Rapid-maxillary-expansion induced rhinological effects: a retrospective multicenter study

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Rapid-maxillary-expansion induced rhinological effects: a retrospective multicenter study

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作者：Melih Motro ; Michael Schauseil ; Björn Ludwig…
关键词：Rapid maxillary expansion ; RME ; Hybrid RME ; Airway expansion ; Orthodontic interdisciplinary treatment
刊名：European Archives of Oto-Rhino-Laryngology
出版年：2016
出版时间：March 2016
年：2016
卷：273
期：3
页码：679-687
全文大小：951 KB
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作者单位：Melih Motro (1)
Michael Schauseil (3)
Björn Ludwig (4) (5)
Berna Zorkun (6)
Saskia Mainusch (3)
Mustafa Ateş (2)
Nazan Küçükkeleş (2)
Heike Korbmacher-Steiner (3)

1. Department of Orthodontics, Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA, USA
3. Department of Orthodontics, Faculty of Dentistry, Marburg University, Marburg, Germany
4. Orthodontic praxis, Traben-Trarbach, Germany
5. Department of Orthodontics, Faculty of Dentistry, Homburg University, Homburg, Germany
6. Trakya University, 22030, Edirne, Turkey
2. Department of Orthodontics, Faculty of Dentistry, Marmara University, Istanbul, Turkey
刊物类别：Medicine
刊物主题：Medicine & Public Health
Otorhinolaryngology
Neurosurgery
Head and Neck Surgery
出版者：Springer Berlin / Heidelberg
ISSN：1434-4726

文摘

Conventional dental-borne rapid maxillary expansion (RME) leads to a widening of the airways, followed by improved nasal breathing. Although combined skeletal–dental appliances are nowadays being inserted increasingly often and provide a force at the center of resistance in the nasomaxillary complex, no study exists so far that shows whether this treatment may improve the expansionary effect on the airways. In this study, low-dose computed tomography (CT) images from 31 patients (average age 14.63 ± 0.38 years) were examined retrospectively. Both records (T0 = before expansion and T1 = immediately after maximum expansion) were taken in a time interval of 25 days to avoid growth influence. Five patients were treated with Hyrax RME, 6 patients with Hybrid RME, and 20 patients with acrylic cap RME. The total airway volume increased highly significantly (mean +7272.6 mm3; P < 0.001, power = 0.998), representing an average airway expansion of +11.54 % (2.35 %/mm activation). While the nasopharynx and oropharynx showed highly significant expansion (P < 0.000, power = 0.999), the airway at the laryngopharynx did not change significantly (P > 0.779, power = 0.05). Although the patients were significantly older in the Hybrid RME group (P = 0.006), the positive rhinological effects were comparable within all groups of different appliances (P > 0.316). Hybrid RME may, therefore, be an advisable procedure in patients with nasomaxillary impairment and pronounced patient’s age.