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中華民國家庭牙醫學雜誌
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| 篇名 | 鼻塞矯正患者上顎撐寬量的考量 |
|---|---|
| 卷期 | 6:3 |
| 並列篇名 | The Amount of Palatal Expansion for Nasal Obstruction Patients |
| 作者 | 洪義玲 |
| 頁次 | 017-025 |
| 關鍵字 | 呼吸睡眠中止症 、 正中骨縫 、 上顎骨快速撐寬器 、 鼻阻 、 鼻呼吸氣流 、 覺醒指數 、 血氧濃度 、 OSAS 、 midpalatal suture 、 RPE 、 nasal resistance 、 nasal airflow 、 arousal index 、 Blood O2 saturation |
| 出刊日期 | 201112 |
中文摘要
很多矯正患者需做上顎撐寬，雖然大多數是相對於下顎牙弓太過狹窄，但對於合併有呼吸睡眠障
礙（obstructed sleep apnea syndrome）或鼻塞口呼吸的患者接受這類治療時，由於正中骨縫（midpalatal suture）打開可以同時增加鼻呼吸量，所以為呼吸科醫師治療這類患者的方法之一。而當我們接到這類患者時，除了要幫忙瞭解其目前呼吸睡眠的狀況外，如何輔助呼吸科醫師以同時達到牙齒顎骨矯正及鼻呼吸量的增加是我們義不容辭的事。目前國內外醫師對撐寬的量各有不同的見解，到底孰是孰非各持己見莫衷一是，謹提出一些看法及收集到的資料稍加討論供各位參考。 ( J. Family Dent. 6(3): 17-25, 2011 )
英文摘要
Though most of the orthodontic treated patients who receiving upper arch rapid palatal expansion were due to too narrow arch width compared to lower arch transverse dimension, some of them combined with OSAS (obstructed sleep apnea syndrome) or with nasal obstruction symptom, mouth breathing behavior could relief clinical symptoms and increase nasal flow after receiving midpalatal suture splitting, and was adapted as part of treatment procedures by thoracic Dr.s or ENT Dr.s broadly! As orthodontists, when we treat these kind of patients, understanding their general conditions and helping the medical doctors to increase patients' nasal flow and achieve orthodontic or orthognathic results at the same time is our obligatory duty! For the expansion amounts of RPE, the quantities were variable due to different aspects. We collect some datas as references for those doctors who are interested in this topic! ( J. Family Dent. 6(3): 17-25, 2011 )