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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 姚宗珍(Chung-Chen Yao) | |
dc.contributor.author | Hsin-Ho Chen | en |
dc.contributor.author | 陳忻和 | zh_TW |
dc.date.accessioned | 2021-06-15T13:58:55Z | - |
dc.date.available | 2017-09-24 | |
dc.date.copyright | 2015-09-24 | |
dc.date.issued | 2015 | |
dc.date.submitted | 2015-08-21 | |
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/51946 | - |
dc.description.abstract | Objectives:
The aim of this study is to analyze morphological changes of upper airways in patients with anterior open bite after non-surgery orthodontic treatment. We superimposed airway structures in 2D cephalometric films and 3D MRI midsagittal films for measurements and tested the correlation between these two images. We also analyzed upper airway morphological changes of severe maxillo-mandibular bone discrepancy in patients with Angle Class II malocclusion after orthognathic surgery, and correlated airway structure changes and the amount of surgical displacement. Materials and Methods: Twelve non-obese (BMI<21) anterior open bite patients between age of 19 to 44 years old (mean age: 22.83±8.19 years old) were recruited for this study. Cephalometric radiographs and MRI scans before and after treatment were used to measure upper airway. Questionnaire was to assess changes of sleeping quality in patients. Upper airway was divided into two segments: retropalatal and retroglossal regions. Cephalometric analysis included bony structures, head position, hyoid bone position, and linear measurements, length, and areas of upper airways. MRI analysis included airway volume, minimal cross-sectional area, average cross-sectional area, length, width, and width/length ratio of upper airway, and tongue positions. We superimposed airway structures in cephalometric films on the corresponding linear segments to 3D axial sections. Paired t test was usd to analyze measurements before and after treatment. Pearson correlation coefficient was used to correlate airway structure between 2D and 3D images. P value less than 0.05 was considered statistically significant. Results: Mandibular plane angle and lower facial height significantly decreased, and AW2, IAS and RG areas significantly increased in cephalometric measurements after treatment. Retroglossal volume increased and retroglossal width/length ratio decreased significantly in MRI analysis. All other measurements were not significantly changed. About 2D and 3D images, there were no statistically significant correlations between measurements at those corresponding sites except AW2 linear measurement in 2D to AP length in MRI axial view (r=0.56, p=0.0430) Five patients stated their sleep quality improved after treatment in the questionnaire. No subjects felt their sleep quality got worse. Conclusion: Counterclockwise rotation of mandible after anterior bite closed by orthodontic treatment really changed airway morphology. Retroglossal volume significantly increased and airway shape became less elliptical after bite closure. All patients could keep or improve their sleep quality after treatment. Because the correlation between 2D and 3D variables was weak, cephalometric X-ray could not provide accurate information about the airway dimensions and is not recommended for assessing exact locations and the degree of constrictions of upper airway. Key words: anterior open bite; airway morphology; three dimensional analysis | en |
dc.description.provenance | Made available in DSpace on 2021-06-15T13:58:55Z (GMT). No. of bitstreams: 1 ntu-104-R01422029-1.pdf: 22549052 bytes, checksum: 0b4fe8549049bc1495cfc617326d7fc0 (MD5) Previous issue date: 2015 | en |
dc.description.tableofcontents | 中文摘要 2
英文摘要 4 總目錄 6 圖次目錄 8 表次目錄 10 第一章 引言 12 第一節 研究源起 12 第二節 文獻回顧 13 第一條 睡眠呼吸中止症臨床症狀、成因與治療方式 13 第二條 上呼吸道與顱顏生長之關聯 15 第三條 齒槽垂直向度變化對上呼吸道之影響 21 第四條 上呼吸道解剖型態之三維影像研究方法 22 第五條 利用二維影像及三維影像評估上呼吸道之差異與關聯性 23 第六條 顎骨前移正顎手術對於上呼吸道之影響 26 第二章 實驗目的 29 第三章 實驗材料與方法 30 第一節 研究方法與實驗對象 30 第二節 試驗流程 31 第三節 實驗儀器與設備 32 第一條 測顱攝影 32 第二條 磁振掃描 33 第三條 錐狀束射電腦斷層掃描 33 第四節 資料之蒐集處理評估與統計方法 34 第一條 測顱分析 34 第二條 三維影像分析( 磁振掃描與斷層掃描) 37 第三條 問卷分析(詳見附錄) 40 第四條 統計分析 40 第四章 實驗結果 41 第一節 樣本基本資料 41 第二節 信賴度測試 41 第一條 測顱影像方面 41 第二條 三維磁振掃描影像與錐狀射束斷層掃描方面 41 第三節 治療前後數值變化 41 第四節 磁振掃描分析 43 第五節 呼吸道於二維測顱片與三維磁振掃描之關聯 45 第六節 問卷分析 46 第五章 討論 49 第一節 磁振掃描與錐狀射束電腦斷層影像量測呼吸道之準確度及重複度 49 第二節 實驗設計及方法之限制 50 第三節 實驗受測者的選擇及分析 50 第四節 研究結果分析 51 第一條 側顱分析---齒顎方面變化 51 第二條 核磁共振分析---上呼吸道變化 53 第五節 呼吸道通暢度影響因子 61 第六章 結論 63 第七章 展望 64 參考文獻 106 | |
dc.language.iso | zh-TW | |
dc.title | 矯正治療對前牙開咬或下顎後縮病患上呼吸道影響之三維分析 | zh_TW |
dc.title | Three Dimensional Analysis of Upper Airway in Patients with Anterior Open Bite or Mandibular Retrognathism after Orthodontic Treatment | en |
dc.type | Thesis | |
dc.date.schoolyear | 103-2 | |
dc.description.degree | 碩士 | |
dc.contributor.coadvisor | 陳韻之 | |
dc.contributor.oralexamcommittee | 許巍鍾 | |
dc.subject.keyword | 前牙開咬,上呼吸道型態,三維分析, | zh_TW |
dc.subject.keyword | anterior open bite,airway morphology,three dimensional analysis, | en |
dc.relation.page | 113 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2015-08-21 | |
dc.contributor.author-college | 牙醫專業學院 | zh_TW |
dc.contributor.author-dept | 臨床牙醫學研究所 | zh_TW |
顯示於系所單位: | 臨床牙醫學研究所 |
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