在双骨整形手术后,患有裂的患者的喉气道的三维比较变化
Pin-Ru Chen1, Soo-Ha Kwon1, Lun-Jou Lo1
1From the Department of Plastic and Reconstructive Surgery and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University.
Plastic and reconstructive surgery
|May 31, 2023
概括
整形手术 (OGS) 在双边裂患者中改善了喉体积. 然而,在双边裂和喉膜 (PF) 患者中,中脸低成形和缩小的耳鼻体积更为明显.
科学领域:
- 面外科手术 面外科手术
- 矯正牙科 矯正牙科是一種矯正牙科.
- 整形外科 整形外科 整形外科
背景情况:
- 患有唇裂的患者经常表现出中脸的低成形.
- 整形手术 (OGS) 用于纠正这些患者的骨差异.
- 在裂口种群中,OGS对喉气道的影响需要进一步研究.
研究的目的:
- 为了评估OGS后喉气道的三维变化.
- 为了比较患有单边裂和双边裂的患者的这些变化.
- 为了评估膜 (PF) 对单侧裂患者呼吸道尺寸的影响.
主要方法:
- 在45名患者中,在OGS之前和之后获得了圆束计算机断层扫描 (CBCT) 扫描.
- 测量了喉气道体积和最小的横截面积.
- 分析了面部标志的水平移位.
主要成果:
- 双边裂患者初始体积较小,但OGS后显著增加.
- 与没有PF的患者相比,有PF手术史的单边裂患者的初始和后OGS喉体积较小.
- 面部标志的水平移位 (A和B点) 在单边和双边裂组之间没有显著差异.
结论:
- 双边裂患者和单边裂患者中,中面缺血和喉体积减少更为明显.
- 在双边裂患者中,OGS导致了喉体积的显著增加.
- 在OGS后单边裂患者的PF中,没有观察到velopharyngeal体积变化的显著差异.
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