ORTODONTİDE HAVA YOLU ÖLÇÜM

Year 2020, Volume: 6 Issue: 2, 105 - 114, 01.10.2020

Nourtzan Kechagia

Abstract

Nazofaringeal ve orofaringeal hava yolu problemlerinin büyüme-gelişim döneminde çene-yüz bölgesindeki gelişimi olumsuz etkilediği bilinmektedir. Nazal konka hipertrofisi, adenoid hipertrofisi ve tonsiller hipertrofiler gibi nazal obstrüksiyonlar sonucu burun solunumunun engellendiği durumlarda ağız solunumunun devreye girmesiyle alt çenenin aşağı ve geriye rotasyonu ve dilin aşağıda konumlanması; dik yön gelişiminde artma, açık kapanış, yan çapraz kapanış, üst çenede darlık ve üst dişlerde ileri itim gibi kapanış bozukluklarını doğurabilmektedir. Hava yolunun değerlendirilmesi, solunum bozukluğu olan hastalar için önemli bir tanı aracı olmakta birlikte büyüme-gelişim dönemindeki hastalarda, kraniyofasiyal anomalinin tedavisi ve sonucunun stabilitesi için kritik öneme sahiptir. Ortodontik tedavinin ağız solunumu ile ilişkili olan malokluzyonlarının tanısı, klinik ve radyolojik hava yolu ölçümlerinin doğru bir şekilde incelenmesini gerektirmekte ve hava yolu ölçüm tekniklerinin kullanımı önemli bir konu haline gelmektedir. Bu derlemede bu hususlar hakkında güncel gelişmelerin incelenmesi amaçlanmıştır.

Keywords

Akustik rinometri, Rinomanometrik Ölçüm, Pletismografi, Akustik Farengometri, Bilgisayarlı tomografi, sefalometrik radyografi

AIRWAY MEASUREMENT IN ORTHODONTICS

Abstract

It is known that nasopharyngeal and
oropharyngeal airway problems negatively
affect the development of the maxillofacial
region during the growth-development period.
In cases where nasal breathing is blocked as
a result of nasal obstructions such as nasal
concha hypertrophy, adenoid hypertrophy, and
tonsillar hypertrophies, the lower and back
rotation of the lower jaw and the positioning of
the tongue below; Increase in vertical direction
development, open bite, lateral cross bite,
stenosis in the upper jaw and bite disorders
can be seen. The evaluation of the airway
is an important diagnostic tool for patients
with respiratory disorders, but it is critical for
the treatment of craniofacial anomalies and
the stability of its outcome in patients in the
growth-developmental period. The diagnosis of
malocclusions associated with mouth breathing
in orthodontic treatment requires an accurate
examination of clinical and radiological
airway measurements, and the use of airway
measurement techniques becomes an important
issue. In this review, it is aimed to examine
contemporary developments on these issues.

Keywords

Acoustic rhinometry, Rhinomanometric Measurement, Plethysmography, Acoustic Pharyngometry, Computed tomography, cephalometric radiography

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