泸州地区成年人鼻部形态与颅面结构的关系  

Relationship between nose morphology and craniofacial structures in Luzhou adults

作　　者：龙杨 费露 袁小平 Long Yang;Fei Lu;Yuan Xiao-ping(Department of Orthodontics,Hospital of Stomatology,Southwest Medical University,Luzhou 646000,Sichuan Province,China)

机构地区：[1]西南医科大学附属口腔医院口腔正畸科,四川省泸州市646000

出　　处：《中国组织工程研究》2018年第8期1190-1195,共6页Chinese Journal of Tissue Engineering Research

摘　　要：背景:研究表明正畸治疗可以改变鼻部与颏部的形态位置,从而对面部美观产生重大影响。因此正畸治疗设计需将鼻形态与颅颌面各结构之间的关系作为重要参考,避免因矫治而带来或加重颜面部的不协调。目的:研究泸州地区成年人鼻形态指标与性别、矢状骨面型、垂直骨面型三因素的相关性及差异性,以及鼻形态指标与颅面结构形态指标的相关性,为正畸临床诊断与治疗设计提供一些参考。方法:选择2014至2016年于西南医科大学附属口腔医院正畸科就诊的患者240例,进行头影测量分析,测量软硬组织指标共计27项。结果与结论:(1)三因素方差分析结果显示:与性别有关的鼻形态指标有鼻背长、鼻尖深度、鼻翼深度、鼻峰高度、软组织面突角、鼻小柱突度、鼻骨长(P<0.05),与矢状骨面型有关的鼻形态指标有鼻峰高度、鼻唇角、鼻颏角、软组织面突角(P<0.05),与垂直骨面型有关的鼻形态指标有鼻骨长、软组织面突角(P<0.05);(2)不同性别之间鼻形态存在差异,男性鼻部大小、突度均大于女性;(3)不同矢状骨面型的鼻部大小无显著差异,但反映鼻形态与面部结构关系的指标在三类骨面型中有显著差异;(4)不同垂直骨面型与软组织面突度、鼻骨长有显著相关性;(5)鼻部的大小、突度及形态与颌骨的长度、高度以及颌骨在矢状/垂直向的位置有关。BACKGROUND:Orthodontic treatment can improve facial aesthetics by changing the position of nose and chin.Therefore,fully-understanding of the nasal morphology and craniomaxillofacial structure is critical for the design of orthodontic treatment,so as to avoid the postoperative facial incongruity.OBJECTIVE:To study the correlation of nose morphology index with sex,sagittal skeletal features and vertical skeletal features and its differences in adults of Luzhou,and to explore the relationship between nasal parameters and craniofacial parameters,thereby providing references for the diagnosis and design of orthodontics.METHODS:Totally 240 adult patients in the Department of Orthodontics,Hospital of Stomatology,Southwest Medical University between 2014 and 2016 were enrolled,and X-ray examination of the oral and maxillofacial region was performed to measure the 27 related indexes.RESULTS AND CONCLUSION:The results of the three-factor ANOVA showed that sex-related significant factors in certain nasal parameters included nasal length,nasal tip height,alarheight,hump,soft-tissue facial convexity,columella convexity,and nasal bone length(P<0.05).The sagittal skeletal features significantly influenced four nasal parameters including hump,nasolabialangle,nasomentalangle,soft-tissue facial convexity(P<0.05).The vertical skeletal features were found to be significant for nasal-bone length,soft-tissue facial convexity(P<0.05).Sex was found to be a significant correlation in nasal morphology and nasal size and nasal protrusion of the male were larger than those of the female.Sagittal skeletal classification had obvious influence on certain nasal parameters,but there were no significant differences in the nasal size among skeletal patterns.Vertical skeletal classification had obvious influence on certain nasal parameters.To conclude,nasal length,prominence,and form are associated with height,length and anteroposterior/vertical position of the maxilla and mandible.

关 键 词：正畸学 鼻 面骨 组织工程 

分 类 号：R318[医药卫生—生物医学工程]