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Hızlı üst çene genişletmesinin nazofarengeal havayoluna etkisi

Yıl 2014, Cilt: 1 Sayı: 1, 1 - 6, 01.04.2014
https://doi.org/10.15311/1441.272640

Öz

Amaç:Hızlı üst çene genişletme (HÜÇG) işlemi üst çene darlıkların giderilmesinde yaygın olarak kullanılır. Bu çalışmanın amacı HÜÇG tedavisi sonrası nazofarengeal alandaki değişimleri değerlendirmektir.Gereç ve Yöntemler:Çalışma grubu çift taraflı transversal darlığa sahip 20 hastadan (12 kız ve 8 erkek, ortalama yaş, 12.34±1.26) oluşturuldu. Bu hastalar tüm dişleri kaplayan akrilik aparey ile tedavi edilmiştir. Kontrol grubu için ise sagittal ve transversal yön anomalisi olmayan 20 birey (13 kız ve 7 erkek,ortalama yaş, 12.68±1.15) seçildi.Hastalar ve kontrol grubu kayıtları klinik arşivimizden seçildi. Değerlendirmeler tedavi başında ve sonunda kaydedilen sefalometrik ölçümlerle yapıldı. İstatistiksel karşılaştırma için, bağımlı ve bağımsız örnek t-test leri kullanıldı.Bulgular:Tedavi sonucunda, tedavi öncesine kıyasla, adenoidal alan, aerial alan ve toplam alan anlamlı derecede artmıştır (P < 0.05). Kontrol grubuyla karşılaştırıldığında çalışma grubunda, adenoidal alan ve toplam alanda artış bulunmuştur (P < 0,05), fakat aerial alandaki artış istatiksel olarak anlamlı değildir (P > 0,05).Sonuç:HÜÇG tedavisi nazofarengeal hava yoluna pozitif etki eder ve nazofarengeal alanda anlamlı derecede artışa sebep olur.

Kaynakça

  • Aboudara C, Nielsen IB, Huang JC, Maki K, Miller
  • by opening the midpalatal suture. Angle Orthod, 3, 201-217.
  • Haas AJ, 1980. Long-term posttreatment evaluation of rapid palatal expansion. Angle Orthod, 50, 189– 468-479. 217.
  • Handelman CS, Osborne C, 1976. Growth of the
  • Treatment Timiing for Rapid Maxillary
  • Expansion. Angle Orthod, 71, 343-350.
  • nasopharynx and adenoid development from one to
  • eighteen years. Angle Orthod, 46, 243-259.
  • Baratieri C, Alves M, Gomes de Souza MM, Tirre
  • Hershey HG, Stewart BL, Warren DW, 1976. Changes in nasal airway resistance associated with rapid maxillary expansion. Am J of Orthod, 69, 274– 284.
  • Langer MR, Itikawa CE, Valera FC, Matsumoto MA, Anselmo-Lima WT, 2011. Does rapid maxillary expansion increase nasopharyngeal space and improve nasal airway resistance?. Int J Pediatr Otorhinolaryngol, 75, 122-125.
  • Lessa FCR, Enoki C, Feres MFN, Valera FCP, Lima WTA Matsumoto MA, 2005. Breathing mode influence in craniofacial development. Braz J Otorhinolaryngol, 71, 156-160.
  • Lopatiene K, Babarska A, 2002. Malocclusion and upper airway obstruction. Medicina, 38, 277-283.
  • Malkoc S, Usumez S, Nur M, Donaghy CE, 2005. Reproducibility of airway dimensions and tongue and hyoid positions on lateral cephalograms. Am J Orthod Dentofacial Orthop, 128, 513-516.
  • Oliveira De Felippe NL, Da Silveira AC, Viana G, Kusnoto B, Smith B, Evans CA, 2008. Relationship between rapid maxillary expansion and nasal cavity size and airway resistance: short- and long-term effects. Am J Orthod Dentofacial Orthop, 34, 370- 832.
  • Pavlin D, Vukicevik D, 1984. Mechanical reactions of facial skeleton to maxillary expansion determined by laser holography. Am J Orthod, 84, 498-507.
  • Sandikçioğlu M, Hazar S, 1997. Skeletal and dental changes after maxillary expansion in the mixed dentition. Am J Orthod Dentofacial Orthop, 111, 321–327
  • Sari Z, Uysal T, Üşümez S, Basciftci FA, 2003. Rapid maxillary expansion. Is it better in the mixed or permanent dentition?. Angle Orthod, 73, 654-661.
  • Sarver DM, Johnstone MW, 1988. Skeletal changes in vertical and anterior displacement of the maxilla with bonded rapid palatal expansion appliances. Am J Orthod Dentofacial Orthop, 95, 462-466.
  • Sökücü O, Doruk C, Uysal OI, 2010. Comparison of the effects of RME and Fan-type RME on nasal airway by using acoustic rhinometry. Angle Orthod, 80, 870-875.
  • Tausche E, Luck O, Harzer W, 2004. Prevalence of malocclusions in the early mixed dentition and orthodontic treatment need. Eur J Orthod, 26, 237– 244. 28. Thilander B, Wahlund S, Lennartsson B, 1984. effect of early interceptive treatment in children with posterior cross-bite. Eur J Orthod, 6, 25–34.
  • Timms DJ, 1980. A study of basal movement with rapid maxillary expansion. Am J Orthod, 77, 500- 507.
  • Timms DJ, 1986. The effect of rapid maxillary expansion on nasal airway resistance. British J of Orthod, 13, 221–228.
  • Timms DJ, 1987. Rapid maxillary expansion in the treatment of nasal obstruction and respiratory disease. Ear Nose Throat J, 66, 242-7.
  • Usumez M, Uzel I, 2008. Evaluation of rapid maxillary expansion and quad-helix in the late mixed dentition period. Turkish J of Orthod, 21, 187–195
  • Velázquez P, Benito E, Bravo LA, 1996. Rapid maxillary expansion. A study of the long-term effects. Am J Orthod Dentofacial Orthop, 109, 361-367.
  • Warren DW, Hershey GH, Turvey TA, Hinton VA, Hairfield WM, 1987. The nasal airway following maxillary expansion. AmJ Orthod Dentofacial Orthop, 91, 111–116.
  • Warren DW, Hairfield WM, Seaton D, Morr KE, Smith LR, 1988. The relationship between nasal airway size and nasal-oral breathing. Am J Orthod Dentofacial Orthop, 93, 289–293.
  • Wertz RA, 1968. Changes in nasal airflow incident to rapid maxillary expansion. Angle Orthod, 38, 1–11.
  • Wertz RA, 1970. Skeletal and dental changes accompanying rapid midpalatal suture opening. Am J of Orthod, 58, 41–66.

Effects of rapid maxillary expansion on nasopharyngeal airway

Yıl 2014, Cilt: 1 Sayı: 1, 1 - 6, 01.04.2014
https://doi.org/10.15311/1441.272640

Öz

Background: Rapid maxillary expansion (RME) is commonly
used in treatment of maxillary constriction. The aim of this study
was to evaluate changes in the nasopharyngeal area after RME
treatment.
Methods: RME group was consisted of 20 patients (12 girls and 8
boys, mean age, 12.34±1.26) who had bilateral transversal
constriction. These patients treated by full coverage acrylic
bonded appliances. Twenty patients (13 girls and 7 boys, mean
age, 12.68±1.15) who had no sagittal and transversal direction
anomalies were evaluated as control group. Patients and control
subjects’ records were selected our clinic archives. Assessments
of the patients were made with cephalometric measurements that
were recorded at the beginning and at the end of treatment.
Paired samples and independent sample t-tests were used for
statistical comparison.
Results: After RME treatment, adenoidal area, aerial area and
total area were increased significantly in comparison with pretreatment
levels (P < 0.05). Compared to control group, it has
been found that adenoidal area and total area were increased in
the study group (P < 0.05), but increase in aerial area was not
significant (P > 0.05).
Conclusion: RME affects nasal airway positively and it causes to
a significant increase in nasopharyngeal area.

Kaynakça

  • Aboudara C, Nielsen IB, Huang JC, Maki K, Miller
  • by opening the midpalatal suture. Angle Orthod, 3, 201-217.
  • Haas AJ, 1980. Long-term posttreatment evaluation of rapid palatal expansion. Angle Orthod, 50, 189– 468-479. 217.
  • Handelman CS, Osborne C, 1976. Growth of the
  • Treatment Timiing for Rapid Maxillary
  • Expansion. Angle Orthod, 71, 343-350.
  • nasopharynx and adenoid development from one to
  • eighteen years. Angle Orthod, 46, 243-259.
  • Baratieri C, Alves M, Gomes de Souza MM, Tirre
  • Hershey HG, Stewart BL, Warren DW, 1976. Changes in nasal airway resistance associated with rapid maxillary expansion. Am J of Orthod, 69, 274– 284.
  • Langer MR, Itikawa CE, Valera FC, Matsumoto MA, Anselmo-Lima WT, 2011. Does rapid maxillary expansion increase nasopharyngeal space and improve nasal airway resistance?. Int J Pediatr Otorhinolaryngol, 75, 122-125.
  • Lessa FCR, Enoki C, Feres MFN, Valera FCP, Lima WTA Matsumoto MA, 2005. Breathing mode influence in craniofacial development. Braz J Otorhinolaryngol, 71, 156-160.
  • Lopatiene K, Babarska A, 2002. Malocclusion and upper airway obstruction. Medicina, 38, 277-283.
  • Malkoc S, Usumez S, Nur M, Donaghy CE, 2005. Reproducibility of airway dimensions and tongue and hyoid positions on lateral cephalograms. Am J Orthod Dentofacial Orthop, 128, 513-516.
  • Oliveira De Felippe NL, Da Silveira AC, Viana G, Kusnoto B, Smith B, Evans CA, 2008. Relationship between rapid maxillary expansion and nasal cavity size and airway resistance: short- and long-term effects. Am J Orthod Dentofacial Orthop, 34, 370- 832.
  • Pavlin D, Vukicevik D, 1984. Mechanical reactions of facial skeleton to maxillary expansion determined by laser holography. Am J Orthod, 84, 498-507.
  • Sandikçioğlu M, Hazar S, 1997. Skeletal and dental changes after maxillary expansion in the mixed dentition. Am J Orthod Dentofacial Orthop, 111, 321–327
  • Sari Z, Uysal T, Üşümez S, Basciftci FA, 2003. Rapid maxillary expansion. Is it better in the mixed or permanent dentition?. Angle Orthod, 73, 654-661.
  • Sarver DM, Johnstone MW, 1988. Skeletal changes in vertical and anterior displacement of the maxilla with bonded rapid palatal expansion appliances. Am J Orthod Dentofacial Orthop, 95, 462-466.
  • Sökücü O, Doruk C, Uysal OI, 2010. Comparison of the effects of RME and Fan-type RME on nasal airway by using acoustic rhinometry. Angle Orthod, 80, 870-875.
  • Tausche E, Luck O, Harzer W, 2004. Prevalence of malocclusions in the early mixed dentition and orthodontic treatment need. Eur J Orthod, 26, 237– 244. 28. Thilander B, Wahlund S, Lennartsson B, 1984. effect of early interceptive treatment in children with posterior cross-bite. Eur J Orthod, 6, 25–34.
  • Timms DJ, 1980. A study of basal movement with rapid maxillary expansion. Am J Orthod, 77, 500- 507.
  • Timms DJ, 1986. The effect of rapid maxillary expansion on nasal airway resistance. British J of Orthod, 13, 221–228.
  • Timms DJ, 1987. Rapid maxillary expansion in the treatment of nasal obstruction and respiratory disease. Ear Nose Throat J, 66, 242-7.
  • Usumez M, Uzel I, 2008. Evaluation of rapid maxillary expansion and quad-helix in the late mixed dentition period. Turkish J of Orthod, 21, 187–195
  • Velázquez P, Benito E, Bravo LA, 1996. Rapid maxillary expansion. A study of the long-term effects. Am J Orthod Dentofacial Orthop, 109, 361-367.
  • Warren DW, Hershey GH, Turvey TA, Hinton VA, Hairfield WM, 1987. The nasal airway following maxillary expansion. AmJ Orthod Dentofacial Orthop, 91, 111–116.
  • Warren DW, Hairfield WM, Seaton D, Morr KE, Smith LR, 1988. The relationship between nasal airway size and nasal-oral breathing. Am J Orthod Dentofacial Orthop, 93, 289–293.
  • Wertz RA, 1968. Changes in nasal airflow incident to rapid maxillary expansion. Angle Orthod, 38, 1–11.
  • Wertz RA, 1970. Skeletal and dental changes accompanying rapid midpalatal suture opening. Am J of Orthod, 58, 41–66.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Diğer ID JA45HM99HU
Bölüm Araştırma
Yazarlar

Mehmet Akın Bu kişi benim

Emire Aybüke Erdur Bu kişi benim

Ayşe Menzek Bu kişi benim

Ömer Erdur Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2014
Gönderilme Tarihi 1 Nisan 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 1 Sayı: 1

Kaynak Göster

Vancouver Akın M, Erdur EA, Menzek A, Erdur Ö. Hızlı üst çene genişletmesinin nazofarengeal havayoluna etkisi. Selcuk Dent J. 2014;1(1):1-6.