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上呼吸道與齒顎矯正-文獻回顧

Upper Airway in Orthodontics-Literature Review

摘要


上呼吸道的狹窄與阻塞常造成口呼吸(mouth breathing),此習慣是否與特定的顱顔型態有關,學者之間持有不同的看法。本文內容即由上呼吸道之結構開始,對口呼吸之病因、及學者對其與顱顔型態關係之研究做一回顧;而與上呼吸道有關的阻塞性睡眠呼吸中止/呼吸不全症候群(obstructive sleep apnea/hypopnea syndrome),其牙科療法亦為齒顎矯正醫師之範疇。故對此症候群的病理、診斷、顱顔特徵與治療方式亦作整理,以供醫師臨床面對相關病例時診治之參考。

並列摘要


Mouth breathing often results from the narrowing and obstruction of the upper airway. There are inconsistent opinion about the causal effect between month breathing and the specific craniofacial morphology. The purpose of this article is to review some of the literature related to the structure of the upper airway, the etiology of mouth breathing, and the possible cause-effect relationships between respiratory mode and craniofacial characteristics. Orthodontists are well positioned to treat the patients who suffer from less threatening forms of obstructive sleep apnea/hypopnea syndrome. This article also reviews the information about this syndrome.

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