Расширение челюсти и отиты
Содержание: https://healthy-back.livejournal.com/436663.html#Cont (https://healthy-back.dreamwidth.org/424733.html#Cont)
Назад: Асимметричное расширение верхней челюсти. Единственное этиологическое лечение сколиоза https://healthy-back.livejournal.com/466461.html (https://healthy-back.dreamwidth.org/453106.html)
Вперёд: Обратная лицевая маска. Вытягивание верхней челюсти https://healthy-back.livejournal.com/471029.html (https://healthy-back.dreamwidth.org/456083.html)
На английском
Otitis media and rapid maxillary expansion
Davide Elsido
https://www.dentistry33.com/clinical-cases/orthodontics/931/otitis-media-and-rapid-maxillary-expansion.html
Otitis media with effusion (OME) is defined as the presence of fluid in the middle ear without signs or symptoms of acute ear infection. OME is responsible for thousands of medical office visits each year and it is one of the most frequent conditions encountered in ear, nose, and throat clinics. About 80% of preschool children have experienced OME. The exact etiology of OME is uncertain, but it may result from several factors. The most likely explanations regarding the pathophysiology of OME seem to include Eustachian tube dysfunction as playing a major role for development of OME. ‘‘Watchful waiting’’ has been recommended as the first line of treatment of OME. The second treatment option is prescription of medicine including antihistamines, decongestants, steroids, or antibiotics. The last treatment option may be surgery for insertion of a ventilation tube.
RME is a well-established technique for the correction of transverse discrepancies of the maxillary arch and it has been accepted as an effective treatment method in patients exhibiting transverse maxillary deficiency, posterior crossbites, and rhinologic and/or respiratory problems. The rationale for use of an RME appliance is approximately the same as for insertion of a ventilation tube for treatment of Eustachian tube dysfunction. Rapid maxillary expansion (RME) can stretch the tubal dilator muscles: tensor and levator veli palatini muscles. The stretched tubal dilator muscles open the pharyngeal orifice of the Eustachian tube and can recover Eustachian tube function. However, no previous study has evaluated the possible effects of RME on Eustachian tube function and tympanometric output in children with resistant OME in whom ventilation tube placement was indicated.
The findings suggest that ears having poorly functioning Eustachian tubes are restored and recovered after RME in most of children with maxillary constriction and resistant OME. Thus, RME should be preferred as a first therapy alternative for children with maxillary constriction and serous otitis media.
It has been well documented that RME widens the nasal airway dimensions. This widening will result in not only an improvement of nasal air flow and natural physiological function, but also a decrease in upper respiratory infections, nasal allergy, respiratory morbidity, otitis media, and the pathogenic aerobic and facultative anaerobic microflora in the oropharynx.
Conclusions have a great clinical value, but this study had some limitations. First, sample size was limited with respect to the generalization of the findings. Therefore, due to this small sample size, this investigation should be considered a pilot study and findings should be confirmed in a larger group of children.
https://academic.oup.com/ejo/article/31/2/135/469411
Effects of rapid maxillary expansion on the airways and ears-a pilot study
Susanne Chiari, Peter Romsdorfer, Herwig Swoboda, Hans-Peter Bantleon, Josef Freudenthaler
European Journal of Orthodontics, Volume 31, Issue 2, April 2009, Pages 135-141, https://doi.org/10.1093/ejo/cjn092
The aim of this prospective study was to describe the morphological and functional changes of the upper airways and the middle ears after rapid maxillary expansion (RME). Thirteen patients comprised the original study sample, of these three patients dropped out. Of the remaining 10 subjects, seven (two females, five males; average age, 8.7 years) underwent orthodontic RME with a Hyrax screw and three (one female, two males; average age, 8.3 years) served as the controls. Inclusion criteria for the study group were a uni- or bilateral crossbite with the evidence of a maxillary deficiency. Exclusion criteria were acute or chronic respiratory disease, allergies, cleft lip and palate, or absence of adenoids. An ear, nose, and throat (ENT) examination, lateral cephalometry, anterior rhinomanometry, tympanometry, and posterior rhinoscopy were carried out for each child at baseline (E1) and after 6 months (E2). Descriptive statistics were calculated for all diagnostic variables and correlations between the study and control group were evaluated.
Rhinomanometry showed a correlation (r = 0.57) between the size of the nasal pharyngeal area and nasal airflow, but only at 150 daPa. The size of the adenoids measured on the lateral cephalograms was correlated with the endoscopic findings. The size of the adenoids remained the same after RME. Patients with maxillary constriction had the largest adenoids and showed a negative pressure in the middle ear. However, this was reduced after RME.
The results suggest a possible impact of maxillary deficiency on otorhinological structures. RME may lead to otorhinological changes. Further interdisciplinary investigations are needed to corroborate these findings.
RME in the primary or early mixed dentition induces significant and effective long-term changes at the skeletal level (Thilander et al., 1984; Da Silva Filho et al., 2000; Baccetti et al., 2001).
It has been a well and long known subjective phenomenon that RME facilities nasal airflow and hearing (Goddard, 1893; Schroeder-Benseler, 1913; Hershey et al. 1976; Hartgerink et al., 1987), although scientific investigations producing evidence-based data are missing.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8600847/
Angle Orthod. 2016 Sep; 86(5): 761-767.
Published online 2016 Mar 7. doi: 10.2319/101515-693.1
PMCID: PMC8600847
PMID: 26949997
Rapid maxillary expansion versus middle ear tube placement: Comparison of hearing improvements in children with resistance otitis media with effusion
Nihat Kılıç,corresponding authora Özgür Yörük,b Songül Cömert Kılıç,c Gülhan Çatal,d and Sezgin Kurte
Results:
Hearing thresholds decreased significantly in both the RME and ventilation tube groups (P < .001). Hearing thresholds decreased approximately 15 and 17 decibels in the RME and ventilation tube groups, respectively, but differences in improvements were insignificant between the two study groups (P > .05). Slight changes were observed in the control groups.
https://www.scielo.br/j/bjorl/a/ypZ8ffNsTc6XDF6r8LMyQmL/?format=pdf&lang=en
Effects of maxillary expansion on hearing and voice function in non-cleft lip palate and cleft lip palate patients with transverse maxillary deficiency: a multicentric randomized controlled trial
Harpreet Singh a , Raj Kumar Maurya b,∗, Poonam Sharma a ,
Pranav Kapoor a , Tanmay Mittal a , Mansi Atri
Conclusions
This study showed that the correction of the palatal anatomy by RME therapy had a positive and statistically significant effect on improvements in hearing and function of the middle ear in both non-cleft and bilateral cleft lip palate patients with normal hearing levels and with mild conductive hearing loss. Similarly, RME significantly influenced voice quality in non-cleft patients, with no significant effect in
bilateral cleft lip palate patients.
https://meridian.allenpress.com/angle-orthodontist/article/76/5/752/184463/Correlations-between-Rapid-Maxillary-Expansion-RME
Correlations between Rapid Maxillary Expansion (RME) and the Auditory Apparatus
Andrea Villano;
Barbara Grampi;
Roberto Fiorentini;
Paola Gandini
Angle Orthod (2006) 76 (5): 752-758.
https://doi.org/10.1043/0003-3219(2006)076[0752:CBRMER]2.0.CO;2
Conclusions: The auditory function in patients with conductive hearing loss may be corrected through correction of the palatal anatomy, which influences the muscular function of the tubal ostia and allows a normal activity of the tympanic membrane and the auditory apparatus. Positive effects on conductive hearing loss are possible additional benefits of RME treatment, but this does not indicate that patients with conductive hearing loss without an accompanying maxillary constriction should consider this as a treatment approach.
Головные боли проходят после расширения
https://pubmed.ncbi.nlm.nih.gov/19093655/ J Clin Pediatr Dent. 2008 Fall;33(1):67-74. doi: 10.17796/jcpd.33.1.j82n127877250863. Headache and transverse maxillary discrepancy G Farronato 1 , C Maspero, E Russo, G Periti, D Farronato Affiliations PMID: 19093655 DOI: 10.17796/jcpd.33.1.j82n127877250863
https://pubmed.ncbi.nlm.nih.gov/17517302/ J Oral Maxillofac Surg. 2007 Jun;65(6):1174-9. doi: 10.1016/j.joms.2006.06.295. A review of the effects of expansion of the nasal base on nasal airflow and resistance Wendell W Neeley 2nd 1 , Wendell A Edgin, David A Gonzales Affiliations PMID: 17517302 DOI: 10.1016/j.joms.2006.06.295
https://pubmed.ncbi.nlm.nih.gov/19969484/
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Feb;109(2):191-6. doi: 10.1016/j.tripleo.2009.09.011. Epub 2009 Dec 6. Effects of surgically assisted rapid maxillary expansion on nasal dimensions using acoustic rhinometry Sérgio Takeji Mitsuda 1 , Max Domingues Pereira, Alexandre Piassi Passos, Claudia Toyama Hino, Lydia Masako Ferreira
Affiliations PMID: 19969484 DOI: 10.1016/j.tripleo.2009.09.011
Уменьшение аденоидов и миндалин после расширение нёба
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9213408/
https://pubmed.ncbi.nlm.nih.gov/35390750/
https://www.sciencedirect.com/science/article/abs/pii/S1389945722000557
Sleep Medicine Volume 92, April 2022, Pages 96-102
Impact of rapid palatal expansion on the size of adenoids and tonsils in children
Audrey Yoon,a Mohamed Abdelwahab,b Rebecca Bockow,c Ava Vakili,d Katherine Lovell,d Inwon Chang,e Rumpa Ganguly,f Stanley Yung-Chuan Liu,b Clete Kushida,a and Christine Hong
Our results demonstrated that RPE significantly reduced the size of both adenoid and palatine tonsils and revealed another long-term benefit of RPE treatment. To our knowledge, this is the first study to quantify the changes of adenoids and tonsils following RPE. RPE treatment can be considered as a valid and effective treatment option for pediatric OSA population with narrow high arch palate and adenotonsillar hypertrophy.
Системное воспаление при нарушениях сна
https://www.health.harvard.edu/sleep/how-sleep-deprivation-can-cause-inflammation
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3548567/
Sleep Loss and Inflammation Janet M. Mullington, Ph.D.,corresponding author1 Norah S. Simpson, Ph.D.,1 Hans K. Meier-Ewert, M.D.,2 and Monika Haack, Ph.D. Best Pract Res Clin Endocrinol Metab. Author manuscript; available in PMC 2013 Jan 18. Published in final edited form as: Best Pract Res Clin Endocrinol Metab. 2010 Oct; 24(5): 775-784. doi: 10.1016/j.beem.2010.08.014
Содержание: https://healthy-back.livejournal.com/436663.html#Cont (https://healthy-back.dreamwidth.org/424733.html#Cont)
Назад: Асимметричное расширение верхней челюсти. Единственное этиологическое лечение сколиоза https://healthy-back.livejournal.com/466461.html (https://healthy-back.dreamwidth.org/453106.html)
Вперёд: Обратная лицевая маска. Вытягивание верхней челюсти https://healthy-back.livejournal.com/471029.html (https://healthy-back.dreamwidth.org/456083.html)
Назад: Асимметричное расширение верхней челюсти. Единственное этиологическое лечение сколиоза https://healthy-back.livejournal.com/466461.html (https://healthy-back.dreamwidth.org/453106.html)
Вперёд: Обратная лицевая маска. Вытягивание верхней челюсти https://healthy-back.livejournal.com/471029.html (https://healthy-back.dreamwidth.org/456083.html)
На английском
Otitis media and rapid maxillary expansion
Davide Elsido
https://www.dentistry33.com/clinical-cases/orthodontics/931/otitis-media-and-rapid-maxillary-expansion.html
Otitis media with effusion (OME) is defined as the presence of fluid in the middle ear without signs or symptoms of acute ear infection. OME is responsible for thousands of medical office visits each year and it is one of the most frequent conditions encountered in ear, nose, and throat clinics. About 80% of preschool children have experienced OME. The exact etiology of OME is uncertain, but it may result from several factors. The most likely explanations regarding the pathophysiology of OME seem to include Eustachian tube dysfunction as playing a major role for development of OME. ‘‘Watchful waiting’’ has been recommended as the first line of treatment of OME. The second treatment option is prescription of medicine including antihistamines, decongestants, steroids, or antibiotics. The last treatment option may be surgery for insertion of a ventilation tube.
RME is a well-established technique for the correction of transverse discrepancies of the maxillary arch and it has been accepted as an effective treatment method in patients exhibiting transverse maxillary deficiency, posterior crossbites, and rhinologic and/or respiratory problems. The rationale for use of an RME appliance is approximately the same as for insertion of a ventilation tube for treatment of Eustachian tube dysfunction. Rapid maxillary expansion (RME) can stretch the tubal dilator muscles: tensor and levator veli palatini muscles. The stretched tubal dilator muscles open the pharyngeal orifice of the Eustachian tube and can recover Eustachian tube function. However, no previous study has evaluated the possible effects of RME on Eustachian tube function and tympanometric output in children with resistant OME in whom ventilation tube placement was indicated.
The findings suggest that ears having poorly functioning Eustachian tubes are restored and recovered after RME in most of children with maxillary constriction and resistant OME. Thus, RME should be preferred as a first therapy alternative for children with maxillary constriction and serous otitis media.
It has been well documented that RME widens the nasal airway dimensions. This widening will result in not only an improvement of nasal air flow and natural physiological function, but also a decrease in upper respiratory infections, nasal allergy, respiratory morbidity, otitis media, and the pathogenic aerobic and facultative anaerobic microflora in the oropharynx.
Conclusions have a great clinical value, but this study had some limitations. First, sample size was limited with respect to the generalization of the findings. Therefore, due to this small sample size, this investigation should be considered a pilot study and findings should be confirmed in a larger group of children.
https://academic.oup.com/ejo/article/31/2/135/469411
Effects of rapid maxillary expansion on the airways and ears-a pilot study
Susanne Chiari, Peter Romsdorfer, Herwig Swoboda, Hans-Peter Bantleon, Josef Freudenthaler
European Journal of Orthodontics, Volume 31, Issue 2, April 2009, Pages 135-141, https://doi.org/10.1093/ejo/cjn092
The aim of this prospective study was to describe the morphological and functional changes of the upper airways and the middle ears after rapid maxillary expansion (RME). Thirteen patients comprised the original study sample, of these three patients dropped out. Of the remaining 10 subjects, seven (two females, five males; average age, 8.7 years) underwent orthodontic RME with a Hyrax screw and three (one female, two males; average age, 8.3 years) served as the controls. Inclusion criteria for the study group were a uni- or bilateral crossbite with the evidence of a maxillary deficiency. Exclusion criteria were acute or chronic respiratory disease, allergies, cleft lip and palate, or absence of adenoids. An ear, nose, and throat (ENT) examination, lateral cephalometry, anterior rhinomanometry, tympanometry, and posterior rhinoscopy were carried out for each child at baseline (E1) and after 6 months (E2). Descriptive statistics were calculated for all diagnostic variables and correlations between the study and control group were evaluated.
Rhinomanometry showed a correlation (r = 0.57) between the size of the nasal pharyngeal area and nasal airflow, but only at 150 daPa. The size of the adenoids measured on the lateral cephalograms was correlated with the endoscopic findings. The size of the adenoids remained the same after RME. Patients with maxillary constriction had the largest adenoids and showed a negative pressure in the middle ear. However, this was reduced after RME.
The results suggest a possible impact of maxillary deficiency on otorhinological structures. RME may lead to otorhinological changes. Further interdisciplinary investigations are needed to corroborate these findings.
RME in the primary or early mixed dentition induces significant and effective long-term changes at the skeletal level (Thilander et al., 1984; Da Silva Filho et al., 2000; Baccetti et al., 2001).
It has been a well and long known subjective phenomenon that RME facilities nasal airflow and hearing (Goddard, 1893; Schroeder-Benseler, 1913; Hershey et al. 1976; Hartgerink et al., 1987), although scientific investigations producing evidence-based data are missing.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8600847/
Angle Orthod. 2016 Sep; 86(5): 761-767.
Published online 2016 Mar 7. doi: 10.2319/101515-693.1
PMCID: PMC8600847
PMID: 26949997
Rapid maxillary expansion versus middle ear tube placement: Comparison of hearing improvements in children with resistance otitis media with effusion
Nihat Kılıç,corresponding authora Özgür Yörük,b Songül Cömert Kılıç,c Gülhan Çatal,d and Sezgin Kurte
Results:
Hearing thresholds decreased significantly in both the RME and ventilation tube groups (P < .001). Hearing thresholds decreased approximately 15 and 17 decibels in the RME and ventilation tube groups, respectively, but differences in improvements were insignificant between the two study groups (P > .05). Slight changes were observed in the control groups.
https://www.scielo.br/j/bjorl/a/ypZ8ffNsTc6XDF6r8LMyQmL/?format=pdf&lang=en
Effects of maxillary expansion on hearing and voice function in non-cleft lip palate and cleft lip palate patients with transverse maxillary deficiency: a multicentric randomized controlled trial
Harpreet Singh a , Raj Kumar Maurya b,∗, Poonam Sharma a ,
Pranav Kapoor a , Tanmay Mittal a , Mansi Atri
Conclusions
This study showed that the correction of the palatal anatomy by RME therapy had a positive and statistically significant effect on improvements in hearing and function of the middle ear in both non-cleft and bilateral cleft lip palate patients with normal hearing levels and with mild conductive hearing loss. Similarly, RME significantly influenced voice quality in non-cleft patients, with no significant effect in
bilateral cleft lip palate patients.
https://meridian.allenpress.com/angle-orthodontist/article/76/5/752/184463/Correlations-between-Rapid-Maxillary-Expansion-RME
Correlations between Rapid Maxillary Expansion (RME) and the Auditory Apparatus
Andrea Villano;
Barbara Grampi;
Roberto Fiorentini;
Paola Gandini
Angle Orthod (2006) 76 (5): 752-758.
https://doi.org/10.1043/0003-3219(2006)076[0752:CBRMER]2.0.CO;2
Conclusions: The auditory function in patients with conductive hearing loss may be corrected through correction of the palatal anatomy, which influences the muscular function of the tubal ostia and allows a normal activity of the tympanic membrane and the auditory apparatus. Positive effects on conductive hearing loss are possible additional benefits of RME treatment, but this does not indicate that patients with conductive hearing loss without an accompanying maxillary constriction should consider this as a treatment approach.
Головные боли проходят после расширения
https://pubmed.ncbi.nlm.nih.gov/19093655/ J Clin Pediatr Dent. 2008 Fall;33(1):67-74. doi: 10.17796/jcpd.33.1.j82n127877250863. Headache and transverse maxillary discrepancy G Farronato 1 , C Maspero, E Russo, G Periti, D Farronato Affiliations PMID: 19093655 DOI: 10.17796/jcpd.33.1.j82n127877250863
https://pubmed.ncbi.nlm.nih.gov/17517302/ J Oral Maxillofac Surg. 2007 Jun;65(6):1174-9. doi: 10.1016/j.joms.2006.06.295. A review of the effects of expansion of the nasal base on nasal airflow and resistance Wendell W Neeley 2nd 1 , Wendell A Edgin, David A Gonzales Affiliations PMID: 17517302 DOI: 10.1016/j.joms.2006.06.295
https://pubmed.ncbi.nlm.nih.gov/19969484/
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Feb;109(2):191-6. doi: 10.1016/j.tripleo.2009.09.011. Epub 2009 Dec 6. Effects of surgically assisted rapid maxillary expansion on nasal dimensions using acoustic rhinometry Sérgio Takeji Mitsuda 1 , Max Domingues Pereira, Alexandre Piassi Passos, Claudia Toyama Hino, Lydia Masako Ferreira
Affiliations PMID: 19969484 DOI: 10.1016/j.tripleo.2009.09.011
Уменьшение аденоидов и миндалин после расширение нёба
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9213408/
https://pubmed.ncbi.nlm.nih.gov/35390750/
https://www.sciencedirect.com/science/article/abs/pii/S1389945722000557
Sleep Medicine Volume 92, April 2022, Pages 96-102
Impact of rapid palatal expansion on the size of adenoids and tonsils in children
Audrey Yoon,a Mohamed Abdelwahab,b Rebecca Bockow,c Ava Vakili,d Katherine Lovell,d Inwon Chang,e Rumpa Ganguly,f Stanley Yung-Chuan Liu,b Clete Kushida,a and Christine Hong
Our results demonstrated that RPE significantly reduced the size of both adenoid and palatine tonsils and revealed another long-term benefit of RPE treatment. To our knowledge, this is the first study to quantify the changes of adenoids and tonsils following RPE. RPE treatment can be considered as a valid and effective treatment option for pediatric OSA population with narrow high arch palate and adenotonsillar hypertrophy.
Системное воспаление при нарушениях сна
https://www.health.harvard.edu/sleep/how-sleep-deprivation-can-cause-inflammation
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3548567/
Sleep Loss and Inflammation Janet M. Mullington, Ph.D.,corresponding author1 Norah S. Simpson, Ph.D.,1 Hans K. Meier-Ewert, M.D.,2 and Monika Haack, Ph.D. Best Pract Res Clin Endocrinol Metab. Author manuscript; available in PMC 2013 Jan 18. Published in final edited form as: Best Pract Res Clin Endocrinol Metab. 2010 Oct; 24(5): 775-784. doi: 10.1016/j.beem.2010.08.014
Содержание: https://healthy-back.livejournal.com/436663.html#Cont (https://healthy-back.dreamwidth.org/424733.html#Cont)
Назад: Асимметричное расширение верхней челюсти. Единственное этиологическое лечение сколиоза https://healthy-back.livejournal.com/466461.html (https://healthy-back.dreamwidth.org/453106.html)
Вперёд: Обратная лицевая маска. Вытягивание верхней челюсти https://healthy-back.livejournal.com/471029.html (https://healthy-back.dreamwidth.org/456083.html)