Cambios En La Via Aerea Superior Posterior A Expansion Rapida Del Maxilar En Ninos De 12 Anos

Rapid maxillary expansion is often considered the treatment of choice for the correction of maxillary constriction. Several studies highlight the effect of rapid maxillary expansion in increasing nasal length and volume. The aim of this study is quantifying the volumetric changes of the upper airway, the maximum restricted area of the upper airway and the nostrils area, after the intervention of a rapid maxillary expansion using bimaxillary CBCT. A retrospective study was carried out, in which 14 patients of 12 year old with a diagnosis of unilateral or bilateral crossbite and skeletal maxillary constriction were selected. The treatment was carried out with a Mcnamara-type rapid expansion device and 8 mm of disjunction was planned. An initial bimaxillary CBCT was requested and another 15 days after treatment. Measurements were made at the maxillary level, upper airway and the maximum restricted area and the cross section of the nostril area, using 3D measuring softwares. It was obtained that, for every 1 mm of planned disjunction, 0.65 mm of maxillary disjunction is achieved, an upper airway gain of 0.7 cm3, the maximum restricted area gain of the upper airway of 9 mm2 and a gain in the nostrils area of 7.4 mm2 on average. In conclusion rapid maxillary expansion generates a significant increase in the volume of the upper airway and its narrower area.

Dimensional Analyses of the Yale-Brown Obsessive-Compulsive Scale and Yale-Brown Obsessive-Compulsive Scale Checklist / 대한정신약물학회지

OBJECTIVE: Although obsessive-compulsive disorder (OCD) has long been a unitary diagnosis, there is much recent interest in its potential heterogeneity, as manifested by symptom subgroups. Although the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) is a widely used instrument to assess obsessive-compulsive symptomatology, the variables reflecting the pathogenesis of OCD and Y-BOCS subscores usually were not significantly associated. The aims of this study are to clarify identification of dimensional structure of the symptoms from YBOCS checklist and to explore the factor structure of the Y-BOCS. METHODS: Ninety five OCD patients participated in this study and performed the Y-BOCS and Y-BOCS checklist. The 13 main symptom categories from Y-BOCS checklist and 10 items from Y-BOCS were factor analyzed by using principal components analysis, respectively. RESULTS: Using principal component analysis, we derived 4 factors from 13 main contents of YBOCS checklist. Four factors-hoarding/repeating, contamination/cleaning, aggressive/sexual, and religious/somatic- accounted for more than 60% of the variance. And we derived 3 factors from 10 items of Y-BOCS and these 3 factors-severity of obsession, severity of compulsion, and resistance to symptoms-accounted for more than 70% of variance. CONCLUSIONS: The four symptom dimensions from Y-BOCS checklist and three symptom dimensions from Y-BOCS were identified as significant factors accounting for the variance. These factors may be of value in future genetic, neurobiological, and treatment response studies.