在大上升后,患有单侧裂唇/口腔 (UCL/P) 患者的气道变化
The Angle orthodontist
|June 15, 2023
概括
在患有单边裂唇/口腔 (UCL/P) 的患者中,上部推进手术显著改善了气道体积和区域. 圆束计算机断层扫描 (CBCT) 证实了这些在尾,尾和整体气道的积极变化.
科学领域:
- 整形手术 整形手术 整形手术
- 面外科手术 面外科手术
- 呼吸道成像 呼吸道成像
背景情况:
- 单侧裂唇/口腔 (UCL/P) 可能会影响面发育和气道尺寸.
- maksillary 缺血症是UCL/P患者的常见特征.
- 像大前进这样的手术干预旨在纠正骨差异,并可能改善呼吸道功能.
研究的目的:
- 在UCL/P患者的上上升手术后,评估逆气道 (RPA),逆气道 (RGA) 和总气道 (TA) 的体积和尺寸变化.
- 为了评估与此手术相关的脑表变化.
- 使用圆束计算断层扫描 (CBCT) 进行精确的气道和骨测量.
主要方法:
- 在手术前 (T1) 和手术后 (T2) 阶段,对30名UCL/P患者 (17-20岁) 的CBCT扫描进行了回顾性分析.
- 测量包括RPA,RGA和TA体积,角面积和最小横截面积 (MCA).
- 配对t试验用于比较手术前和手术后的测量,统计显著性设置为P < .05.05.
主要成果:
- 手术后观察到RPA,RGA和TA体积的显著增加 (分别为P = .019,P = .019,P = .002).
- 在RGA和TA的斜腰区域显示显著增加 (P = .020和P = .016).
- RPA最小截面面积 (MCA) 显著增加 (P = .002),而脑力测量分析显示了除SNB外的显著变化.
结论:
- 在UCL/P患者中,大前进手术会导致尾,尾和整体气道的体积和尺寸显著改善.
- CBCT成像为评估这些气道变化提供了有价值的数据.
- 这些发现支持大进步作为一种有效的治疗方法,以改善这种患者群体的气道尺寸.
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