不同原因张口呼吸对儿童颌面部发育的影响  

Effects of mouth opening breathing for different reasons on maxillofacial development in children

作　　者：张曼菲 金莹玉 张红佳 王青森 陈继跃 张铭 韩泽利[3] ZHANG Manfei;JIN Yingyu;ZHANG Hongjia;WANG Qingsen;CHEN Jiyue;ZHANG Ming;HAN Zeli(Department of Stomatology,the Fourth Medical Center of PLA General Hospital,Beijing,100142,China;Department of Otolaryngology Head and Neck Surgery,the Fourth Medical Center of PLA General Hospital;Department of Otolaryngology Head and Neck Surgery,the Sixth Medical Center,PLA General Hospital)

机构地区：[1]解放军总医院第四医学中心口腔科,北京100142 [2]解放军总医院第四医学中心耳鼻咽喉头颈外科 [3]解放军总医院第六医学中心耳鼻咽喉头颈外科医学部

出　　处：《临床耳鼻咽喉头颈外科杂志》2023年第8期626-631,共6页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的探究不同原因张口呼吸对儿童颌面部发育的影响。方法选择151例患儿作为研究对象。依据不同病因将其分为49例腺样体肥大组(A组)、52例扁桃体肥大组(B组)、50例腺样体伴扁桃体肥大组(C组)。选择同期的健康儿童作为本次试验的对照组,共45例。分析A组、B组、C组与对照组的反射鼻咽腔测量参数、面部发育指标及头影参数,研究A组、B组、C组安氏Ⅱ类、安氏Ⅲ类的发生率。结果A组、B组、C组的反射鼻咽腔测量参数与对照组比较,差异有统计学意义(P<0.05),头影参数发生改变且各组间不同(P<0.05)。A组和C组的安氏Ⅱ类发生率较高,B组和C组的安氏Ⅲ类发生率较高(P<0.05)。结论腺样体肥大会导致下颌骨后缩,扁桃体肥大会造成下颌前伸,腺样体肥大及扁桃体肥大均容易导致下颌骨出现顺时针旋转的状态。为避免患儿发育不协调,临床应尽早对患儿的颌面部情况进行纠正。Objective To explore the effects of mouth opening breathing for different reasons on children's maxillofacial development.Methods One hundred and fifty-one children were selected as the research objects of this experiment.They were divided into 49 cases of adenoid hypertrophy group(group A),52 cases of tonsillar hypertrophy group(group B)and 50 cases of adenoid with tonsillar hypertrophy group(Group C).Healthy children in the same period were selected as the control group,a total of 45 cases.The reflex nasopharyngeal measurement parameters,facial development indexes and cephalometric parameters of group A,group B,group C and control group were analyzed,and the incidence of Angle ClassⅡand Angle ClassⅢin group A,group B and group C were studied.Results Compared with the control group,the reflex nasopharyngeal measurement parameters in group A,group B and group C was significantly different(P<0.05),and the cephalometric parameters changed with variation in groups(P<0.05).The incidence of Angle ClassⅡfacial pattern in group A and group C was higher,but the incidence of Angle ClassⅢfacial pattern in group B and group C was higher(P<0.05).Conclusion Adenoid hypertrophy leads to mandibular retraction;tonsil hypertrophy leads to anterior mandibular arch;adenoid hypertrophy and tonsil hypertrophy are easy to lead to clockwise rotation of the mandible.In clinical practice,to avoid children's uncoordinated maxillofacial development,we should correct the maxillofacial situation of children as soon as possible.

关 键 词：腺样体肥大 扁桃体肥大 儿童面部发育 

分 类 号：R766.9[医药卫生—耳鼻咽喉科]