[Changes of upper airway in ClassⅡchildren with high mandibular plane angle before and after functional treatment by high headgear-activator]

Shanghai Kou Qiang Yi Xue. 2018 Jun;27(3):270-274.
[Article in Chinese]

Abstract

Purpose: This study was performed to investigate the changes of upper airway before and after functional correction in ClassⅡmalocclusion children with high mandibular plane angle at growth and development peak.

Methods: Cone-beam CT (CBCT) data of the upper airway were inputted into Minics 17.0 software for measurement of changes in the upper airway before and after functional treatment by high headgear-activator. The changes of upper airway before and after treatment were analyzed with SPSS22.0 software package.

Results: The change of the total volume of the upper airway, the volume of the velopharynx, glossopharynx, laryngopharynx; the sectional area of the tip of soft palate, roof of the epiglottis, the minimum sectional area of the oropharynx were significant (P<0.05). The upper airway morphology tended to be circular in the soft palate tip plane(P<0.05), but there was no significant difference in the plane of epiglottis(P>0.05).

Conclusions: High headgear-activator corrected mandibular hypoplasia in children with increased airway volume, increased ventilation, improved respiratory function to prevent occurrence of obstructive sleep apnea hypopnea syndrome after adult.

MeSH terms

  • Adult
  • Child
  • Cone-Beam Computed Tomography
  • Humans
  • Oropharynx
  • Palate, Soft* / anatomy & histology
  • Palate, Soft* / diagnostic imaging
  • Pharynx*
  • Sleep Apnea, Obstructive* / diagnostic imaging