The nasomaxillary complex morphology in subjects with decreased nasopharyngeal patency pre - disposes to air flow impediment through nasal respiratory passage. Non-extraction treatment of the upper dental arch and possible maxillary expansion can be considered when orthodontic treatment is planned in subjects with decreased patency of < 50% and CVM A.
Background. Chronic nature of the nasal polyps, tendency to recurrence, and lack of satisfying treatment need the diagnostic's parameters which show early inflammatory state as ferritin and hs-CRP. The Aim of Study. Assessment of hs-CRP and ferritin blood levels in nasal polyps patients in evaluation of treatment efficacy. Methods. All 38 patients were divided into 2 groups. Group I included 19 patients with anti-inflammatory therapy 2 weeks after surgery. Group II included 19 patients without anti-inflammatory therapy 2 weeks after surgery. The levels of hs-CRP and ferritin have been assessed before and 2 and 6 weeks after surgical treatment. Results. Research showed statistically significant difference of ferritin's concentration between examined groups 6 weeks after surgery (P < 0.05) and statistically significant difference of hs-CRP concentration 2 and 6 weeks after surgery (P < 0.05). Conclusion. (1) The analysis of serum ferritin and hs-CRP concentrations can be useful in early postoperative detection of inflammatory state in patients with nasal polyps and for the effectiveness of therapy. (2) Lack of correlation between mean ferritin and hs-CRP serum levels, at each diagnostic and monitoring stage, shows that they are independent and cannot be determined interchangeably.
Injuries caused by thermal trauma more and more often affect people and they are an important problem of contemporary medicine. It is connected with the civilization development. Burn concerns not only the exterior integuments of the body but also airways, in those cases, the death rate among those who were injured with the thermal trauma increases. The treatment of both the burns and their complications is a long-lasting process, involving many specialists of various disciplines, and not always does it bring the wanted effects. The aim of the study was the assessment of the late morphological sequels inside the larynx and ventilation efficiency as a result of thermal inhalation trauma in the airways of the coal miners after the methane explosion. The methodology of examinations consisted of subjective evaluation of ventilation efficacy by MRC scale and ventilating rate measurement FEV1, FVC, FEV1%, PEF, MEF50, PIF, MIF 50, FIV. The morphological larynx evaluation was conducted based on videolaryngoscopy. 23 injured coal miners, who had been burnt at work in coal mines in 2003 in the methane explosion, were put under scrutiny. All the above mentioned examinations were done to the study group, but also to the specially selected control group, 23 coal miners. During the ventilating rates analysis in the study group, their lower values were noticed in comparison to the control group, however, the values were still within the clinical norms. Videolaryngoscopy showed hypertrophy of the laryngeal tissues.
Introduction. Review of the literature indicates the relationship between upper airways patency and lower jaw morphology. Aim of the study. To design multidimensional models to describe morphological relations of the linear and angular dimensions of hard tissues of the lower facial skeleton and the cervical spine (independent variables) with the linear dimensions of the upper respiratory tract (dependent variables). The obtained models took into consideration the age, gender and the skeletal Class I and III of the evaluated individuals. Material and method. The patients represented two skeletal classes: I (n = 97; 42.4%) and III (n = 53; 23.1%). Prior to orthodontic treatment, lateral cephalometric radiography (LCR) was performed in all patients. The obtained cephalometric measurements were evaluated statistically. Results. The statistical analysis pointed to significant differences between variables of the URT and dimensions of the facial skeleton and the cervical spine. It also revealed significant differences between variables of the URT and dimensions of the facial skeleton and the cervical spine. The independent variable Co-Gn emerged as an important predictor in regression of the nasopharynx. The anteroinferior height of the face and mandibular inclination were the factors relevant for oropharynx. Variables of the cervical spine were significant predictors in laryngopharyngeal models. Conclusions. The results illustrating morphological interrelations between the lower face and dimensions of the URT air space may prove helpful in planning orthodontic treatment, with or without teeth extraction, as well as orthognathic surgeries.
Wstęp. Morfologiczne korelacje struktur kostnych twarzoczaszki i szyjnego odcinka kręgosłupa z górnymi drogami oddechowymi (GDO) od lat stanowią temat badań naukowych. Istnienie korelacji między morfologią GDO a wiekiem osób badanych potwierdzają liczne badania. W piśmiennictwie wykazano, iż morfometria GDO charakteryzuje się występowaniem dymorfizmu płciowego u badanych w różnych przedziałach wieku. Wymiary GDO różnicują się również w zależności od przynależność osób badanych do jednej z trzech klas szkieletowych. Cel. Celem pracy było stworzenie modeli wielowymiarowych, które uwzględniając wiek, płeć i klasę szkieletową osób badanych opisywałyby morfologiczne zależności między ustną a krtaniową częścią gardła oraz górnym piętrem twarzy a szyjnym odcinkiem kręgosłupa. Materiał i metody. Do badania zakwalifikowano 229 osób. Badanie miało charakter retrospektywny. Do kryteriów włączających należała obecność zdjęć kefalometrycznych bocznych (LCR)
W piśmiennictwie prezentowano badania wzajemnych relacji górnych dróg oddechowych (GDO) i struktur tkanek twardych twarzoczaszki. Cel. Zbadanie zerowej hipotezy, która zakładała, że wartości pomiarów zatoki szczękowej na zdjęciach LCR i PA nie mają wzajemnych zależności z wartościami wyników klas szkieletowych twarzoczaszki. Materiał i metody. Do badania wykorzystano zdjęcia LCR oraz PA przedstawicieli polskiej populacji. Zakwalifikowano 122 badanych ze zdjęciami w projekcji LCR i PA. Wiek badanych w całej grupie wynosił od 4,4 do 19,3 lat. Grupę podzielono
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