소아의 수직적 안모 형태에 따른 상기도 폭경 평가
Evaluation of pharyngeal airway width in relation to vertical facial types in children
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초록
본 연구의 목적은 한국 성장기 아동의 수직적 안모 형태에 따른 상기도 폭경을 평가하는 것이다. 7 - 11세의 101명의 대상자가 선정되었으며 하악평면각을 기준으로 3개의 군으로 분류하였다. 기도 폭경의 평가는 측모두부방사선사진상에서 이루어졌으며 일원배치분산분석과 독립 t 검정을 이용하여 통계분석 시행하였다. 수직적 성장군의 비인두 및 상부 구인두 폭경이 유의하게 좁은 것이 확인되었다. 하부 비인두 폭경은 수평적 성장군에서 가장 넓은 것으로 나타났다. 수직적인 구인두의 계측값은 남아보다 여아에서 더 좁은 것으로 확인되었으며 수평적인 계측값은 성별간 유의한 차이는 없었다. 본 연구 결과 수직적 안모 형태를 보이는 소아의 기도 폭경이 정상 및 수평적 안모 형태를 보이는 소아의 기도 폭경보다 유의하게 좁았다.
Abstract
The purpose of this retrospective study was to evaluate the pharyngeal airway width according to the vertical facial type in Korean children in the developmental stage. In total, 101 participants aged 7 - 11 years were selected and divided into three groups based on the mandibular plane angle. The size of pharyngeal airway width was assessed using lateral cephalograms. The data were statistically analyzed using one way ANOVA test and independent t-test. The vertical growth group showed significantly narrower nasopharyngeal and upper oropharyngeal airway width than that in the normal and horizontal growth groups. Lower nasopharyngeal airway width was the widest in the horizontal growth group and the difference was statistically significant. The vertical oropharyngeal airway space was significantly smaller in girls when compared to boys, and no distinct difference was observed between horizontal airway width of the sexes. The results from this study indicate that patients with vertical facial growth pattern had less pharyngeal airway width than the patients with normal and horizontal facial growth patterns.
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