临床口腔医学杂志2025，Vol.41Issue(6)：342-347,6.DOI:10.3969/j.issn.1003-1634.2025.06.006
腺扁切除术和头帽肌激动器对骨性Ⅱ类高角患者面部软组织三维轮廓的影响
Effects of adenotonsillectomy and headgear-activator therapy on three-dimensional soft tissue contours in skele-tal Class Ⅱ high-angle patients
摘要
Abstract
Objective:To investigate the effects of adenotonsillectomy,headgear-activator orthopedic treatment,and their combination on three-dimensional soft tissue facial contours in skeletal Class Ⅱ high-angle patients.Methods:This ret-rospective study included 33 skeletal Class Ⅱ high-angle patients in their peak growth phase,categorized into three groups based on treatment:surgical group(9 cases,receiving adenotonsillectomy only due to ineligibility for orthopedic treatment),orthopedic group(15 cases,receiving headgear-activator treatment only due to ineligibility for surgery),and combined treat-ment group(9 cases,receiving both interventions).Facial three-dimensional soft tissue contours were captured and analyzed using the 3dMD imaging system with landmark-based measurements.Results:All three groups exhibited significant increases in facial contour dimensions and modest improvements in facial convexity.Surgical group:Increased ramus height and man-dibular body length;decreased mandibular plane angle and mandibular convexity angle.Orthopedic group:Increased anterior facial height,ramus height,mandibular body length,facial angle,and nasomental angle;decreased lower facial width,lower lip height/mandibular body length ratio,lower facial height/anterior facial height ratio,mandibular plane angle,and mandibular convexity angle.Combined group:Increased ramus height,mandibular body length,and nasomental angle;decreased mandibu-lar plane angle and mandibular convexity angle.Differences among interventions were subtle.Compared to the surgical group,the combined and orthopedic groups showed reductions in anterior lower facial height by 1.72 mm and 3.07 mum,respective-ly,though only the orthopedic group reached statistical significance(P=0.031).The lower facial height/anterior facial height ratio decreased by 0.027 mum and 0.032 mm in the combined and orthopedic groups,respectively,but neither was statistically significant.Conclusion:Adenotonsillectomy and headgear-activator orthopedic treatment promote mandibular growth by ad-dressing underlying etiological factors and correcting abnormal jaw morphology,respectively.The three-dimensional soft tissue contour changes induced by adenotonsillectomy,headgear-activator treatment,or their combination showed only minor varia-tions.Notably,headgear-activator treatment achieved more direct therapeutic effects,including improved vertical facial propor-tions.关键词
头帽肌激动器/腺样体切除术/扁桃体切除术/Ⅱ类高角Key words
Headcap muscle activator/Adenoidectomy/Tonsillectomy/Class Ⅱ high angle分类
口腔医学引用本文复制引用
胡昊男,吴嘉城,谭理军..腺扁切除术和头帽肌激动器对骨性Ⅱ类高角患者面部软组织三维轮廓的影响[J].临床口腔医学杂志,2025,41(6):342-347,6.基金项目
爱齐科研专项基金项目(AQKY22-1-3) （AQKY22-1-3）
