儿童患者鼻腔解剖变异与腭部尺寸之间的关联：一项CBCT研究。
Association between nasal cavity anatomical variations and palatal dimensions in pediatric patients: a CBCT study.
文献信息
| PMID | 42791506 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Necibe Damla Şahi̇n |
| 作者单位 | Department of Pediatric Dentistry, Faculty of Dentistry, Tokat Gaziosmanpasa University, Tokat, 60000, Türkiye. damla.sahin@gop.edu.tr. |
| 期刊 | BMC oral health |
| SCI 分区 | Q1 |
| IF | 4 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 鼻科 |
中文摘要
背景： 这项回顾性横断面研究旨在利用锥形束计算机断层扫描（CBCT）评估鼻中隔偏曲（NSD）、中鼻甲气化（CB）和下鼻甲肥大（ITH）与腭部尺寸的关联。
方法： 回顾性评估2021年1月至2025年5月期间获得的18岁以下患者的CBCT图像。共纳入108名符合条件的受试者，并根据NSD和CB的存在情况分为四组。测量上颌腭弓角（MPAA）、腭部牙槽间长度（PIL）和腭部深度（PAD）。使用年龄校正的ANCOVA进行组间比较，并使用相关性和回归分析分析腭部测量值、偏曲鼻中隔曲角（DSCA）和年龄之间的关联。
结果： 未校正分析显示各组之间存在显著年龄差异。年龄校正后，MPAA、PIL或PAD均未观察到显著差异（p > 0.05）。发现DSCA与MPAA之间存在弱正相关（r = 0.219；p = 0.023），而PIL或PAD未检测到显著相关性。回归分析显示，年龄是腭部测量值的唯一显著预测因子。
结论： 在这个儿童样本中，年龄是腭部测量值的唯一显著预测因子。在评估的基于CBCT的解剖变量中，年龄校正后，NSD、CB和ITH与腭部尺寸无独立关联。这些发现不应推广到功能性鼻阻塞或呼吸模式，本研究未评估这些内容。
英文摘要
BACKGROUND: This retrospective cross-sectional study aimed to evaluate the associations of nasal septum deviation (NSD), concha bullosa (CB), and inferior turbinate hypertrophy (ITH) with palatal dimensions using cone-beam computed tomography (CBCT).
METHODS: CBCT images of patients younger than 18 years obtained between January 2021 and May 2025 were retrospectively evaluated. A total of 108 eligible subjects were included and categorized into four groups based on the presence of NSD and CB. Maxillary palatal arch angle (MPAA), palatal interalveolar length (PIL), and palatal depth (PAD) were measured. Group comparisons were performed using age-adjusted ANCOVA, and associations between palatal measurements, deviated septal curve angle (DSCA), and age were analyzed using correlation and regression analyses.
RESULTS: Unadjusted analyses revealed significant age differences among the groups. After age adjustment, no significant differences were observed in MPAA, PIL, or PAD (p > 0.05). A weak positive correlation was found between DSCA and MPAA (r = 0.219; p = 0.023), whereas no significant correlations were detected for PIL or PAD. Regression analysis showed that age was the only significant predictor of palatal measurements.
CONCLUSION: Age was the only significant predictor of palatal measurements in this pediatric sample. Within the CBCT-based anatomical variables evaluated, NSD, CB, and ITH were not independently associated with palatal dimensions after adjustment for age. These findings should not be generalized to functional nasal obstruction or respiratory patterns, which were not assessed in this study.