CRANIOFACIAL MORPHOLOGY IN CHILDREN WITH AND WITHOUT ENLARGED TONSILS

被引:56
作者
BEHLFELT, K
LINDERARONSON, S
MCWILLIAM, J
NEANDER, P
LAAGEHELLMAN, J
机构
[1] Department of Orthodontics, Universitäts-Krankenhaus Eppendorf, Hamburg
[2] Department of Orthodontics, Karolinska Institutet, Huddinge
[3] Department of Otorhinolaryngology, Regionssjukhuset, örebro
关键词
D O I
10.1093/ejo/12.3.233
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
The purpose of the present study was to compare the cranio-facial morphology in children with and without enlarged tonsils. The material consisted of 73 children with enlarged tonsils, and a control group of children with normal tonsils, matched for age, sex, and number. The mean age for the groups was 10.1 and 10.0 years, respectively. Evaluation of anamnestic history, clinical examination, and lateral skull radiographs were undertaken.Compared to the control children, the children with enlarged tonsils had more retrognathic and posteriorly inclined mandibles, larger anterior total and lower facial heights, and larger mandibular plane angles. Regression analyses revealed that functional, postural, and morphological factors, such as open mouth posture, low posture of the tongue, large depth of oropharynx at the site of the tonsils as well as mouth-breathing at night, were associated with skeletal features expressing an increased open vertical configuration and mandibular retrognathism. © 1990 European Orthodontic Society.
引用
收藏
页码:233 / 243
页数:11
相关论文
共 23 条
[1]  
Adamidis I.P., Spyropoulos M.N., The effects of lymphadenoid hypertrophy on the position of the tongue, European Journal ofOrthodontics, 5, pp. 287-294, (1983)
[2]  
Behlfelt K., Linder-Aronson S., GroBe Tonsillen und deren EinfluB auf die Kopfund Zungenhaltung, Fortsch-Ritte Der Kieferorthopadie, 49, pp. 476-483, (1988)
[3]  
Behlfelt K., Linder-Aronson S., McWilliam J., Neander P., Laage-Hellman J., Dentition in children with enlargedtonsils, European Journal of Orthodontics, 11, pp. 416-429, (1989)
[4]  
Bibby R.E., The hyoid bone position in mouth breathers and tongue-thrusters, American Journal of Orthodontics, 85, pp. 431-433, (1984)
[5]  
Bluestone C.D., The role of tonsils and adenoids in the obstruction of respiration, Monograph No. 9, Craniofacial Growth Series. Center forHuman Growth and Development, pp. 251-273, (1979)
[6]  
Bushey R.S., Adenoid obstruction of the nasopharynx, CraniofacialGrowth Series. Center for Human Growth and Development, pp. 199-231, (1979)
[7]  
Bushey R.S., Diagnosis and treatment planning of nasopharyngeal obstructions, Craniofacial Growth Series. Center forHuman Growth and Development, pp. 301-321, (1979)
[8]  
Dahlberg G., Statistical Methods for Medical and Biological Students, (1940)
[9]  
Diamond O., Tonsils and adenoids: Why the dilemma?, American Journal of Orthodontics, 78, pp. 495-503, (1980)
[10]  
Frankel R., A functional approach to orofacial orthopaedics, British Journal of Orthodontics, 7, pp. 41-51, (1980)