Öz
Hızlı Maksiller Genişletme sürecinde Kafa içi Basıncının Ultrasonografik Değerlendirilmesi
Özet
Amaç: Bu çalışmanın amacı; maksillar transversal yetersizliği bulunan hastalarda uygulanan hızlı genişletme protokolünün kafa içi basıncı üzerine etkilerini optik sinir kılıf çapını ultrason ile ölçerek değerlendirmektir.
Yöntem: Bu prospektif gözlemsel çalışma posterior çapraz kapanışı olan 25 genç hastadan (ortalama yaş 13.10 ± 1.20) oluşmaktadır. Hastaların tamamına hızlı maksillar genişletme için akrilik kaplı hyrax apareyi uygulandı. İlk vida aktivasyonundan hemen önce (T0) hastalar monitörize edildi, vital bulgular kaydedildi ve optik sinir kılıfı çapı ultrason ile ölçüldü. Bu ölçümler 1 (T1), 10 (T2) ve 60 dakika (T3) sonra tekrarlandı. Aktif genişletme tedavisinin son seansında aynı ölçümler ilk aktivasyon esnasındaki gibi uygulandı. (T4, T5, T6 ve T7). Hastaların vida aktivasyonları (T1, T5) sırasındaki ağrı değerleri de not edildi. (VRS-4). Sonuçlar istatiksel olarak p<0.05 düzeyinde anlamlı olarak kabul edilmiştir.
Bulgular: Optik sinir kılıf çapının vida aktivasyonundan sonraki ilk 1 dakika içinde anlamlı derecede arttığı görüldü (p<0.01). Aktif genişletme tedavi sürecinde başlangıç (T0) ve bitiş (T1) optik sinir kılıf çaplarında ise anlamlı değişim görülmedi (p<0.01).
Sonuç: Kafa içi basıncı vida aktivasyonunu takiben artmakta anca aktif genişletme tedavisinin sonunda otoregule olmaktadır.
Anahtar kelimeler: hızlı maksiller genişletme; intrakraniyal basınç; optik sinir kılıfı çapı; ultrasonografi.
Anahtar Kelimeler
rapid maxillary expansion intracranial pressure optic nerve sheath diameter ultrasonography
Kaynakça
- 1. Deeb W, Hansen L, Hotan T, Hietschold V, Harzer W, Tausche E. Changes in nasal volume after surgically assisted bone-borne rapid maxillary expansion. American J of orthodontics and dentofacial orthopedics. 2010;137(6):782-789.
- 2. Starnbach H, Bayne D, Cleall J, Subtelny JD. Facioskeletal and dental changes resulting from rapid maxillary expansion. The Angle Orthodontist. 1966;36(2):152-164.
- 3. Gautam P, Valiathan A, Adhikari R. Stress and displacement patterns in the craniofacial skeleton with rapid maxillary expansion: a finite element method study. American J of Orthodontics and Dentofacial Orthopedics. 2007;132(1):5. e1-5. e11.
- 4. Ghoneima A, Abdel-Fattah E, Hartsfield J, El-Bedwehi A, Kamel A, Kula K. Effects of rapid maxillary expansion on the cranial and circummaxillary sutures. American J of Orthodontics and Dentofacial Orthopedics. 2011;140(4):510-519.
- 5. Holberg C. Effects of rapid maxillary expansion on the cranial base--an FEM-analysis. Journal of Orofacial Orthopedics= Fortschritte der Kieferorthopadie: Organ/official J Deutsche Gesellschaft fur Kieferorthopadie. 2005;66(1):54-66.
- 6. Li Q, Wang W, Zhang Q, Wang L. Changes in CT cerebral blood flow and volume associated with rapid maxillary expansion in a rabbit model. The Angle Orthodontist. 2012;82(3):418-23.
- 7. Romeo AC, Manti S, Romeo G, Stroscio G, Dipasquale V, Costa A, et al. Headache and Diplopia after Rapid Maxillary Expansion: A Clue to Underdiagnosed Pseudotumor Cerebri Syndrome? J of Pediatric Neurology. 2015;13(01):031-34.
- 8. Matta BF, Menon DK, Smith M. Core topics in neuroanaesthesia and neurointensive care: Cambridge University Press; 2011:53.
- 9. Karali E, Demirhan A, Gunes A, Ural A. Evaluation of the effect of Boyle-Davis mouth gag on intracranial pressure in patients undergoing adenotonsillectomy by using ultrasonographic optic nerve sheath diameter measurement. International J of Pediatric Otorhinolaryngology. 2020;131:109856.
- 10. Bender M, Lakicevic S, Pravdic N, Schreiber S, Malojcic B. Optic nerve sheath diameter sonography during the acute stage of intracerebral hemorrhage: a potential role in monitoring neurocritical patients. The Ultrasound J. 2020;12:1-8.
- 11. Lione R, Franchi L, Cozza P. Does rapid maxillary expansion induce adverse effects in growing subjects? The Angle Orthodontist. 2013;83(1):172-182.
- 12. Haas AJ. Rapid expansion of the maxillary dental arch and nasal cavity by opening the midpalatal suture. The Angle Orthodontist. 1961;31(2):73-90.
- 13. Bishara SE, Staley RN. Maxillary expansion: clinical implications. American J of orthodontics and dentofacial orthopedics. 1987;91(1):3-14.
- 14. Melsen B. Palatal growth studied on human autopsy material: a histologic microradiographic study. American J of orthodontics. 1975;68(1):42-54.
- 15. Laurens T, Batlolona FA, Batlolona JR, Leasa M. How does realistic mathematics education (RME) improve students’ mathematics cognitive achievement? Eurasia J of Mathematics, Science and Technology Education. 2017;14(2):569-578.
- 16. Mayer SA, Chong JY. Critical care management of increased intracranial pressure. J of Intensive Care Medicine. 2002;17(2):55-67.
- 17. Steiner L, Andrews P. Monitoring the injured brain: ICP and CBF. BJA: British J of Anaesthesia. 2006;97(1):26-38.
- 18. Hansen H-C, Helmke K. Validation of the optic nerve sheath response to changing cerebrospinal fluid pressure: ultrasound findings during intrathecal infusion tests. J of neurosurgery. 1997;87(1):34-40.
- 19. Jafari A, Shetty KS, Kumar M. Study of stress distribution and displacement of various craniofacial structures following application of transverse orthopedic forces—a three-dimensional FEM study. The Angle Orthodontist. 2003;73(1):12-20.
- 20. Aylward SC, Way AL. Pediatric intracranial hypertension: a current literature review. Current pain and headache reports. 2018;22:1-9.
- 21. Singhi SC, Tiwari L. Management of intracranial hypertension. The Indian J of Pediatrics. 2009;76:519-529.
Öz
Kaynakça
- 1. Deeb W, Hansen L, Hotan T, Hietschold V, Harzer W, Tausche E. Changes in nasal volume after surgically assisted bone-borne rapid maxillary expansion. American J of orthodontics and dentofacial orthopedics. 2010;137(6):782-789.
- 2. Starnbach H, Bayne D, Cleall J, Subtelny JD. Facioskeletal and dental changes resulting from rapid maxillary expansion. The Angle Orthodontist. 1966;36(2):152-164.
- 3. Gautam P, Valiathan A, Adhikari R. Stress and displacement patterns in the craniofacial skeleton with rapid maxillary expansion: a finite element method study. American J of Orthodontics and Dentofacial Orthopedics. 2007;132(1):5. e1-5. e11.
- 4. Ghoneima A, Abdel-Fattah E, Hartsfield J, El-Bedwehi A, Kamel A, Kula K. Effects of rapid maxillary expansion on the cranial and circummaxillary sutures. American J of Orthodontics and Dentofacial Orthopedics. 2011;140(4):510-519.
- 5. Holberg C. Effects of rapid maxillary expansion on the cranial base--an FEM-analysis. Journal of Orofacial Orthopedics= Fortschritte der Kieferorthopadie: Organ/official J Deutsche Gesellschaft fur Kieferorthopadie. 2005;66(1):54-66.
- 6. Li Q, Wang W, Zhang Q, Wang L. Changes in CT cerebral blood flow and volume associated with rapid maxillary expansion in a rabbit model. The Angle Orthodontist. 2012;82(3):418-23.
- 7. Romeo AC, Manti S, Romeo G, Stroscio G, Dipasquale V, Costa A, et al. Headache and Diplopia after Rapid Maxillary Expansion: A Clue to Underdiagnosed Pseudotumor Cerebri Syndrome? J of Pediatric Neurology. 2015;13(01):031-34.
- 8. Matta BF, Menon DK, Smith M. Core topics in neuroanaesthesia and neurointensive care: Cambridge University Press; 2011:53.
- 9. Karali E, Demirhan A, Gunes A, Ural A. Evaluation of the effect of Boyle-Davis mouth gag on intracranial pressure in patients undergoing adenotonsillectomy by using ultrasonographic optic nerve sheath diameter measurement. International J of Pediatric Otorhinolaryngology. 2020;131:109856.
- 10. Bender M, Lakicevic S, Pravdic N, Schreiber S, Malojcic B. Optic nerve sheath diameter sonography during the acute stage of intracerebral hemorrhage: a potential role in monitoring neurocritical patients. The Ultrasound J. 2020;12:1-8.
- 11. Lione R, Franchi L, Cozza P. Does rapid maxillary expansion induce adverse effects in growing subjects? The Angle Orthodontist. 2013;83(1):172-182.
- 12. Haas AJ. Rapid expansion of the maxillary dental arch and nasal cavity by opening the midpalatal suture. The Angle Orthodontist. 1961;31(2):73-90.
- 13. Bishara SE, Staley RN. Maxillary expansion: clinical implications. American J of orthodontics and dentofacial orthopedics. 1987;91(1):3-14.
- 14. Melsen B. Palatal growth studied on human autopsy material: a histologic microradiographic study. American J of orthodontics. 1975;68(1):42-54.
- 15. Laurens T, Batlolona FA, Batlolona JR, Leasa M. How does realistic mathematics education (RME) improve students’ mathematics cognitive achievement? Eurasia J of Mathematics, Science and Technology Education. 2017;14(2):569-578.
- 16. Mayer SA, Chong JY. Critical care management of increased intracranial pressure. J of Intensive Care Medicine. 2002;17(2):55-67.
- 17. Steiner L, Andrews P. Monitoring the injured brain: ICP and CBF. BJA: British J of Anaesthesia. 2006;97(1):26-38.
- 18. Hansen H-C, Helmke K. Validation of the optic nerve sheath response to changing cerebrospinal fluid pressure: ultrasound findings during intrathecal infusion tests. J of neurosurgery. 1997;87(1):34-40.
- 19. Jafari A, Shetty KS, Kumar M. Study of stress distribution and displacement of various craniofacial structures following application of transverse orthopedic forces—a three-dimensional FEM study. The Angle Orthodontist. 2003;73(1):12-20.
- 20. Aylward SC, Way AL. Pediatric intracranial hypertension: a current literature review. Current pain and headache reports. 2018;22:1-9.
- 21. Singhi SC, Tiwari L. Management of intracranial hypertension. The Indian J of Pediatrics. 2009;76:519-529.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Diş Hekimliği (Diğer) |
| Bölüm | Original Research Articles |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Eylül 2023 |
| Gönderilme Tarihi | 17 Temmuz 2023 |
| Yayımlandığı Sayı | Yıl 2023Cilt: 26 Sayı: 3 |
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