单位:[a]Department of Radiology, The Affiliated Children’s Hospital, Capital Institute of Pediatrics, Beijing, China首都儿科研究所[b]Department of Otolaryngology Head and Neck Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China首都医科大学附属安贞医院[c]Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China医技科室影像中心放射科首都医科大学附属北京友谊医院
Objective: The cross-sectional area (CSA) and the volume of the pharyngeal airway normative reference data aren't established, although they are closely associated with the pathogenesis of obstructive sleep apnea syndrome (OSAS) in infants and preschool children. Our objective is to measure the cross-sectional area (CSA) and volume of pharyngeal airway subregions and investigate the effects of age and sex in infants and preschool children using computerized tomography (CT). Methods: After applying strict inclusion criteria, 57 infants and preschool children (27 females, 30 males) aged from 1 day to 72 months who underwent maxillofacial CT scans due to trauma were selected. The sample was stratified into three age groups (1 day-24 months, 25-48 months, and 49-72 months). The CSA and the volume of the naso-, palato-, glosso-, and laryngopharyngeal airway were calculated using a 3-dimensional image processing software. Linear regression analysis was performed to express the effect of age, height, and weight. One-way analysis of covariance with height as a covariate was used to analyze the statistical significance of the difference between males and females within each age group. Results: The CSA and volume of all pharyngeal airway subregions increased with age, height, and weight (P < 0.05) in children under 6 years old. Multiple linear regression analysis showed an age effect, identified in all measurements (P < 0.001), whereas no height or weight effect were found. There were no differences in any measurements between males and females within each age group. Conclusion: The normative reference data of CSA and volume of pharyngeal airway subregions were established after applying strict inclusion and exclusion criteria in infants and preschool children. Results may be useful in screening and assist in the timely diagnosis and management of pediatric OSAS.
基金:
Research Foundation of Capital Institute of Pediatrics [PY-2018-10]; Beijing Municipal Administration of Hospitals Incubating Program [PX2020053]
第一作者单位:[a]Department of Radiology, The Affiliated Children’s Hospital, Capital Institute of Pediatrics, Beijing, China
通讯作者:
通讯机构:[a]Department of Radiology, The Affiliated Children’s Hospital, Capital Institute of Pediatrics, Beijing, China[c]Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China[*1]Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.[*2]Department of Radiology, The Affiliated Children’s Hospital, Capital Institute of Pediatrics, Beijing, China
推荐引用方式(GB/T 7714):
Xiaoli Yi,Linyin Yao,Pengfei Zhao,et al.Three-dimensional assessment of pharyngeal volume and cross-sectional area in Chinese infants and preschool children[J].INTERNATIONAL JOURNAL of PEDIATRIC OTORHINOLARYNGOLOGY.2020,136:doi:10.1016/j.ijporl.2020.110253.
APA:
Xiaoli Yi,Linyin Yao,Pengfei Zhao,Xinyu Yuan&Zhenchang Wang.(2020).Three-dimensional assessment of pharyngeal volume and cross-sectional area in Chinese infants and preschool children.INTERNATIONAL JOURNAL of PEDIATRIC OTORHINOLARYNGOLOGY,136,
MLA:
Xiaoli Yi,et al."Three-dimensional assessment of pharyngeal volume and cross-sectional area in Chinese infants and preschool children".INTERNATIONAL JOURNAL of PEDIATRIC OTORHINOLARYNGOLOGY 136.(2020)