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Abstract：
Objective: In this pilot study, craniofacial changes associated with biomimetic oral appliance therapy (BOAT) were investigated to test the hypothesis of non-surgical remodeling of the maxillary air sinuses in rhinosinusitis.Methods: Three consecutive Korean patients (mean age 9.3 yrs) presented to a dental office with a history of chronic rhinosinusitis. After obtaining informed consent, 3D cone-beam CT scans were taken that showed circumferential mucosal thickening and inflammatory maxillary sinus disease, obstructed ostiomeatuses, and enlarged inferior turbinates. All cases were treated using BOAT (DNA appliance®).Results: Approximately 10 months after BOAT, the paranasal sinuses were aerated without mucosal thickening; the sinus walls were intact, and the ostiomeatal units were patent. All mean craniofacial parameters measured increased, except the transpalatal bone width, which remained unchanged.Discussion: Although enhancement of the maxillary air sinuses through non-surgical remodeling is suspected in these three cases of pediatric rhinosinusitis, additional studies are warranted.
摘要：
目的：在这项试点研究中，研究了与仿生口腔矫治器疗法（BOAT）相关的颅面变化，以检验鼻窦炎中上颌空气窦非手术重塑的假设。方法：连续三名韩国患者（平均年龄9.3岁）就诊于有慢性鼻-鼻窦炎病史的牙科诊所。在获得知情同意后，3D锥形束CT扫描显示周围粘膜增厚和炎性上颌窦疾病，阻塞的窦房结,下鼻甲扩大。所有病例均使用BOAT(DNA矫治器®)治疗。结果：划船后约10个月，鼻旁窦充气，粘膜无增厚，窦壁完整，气孔单位是专利。所有测量的平均颅面参数都增加了，除了跨颌骨的骨宽度,它保持不变。讨论：尽管在这三例小儿鼻鼻窦炎中怀疑通过非手术重塑来增强上颌空气窦，有必要进行更多的研究.
