PubMed · 13154872
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F PEROLO. [Radiological cephalometry].. https://pubmed.ncbi.nlm.nih.gov/13154872/
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The relationship between changes in the position of the maxillary structures caused by maxillary protraction therapy and airway dimensions have not been investigated as comprehensively as the accompanying skeletal changes. The purpose of this study was to examine the effects of rapid palatal expansion (RPE) used in conjunction with maxillary protraction headgear on the sagittal dimension of the airway. The treatment sample consisted of 19 Class III patients (12 girls, 7 boys) with a mean age of 10.51 +/- 1.15 years, presenting with maxillary retrognathism. A cap splint type rapid palatal expander that had hooks between the upper lateral and canine teeth was used intraorally, and a Petit type facemask device extraorally, for an average of 6.78 +/- 0.93 months. Pre- and post-treatment cephalometric radiographs were evaluated. The results of the study revealed that point A moved anteriorly. The palatal plane showed a counter-clockwise rotation matched by the clockwise rotation of the mandible and an accompanying decrease in SNB angle. The vertical parameters showed a statistically significant increase. The head was in a more extensive position in relation to the cervical vertebrae. The nasopharyngeal airway measurements (PNS-ad1, PNS-ad2) showed an increase of 2.71 +/- 3.35 and 3.03 +/- 2.37 mm, respectively. These results demonstrated that limited maxillary widening together with protraction of the maxilla, improve nasopharyngeal but not oropharyngeal airway dimensions in the short term.
Calculating biodistances among South American populations using cranial measurements is often hindered, as many available skeletal collections exhibit deformation. Acknowledging vault modifications, researchers have sought measurements in other regions which are unaffected by deformation. In the 1970s, a set of 10 "relatively" unaffected facial measurements was identified in Argentinean crania that later became the basis of numerous South American biodistance studies. These measurements include: minimum frontal breadth, bizygomatic breadth, orbit height, orbit breadth, palate breath, palate length, upper facial height, basion-prosthion length, nasal height, and nasal breadth. Palate length was excluded from the present analysis due to considerable measurement error. The suitability of these measurements in populations other than Argentineans has not been rigorously tested. Using a sample of 350 prehistoric crania from the Museo Arqueológico San Miguel de Azapa (MASMA, Arica, Chile), this project tested the hypothesis that these measurements are unaffected by either annular or tabular deformation. Results obtained from MANOVA analysis indicate this hypothesis cannot be fully supported. Among males, only 3 of the 9 measurements are unaffected by either form of deformation (palate breadth, basion-prosthion length, and nasal breadth), while analysis of females indicates that 4 of the 9 measurements remain unaltered (minimum frontal breadth, orbit breadth, basion-prosthion length, and nasal breadth). Additionally, analogous to the vault, facial measurements display patterns consistent with the deformation applied. Two implications can be drawn from this research: 1) previous studies using these measurements must be interpreted cautiously, and 2) researchers using these measurements must explicitly test their suitability in each population.
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