上颌骨性扩弓器对成年女性眼眶容积的评价

doi:10.7518/hxkq.2022.03.011

华西口腔医学杂志 ›› 2022, Vol. 40 ›› Issue (3): 314-319.doi: 10.7518/hxkq.2022.03.011

上颌骨性扩弓器对成年女性眼眶容积的评价

史晓扬(), 林雪芬, 马驰, 陈沐寒, 刘东旭()

山东大学齐鲁医学院口腔医学院·口腔医院正畸科山东省口腔组织再生重点实验室山东省口腔生物材料与组织再生工程实验室，济南 250012

收稿日期:2021-08-30 修回日期:2022-04-10 出版日期:2022-06-01 发布日期:2022-06-01
通讯作者: 刘东旭 E-mail:1140212323@qq.com;liudongxu@sdu.edu.cn
作者简介:史晓扬，医师，学士，E-mail：1140212323@qq.com
基金资助:
国家自然科学基金(81571010);山东大学临床研究重点项目(2020SDUCRCA005);山东大学研究生教育教学优秀成果培养计划(ZY2019004);口腔正畸学混合式教学考核评价体系的构建和实践(qlyxjy-202009);口腔正畸学混合式一流课程改革(2021Y157)

Evaluation of changes in orbital volume in adult female patients with maxillary transverse deficiency treated with a maxillary skeletal expander

Shi Xiaoyang(), Lin Xuefen, Ma Chi, Chen Muhan, Liu Dongxu.()

Dept. of Orthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Jinan 250012, China

Received:2021-08-30 Revised:2022-04-10 Online:2022-06-01 Published:2022-06-01
Contact: Liu Dongxu. E-mail:1140212323@qq.com;liudongxu@sdu.edu.cn
Supported by:
The National Natural Science Foundation of China(81571010);Clinical Research Center of Shandong University(2020SDUCRCA005);Shandong University Postgraduate Education and Teaching Excellence Cultivation Program(ZY2019004);The Construction and Practice of Mixed Teaching Evaluation System of Orthodontics(qlyxjy-202009);The Reform of First-class Blended Curriculum in Orthodontics(2021Y157);Correspondence: Liu Dongxu, E-mail: liudongxu@sdu.edu.cn

摘要/Abstract

摘要： 目的

评价上颌骨性扩弓器（MSE）治疗成年女性上颌骨宽度不足（MTD）对眼眶容积及眶周骨骼间宽度的影响。

方法

选取采用MSE治疗的MTD成年女性患者20例，年龄为（22.60±6.29）岁。分别于扩弓前（T0）和扩弓结束3周内（T1）拍摄锥形束CT，将数据导入Mimics 21.0软件，测量眼眶容积及眶周骨骼间宽度，采用SPSS 20.0软件进行统计分析，扩弓前后测量数据采用配对样本t检验，P<0.05为差异有统计学意义。

结果

扩弓后，眼眶容积增加（346.80±275.31）mm³，颧颌点间宽度增加（1.69±0.57）mm，眶下点间宽度增加（1.71±0.70）mm，差异有统计学意义（P<0.05）；额颧点间宽度增加（0.15±0.32）mm，眶上点间宽度增加（0.23±0.52）mm，差异无统计学意义（P>0.05）。

结论

MSE对成年女性眼眶容积有轻微的扩大效应，可增大眶周骨骼横向宽度。

关键词: 上颌骨性扩弓器, 上颌骨宽度不足, 成年女性, 眼眶容积

Abstract: Objective

The effects of using a maxillary skeletal expander (MSE) on the orbital volume and width between periorbital bones in the treatment of adult female patients with maxillary transverse deficiency (MTD) were evalua⁃ted.

Methods

A total of 20 adult female patients with MTD with an average age of (22.60±6.29) years were included in the study. The patients were treated with MSE. Cone beam computed tomography was performed before expansion (T0) and no more than 3 weeks after expansion (T1). Orbital volume and periorbital bone width were measured with Mimics 21.0 and analyzed with SPSS 20.0. Paired t-test was performed, and a P value of <0.05 indicated significant difference.

Results

After expansion, the orbital volume increased by (346.80±275.31) mm³(P<0.05). The width between the right and left zygomaticomaxillary sutures increased by (1.69±0.57) mm (P<0.05), and the width between the right and left infraorbital points increased by (1.71±0.70) mm (P<0.05). However, the width between the right and left frontozygomatic sutures increased by (0.15±0.32) mm (P>0.05). Finally, the width between the right and left supraorbital points increased by (0.23±0.52) mm (P>0.05).

Conclusion

The maxillary skeletal expander slightly expanded the orbital volume in the adult female patients and increased the lateral widths of the periorbital bones.

Key words: maxillary skeletal expander, maxillary transverse deficiency, adult female, orbital volume

中图分类号:

R 783.5

史晓扬, 林雪芬, 马驰, 陈沐寒, 刘东旭. 上颌骨性扩弓器对成年女性眼眶容积的评价[J]. 华西口腔医学杂志, 2022, 40(3): 314-319.

Shi Xiaoyang, Lin Xuefen, Ma Chi, Chen Muhan, Liu Dongxu.. Evaluation of changes in orbital volume in adult female patients with maxillary transverse deficiency treated with a maxillary skeletal expander[J]. West China Journal of Stomatology, 2022, 40(3): 314-319.

图/表 5

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图 4

表 1

参考文献 31

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测量项目/mm	T0	T1	变化量（T1-T0）	P值
FZS间宽度	100.69±4.10	100.84±4.01	0.15±0.32	0.052
ZMS间宽度	50.02±6.84	51.71±6.76	1.69±0.57	<0.01*
SF间宽度	47.87±4.98	48.10±4.82	0.23±0.52	0.066
IF间宽度	51.09±4.04	52.80±0.97	1.71±0.70	<0.01*

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上颌骨性扩弓器对成年女性眼眶容积的评价

Evaluation of changes in orbital volume in adult female patients with maxillary transverse deficiency treated with a maxillary skeletal expander

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