West China Journal of Stomatology ›› 2025, Vol. 43 ›› Issue (1): 53-62.doi: 10.7518/hxkq.2025.2024184
• Clinical Research • Previous Articles Next Articles
ChingCho Hsu1(), Liu Haojie1,2,3, Lin Chengzhao1, Liu Zhenhao4, Zhai Ye1, Guo Shuyu1,2,3, Xu Rongyao1,2,3,5(
)
Received:
2024-05-10
Revised:
2024-11-14
Online:
2025-02-01
Published:
2025-01-22
Contact:
Xu Rongyao
E-mail:cchsu@stu.njmu.edu.cn;rongyaoxu@njmu.edu.cn
Supported by:
CLC Number:
ChingCho Hsu, Liu Haojie, Lin Chengzhao, Liu Zhenhao, Zhai Ye, Guo Shuyu, Xu Rongyao. Comparison of upper airway volume and hyoid position after camouflage orthodontic or orthodontic-orthognathic treatment in patients with skeletal class Ⅲ malocclusion with normal-angle vertical pattern[J]. West China Journal of Stomatology, 2025, 43(1): 53-62.
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Tab 2
Measurement index
测量指标 | 定义 | |
---|---|---|
上气道横径/mm | 鼻咽段横径(NOP) | 与咽壁相交的ANS-PNS平面 |
腭咽段横径(UOP) | 悬雍垂至咽后壁的距离 | |
舌咽段横径(TOP) | 舌后至咽后壁的最短距离 | |
喉咽段横径(EOP) | 会咽到咽后壁的最短距离 | |
上气道容积/mm3 | 鼻咽容积 | 腭平面向咽后壁延长线、后鼻棘点、蝶鞍点所围成的容积 |
腭咽容积 | 腭平面向咽后壁延长线与悬雍垂尖水平面间气道容积 | |
舌咽容积 | 悬雍垂尖水平面与会厌尖水平面间容积 | |
上气道总容积 | 鼻咽、腭咽、舌咽3个部分的总体容积 | |
腭角/° | U-PNS-ANS | U-PNS、ANS-PNS两线夹角(钝角) |
下颌平面角/° | SN-MP | 前颅底平面(SN)与MP形成的夹角 |
舌骨位置/mm | H-FH | H与FH的垂直距离 |
H-S | H与蝶鞍点(S)连线的垂直距离 | |
H-MP | H与MP的垂直距离 | |
H-PNS | H与PNS连线距离 | |
H-RGN | H与RGN连线距离 | |
切牙内收量/mm | U1 tip dx | 重叠治疗前后颅底平面,测量右上颌中切牙切缘的水平移动距离 |
U1 root dx | 重叠治疗前后颅底平面,测量右上颌中切牙牙根的水平移动距离 | |
U1 root dy | 重叠治疗前后颅底平面,测量右上颌中切牙牙根的垂直移动距离 | |
U1 root dt | 重叠治疗前后颅底平面,测量右上颌中切牙牙根的移动距离 | |
L1 tip dx | 重叠治疗前后颅底平面,测量右下颌中切牙切缘的水平移动距离 | |
L1 root dx | 重叠治疗前后颅底平面,测量右下颌中切牙牙根的水平移动距离 | |
L1 root dy | 重叠治疗前后颅底平面,测量右下颌中切牙牙根的垂直移动距离 | |
L1 root dt | 重叠治疗前后颅底平面,测量右下颌中切牙牙根的移动距离 |
Tab 3
Changes in upper airway volume, morphology, maxillary/mandibular positioning, and hyoid bone position before and after camouflage orthodontic treatment
测量指标 | 术前 | 术后 | P值 | |
---|---|---|---|---|
上气道横径/mm | NOP | 23.54±2.54 | 24.56±3.48 | 0.131 7 |
UOP | 10.36±3.03 | 10.16±2.21 | 0.628 7 | |
TOP | 10.69±3.97 | 11.08±3.61 | 0.520 9 | |
EOP | 5.79±2.38 | 5.89±2.47 | 0.848 8 | |
上气道容积/mm3 | 鼻咽容积 | 6 088.61±1 848.89 | 6 790.17±1 740.99 | 0.009 0* |
腭咽容积 | 7 867.06±2 294.06 | 8 057.33±2 703.66 | 0.577 8 | |
舌咽容积 | 6 116.83±2 338.46 | 7 064.17±2 356.21 | 0.035 2* | |
上气道总容积 | 20 072.50±4 833.42 | 21 911.67±5 231.83 | 0.154 2 | |
腭角/° | U-PNS-ANS | 123.64±6.42 | 125.27±7.96 | 0.306 0 |
下颌平面角/° | SN-MP | 26.62±6.11 | 25.37±8.28 | 0.354 6 |
舌骨位置/mm | H-FH | -154.76±15.38 | -138.97±78.36 | 0.167 4 |
H-S | 111.83±8.71 | 111.42±9.43 | 0.800 2 | |
H-MP | 10.61±5.50 | 10.24±6.78 | 0.756 4 | |
H-PNS | 53.91±5.44 | 52.82±5.29 | 0.083 4 | |
H-RGN | 38.69±6.00 | 38.52±7.23 | 0.914 6 |
Tab 4
Changes in upper airway volume, morphology, maxillary/mandibular positioning, and hyoid bone position before and after orthodontic-orthognathic treatment
测量指标 | 术前 | 术后 | P值 | |
---|---|---|---|---|
上气道横径/mm | NOP | 23.24±2.92 | 25.51±2.60 | 0.002 2* |
UOP | 12.06±2.99 | 11.38±3.70 | 0.352 8 | |
TOP | 13.04±3.28 | 11.97±2.84 | 0.003 7* | |
EOP | 7.45±3.67 | 7.54±2.66 | 0.184 4 | |
上气道容积/mm3 | 鼻咽容积 | 6 387.33±1 655.65 | 7 236.89±2 058.89 | 0.001 9* |
腭咽容积 | 8 792.33±3 274.72 | 8 646.44±4 018.97 | 0.865 0 | |
舌咽容积 | 6 032.83±2 303.77 | 5 992.83±2 592.99 | 0.902 4 | |
上气道总容积 | 21 212.50±5 411.63 | 21 876.17±6 980.94 | 0.639 7 | |
腭角/° | U-PNS-ANS | 116.88±9.44 | 122.18±7.98 | 0.001 4* |
下颌平面角/° | SN-MP | 32.39±5.50 | 29.41±5.48 | 0.004 9* |
舌骨位置/mm | H-FH | -119.77±106.50 | -114.44±105.65 | 0.617 0 |
H-S | 109.53±11.19 | 114.25±13.27 | 0.005 4* | |
H-MP | 6.66±4.72 | 7.73±6.96 | 0.403 6 | |
H-PNS | 55.66±5.15 | 56.97±6.56 | 0.282 2 | |
H-RGN | 39.38±6.34 | 37.53±6.58 | 0.157 3 |
Tab 5
Comparison of changes in upper airway morphology, maxillary/mandibular positioning, hyoid bone position, and retraction of maxillary and mandibular central incisors before and after the camouflage orthodontic treatment and the orthodontic-orthognathic treatment
测量指标 | 掩饰性治疗组 | 正畸正颌联合治疗组 | P值 | |
---|---|---|---|---|
上气道横径/mm | dNOP | 1.02±2.72 | 2.27±2.67 | 0.173 6 |
dUOP | -0.21±1.77 | -0.68±3.03 | 0.567 8 | |
dTOP | 0.39±2.52 | -1.08±1.36 | 0.036 7* | |
dEOP | 0.11±2.25 | 0.09±1.92 | 0.690 0 | |
上气道容积/mm3 | d鼻咽容积 | 701.56±991.83 | 849.56±1 176.55 | 0.685 8 |
d腭咽容积 | 190.28±1 422.57 | -145.89±2 700.58 | 0.643 3 | |
d舌咽容积 | 947.33±1 756.02 | -40.00±1 364.04 | 0.191 6 | |
d上气道总容积 | 1 839.17±2 799.52 | 663.67±4 035.73 | 0.317 1 | |
腭角/° | dU-PNS-ANS | 1.63±6.29 | 5.31±5.92 | 0.037 1* |
下颌平面角/° | dSN-MP | -1.24±5.55 | -2.98±3.58 | 0.275 1 |
舌骨位置/mm | dH-FH | 15.79±83.14 | 5.33±21.66 | 0.311 7 |
dH-S | -0.41±6.69 | 4.72±6.28 | 0.023 7* | |
dH-MP | -0.37±4.93 | 1.07±5.28 | 0.919 0 | |
dH-PNS | -1.09±2.86 | 1.31±4.99 | 0.358 9 | |
dH-RGN | -0.17±6.71 | -1.85±5.31 | 0.132 0 | |
切牙内收量/mm | U1 tip dx | 3.42±3.16 | 4.68±4.09 | 0.350 8 |
U1 root dx | 3.06±2.99 | 3.86±3.21 | 0.254 5 | |
U1 root dy | 2.78±2.49 | 3.10±1.99 | 0.466 2 | |
U1 root dt | 4.70±3.14 | 5.40±3.07 | 0.375 8 | |
L1 tip dx | 3.85±3.10 | 7.13±5.19 | 0.013 8* | |
L1 root dx | 4.85±4.06 | 8.22±5.44 | 0.077 5 | |
L1 root dy | 4.34±4.02 | 4.34±3.85 | 0.869 7 | |
L1 root dt | 6.93±5.18 | 9.91±5.69 | 0.149 2 |
Tab 6
Correlation analysis between tongue pharyngeal volume changes and incisor retraction before and after the ca-mouflage orthodontic treatment and orthodontic-orthognathic treatment
测量指标 | 掩饰性治疗组 | 正畸正颌联合治疗组 | ||||
---|---|---|---|---|---|---|
切牙内收量/mm | d舌咽体积/mm3 | P值 | 切牙内收量/mm | d舌咽体积/mm3 | P值 | |
L1 tip dx | 3.9±3.1 | 947.3±1 756.0 | 0.347 0 | 7.1±5.2 | -40.0±1 364.0 | 0.772 3 |
L1 root dx | 4.9±4.1 | 0.157 3 | 8.2±5.4 | 0.698 7 | ||
L1 root dy | 4.3±4.0 | 0.413 6 | 4.3±3.9 | 0.612 7 | ||
L1 root dt | 6.9±5.2 | 0.158 4 | 9.9±5.7 | 0.957 9 |
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