Facial convexity angle

  • 文章类型: Journal Article
    头部姿势偏差见于52.5%的6-15岁儿童。研究表明,不良的姿势习惯会损害颅面生长和发育过程中的肌肉功能。肌肉失衡会导致牙齿和骨骼结构的异常定位,一种产生负面影响的条件,例如面部形态的变化。
    通过光度分析来确定10-12岁儿童的颅骨角与头部姿势的函数关系和与面部轮廓的glabella-nasale-pogonion(G-Sn-Pg)角之间的关系,结果将有助于避免面部发育问题。
    33名受试者符合纳入标准。使用横向测光法和ImageJ测量了他们的颅骨角度和面部轮廓。颅骨角度是通过用水平线连接耳屏和C7来确定的,而面部轮廓角度是通过连接眼睑来确定的,鼻下,还有Pogonion.采用Pearson相关性检验分析颅骨与G-Sn-Pg角度值的关系。
    在颅骨角和G-Sn-Pg角之间观察到显着关系(p<0.05),尽管这种关系很弱(r=0.373)。
    更向前的头部姿势与更凸的面部轮廓有关,这种关系对早期预防和治疗是有用的。
    UNASSIGNED: Head posture deviation is seen in 52.5 % of children aged 6-15 years. Studies have shown that poor posture habits can impair muscle function during craniofacial growth and development. A muscle imbalance causes abnormal positioning of dental and skeletal structures, a condition that exerts negative impacts, such as changes in facial morphology.
    UNASSIGNED: To determine through photometric analysis the relationship between craniovertebral angle as a function of head posture and glabella-subnasale-pogonion (G-Sn-Pg) angle as a function of facial profile in 10-12-year-old children, and the results will help to avoid facial development issues.
    UNASSIGNED: Thirty-three subjects met the inclusion criteria. Their craniovertebral angles and facial profiles were measured using lateral photometry and ImageJ. The craniovertebral angle was determined by connecting the tragus and C7 with a horizontal line, whereas the facial profile angle was determined by connecting the glabella, subnasale, and pogonion. The relationship between the craniovertebral and G-Sn-Pg angle values was analyzed using the Pearson correlation test.
    UNASSIGNED: A significant relationship was observed between the craniovertebral angle and the G-Sn- Pg angle (p < 0.05), although such a relationship was weak (r = 0.373).
    UNASSIGNED: A more forward head posture is associated with a more convex facial profile, and this relationship is useful for the early prevention and treatment.
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  • 文章类型: Journal Article
    目的:确定阻塞性睡眠呼吸暂停(OSA)儿童跨年龄范围的基线面部凸度测量值。
    方法:多导睡眠图,立体摄影测量,生物特征数据是从正在接受OSA调查的0-18岁儿童中收集的。分析根据OSA严重程度和其他睡眠参数评估面部凸度的差异,在调整年龄的同时,种族,和性爱。
    结果:91名儿童,年龄0.05-16.02岁,符合本研究的纳入标准。初步分析表明,年龄的对数对面部凸度有显着影响(P=8.3·10-7),性别的影响显着(P=1.3·10-2)。但不包括OSA。考虑年龄的有序逻辑回归,性别,体重,高度,OSA严重程度为阻塞性呼吸暂停低通气指数阴性的种族,温和,中度,或严重显示面部凸度与OSA严重程度相关(P=2.2·10-3);凸度钝角的增加增加了被归类为严重OSA的趋势。
    结论:使用三维成像,我们发现婴儿期对面部凸度随年龄的变化有额外的影响。虽然建模可以在没有任何OSA相关睡眠参数的情况下描述面部凸性,在经过生长调整的OSA严重程度不同的群体中,面部凸度存在差异(年龄,体重,和高度),性别,和种族。该方法为儿童的其他医学成像技术提供了更安全,更便宜的替代方案,并且具有将来用于颅面结构研究的潜力。
    背景:泰勒G,MachaalaniR,沃特斯KA.儿童跨年龄频谱的三维正畸成像及其与阻塞性睡眠呼吸暂停的相关性。JClinSleepMed.2023年;19(2):275-282。
    To determine baseline facial convexity measurements in children with obstructive sleep apnea (OSA) across the age spectrum.
    Polysomnogram, stereophotogrammetry, and biometric data were collected from children aged 0-18 years who were being investigated for OSA. Analyses evaluated differences in facial convexity according to OSA severity and other sleep parameters, while adjusting for age, ethnicity, and sex.
    Ninety-one children, aged 0.05-16.02 years, met the inclusion criteria for this study. Initial analysis showed that the logarithm of age had a significant effect on facial convexity (P = 8.3·10-7) with significant effects of sex (P = 1.3·10-2), while excluding OSA. Ordinal logistic regression taking into consideration age, sex, weight, height, and ethnicity with OSA severity categorized as obstructive apnea-hypopnea index negative, mild, moderate, or severe showed that facial convexity was associated with OSA severity (P = 2.2·10-3); an increasing obtuse angle of convexity increased the tendency to be classified as having severe OSA.
    Using three-dimensional imaging, we found an added impact of infancy on changes of facial convexity with age. While modeling could describe facial convexity without any OSA-associated sleep parameters, differences in facial convexity were present among groups with different levels of OSA severity adjusted for growth (age, weight, and height), sex, and ethnicity. The method provides a safer and cheaper alternative to other medical imaging techniques in children and holds potential for future use in studies of craniofacial structure.
    Tyler G, Machaalani R, Waters KA. Three-dimensional orthodontic imaging in children across the age spectrum and correlations with obstructive sleep apnea. J Clin Sleep Med. 2023;19(2):275-282.
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