评估额窦形态和颈椎成熟度以评估骨骼成熟度

S. Gupta, S. Dahal, Shristi Rauniyar
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摘要

背景:采用可靠的生长评估方法进行生长预测是制定正畸治疗计划的重要工具。本研究旨在探讨额窦(FS)形态与颈椎成熟度(CVM)之间的关系,以预测个体的骨骼成熟度。方法:对252例正畸患者的侧位头颅片进行研究。CVM分期和FS参数,如FS高度,FS宽度,FS指数评估使用相同的侧位脑电图。采用t检验、方差分析(ANOVA)、Pearson相关(r)等统计方法进行统计分析。结果:男性FS高度和宽度较大(24.33±4.21;10.08±3.20),女性为21.43±5.34;8.12±2.19),差异有统计学意义(P<0.05)。而男性(2.59±0.74)与女性(2.69±0.44)的FS指数差异无统计学意义(P=0.32)。从CVM阶段1到阶段6,FS高度和宽度以线性方式显著增加。另一方面,FS指数在男性和女性的CVM分期之间没有统计学上的显著差异。无论男女,FS高度和宽度与CVM分期均呈显著的弱至中度相关。然而,FS指数与CVM分期在男性和女性中均表现出轻度和弱的负相关。结论:FS高度和宽度与男性和女性CVM分期均有显著的弱至中度相关,FS指数与男性和女性CVM分期均有弱负相关。与CVM方法不同,FS形态学不能可靠地用于评估骨骼成熟度。
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Assessment of Frontal Sinus Morphology and Cervical Vertebral Maturation for Evaluation of Skeletal Maturity
Background: The growth prediction using reliable growth assessment methods is an invaluable tool during orthodontic treatment planning. This study aimed to examine the relationship between frontal sinus (FS) morphology and cervical vertebral maturation (CVM) to predict the skeletal maturity of an individual. Methods: The present study consisted of 252 lateral cephalograms of orthodontic patients. CVM stages and FS parameters such as FS height, FS width, and FS index were assessed using the same lateral cephalogram. Statistical methods including t test, analysis of variance (ANOVA), and Pearson correlation (r) were used for the statistical analysis. Results: FS height and width were greater in males (24.33±4.21; 10.08±3.20) compared to females (21.43±5.34; 8.12±2.19), indicating a statistical difference (P<0.05). However, FS index did not show a statistically significant difference (P=0.32) between males (2.59±0.74) and females (2.69±0.44) (P=0.32). FS height and width increased significantly in a linear fashion from CVM stage 1 to stage 6. FS index, on the other hand, did not exhibit any statistically significant differences among CVM stages in both males and females. FS height and width showed a significant weak to moderate correlation with CVM stages in both males and females. However, FS index exhibited a mild and weak negative correlation with the CVM stages in both males and females. Conclusions: FS height and width had a significant weak to moderate correlation with CVM stages in both the males and females, while FS index had a weak negative correlation with CVM stages in both males and females. Unlike the CVM method, the FS morphology cannot be reliably utilized to assess the skeletal maturity.
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