.0000000000001806
Hakan Bahadir, Nihal Yetimoğlu, Özlem Oflezer, Murat Erkiran
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引用次数: 0

摘要

摘要:特定颅面偏差的存在可能是双相情感障碍(BD)患者早期大脑发育异常的证据。本研究旨在利用全景放射摄影技术,比较双相情感障碍患者与非精神疾病对照组的下颌骨形态。共评估了215张记录图像,其中70张为双相情感障碍患者,145张为对照组。在盲法下测量了下颌骨的七个参数,包括横突高度(RH)、髁突高度(CH)、盂角(GA)、前盂角(AGA)、前盂切迹深度(AND)、横突切迹深度(RND)和大盂宽度(BGW)。对男性和女性分别进行了分组分析。单变量比较结果显示,与男性对照组相比,患有 BD 的男性在 RH、CH、AND、RND 和 BGW 方面的数值增加,而在 GA 方面的数值减少。此外,女性 BD 患者的 RH 值、CH 值、RND 值和 BGW 值均高于女性对照组。这些差异具有统计学意义。多变量分析的数据显示,男女患者的 RH 值和 BGW 值的增加是区分 BD 患者和对照组的重要预测变量。此外,更深的AND是区分男性BD患者和男性对照组的最主要预测因素。下颌骨测量值的微妙变化与 BD 神经发育受损的概念相一致。
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Determination of Mandibular Morphology in a Turkish Population With Bipolar I Disorder Using Panoramic Radiography.

Abstract: The presence of specific craniofacial deviations may be evidence of abnormal early brain development in bipolar disorder (BD). This study aimed to compare mandibular morphology in patients with BD versus nonpsychiatric controls using panoramic radiography. A total of 215 recorded images, 70 patients with BD and 145 controls, were evaluated. Seven mandibular parameters of the ramus height (RH), condylar height (CH), gonial angle (GA), antegonial angle (AGA), antegonial notch depth (AND), ramal notch depth (RND), and bigonial width (BGW) were measured in a blinded manner. Group analysis was conducted separately for males and females. The univariate comparisons showed increased values in RH, CH, AND, RND, and BGW and decreased values in GA in males with BD compared with male controls. In addition, females with BD had higher RH, CH, RND, and BGW values in comparison to female controls. The differences were statistically significant. Data from multivariate analyses revealed that increases in RH and BGW values in both sexes were significant predictive variables that distinguished patients with BD from controls. Moreover, deeper AND was the most prominent predictor that distinguished male patients with BD from male controls. The identification of subtle changes in mandibular measurements is consistent with the notion of impaired neurodevelopment in BD.

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来源期刊
CiteScore
2.90
自引率
5.30%
发文量
233
审稿时长
3-8 weeks
期刊介绍: The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.
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