额头鼻解剖学种族和性别的变化使用国际额头鼻解剖学分类
Lauren A Howser1, Alexander J Jones1, Satyan B Sreenath1
1Department of Otolaryngology-Head & Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Ear, nose, & throat journal
|July 20, 2023
概括
额头鼻腔解剖学因种族和性别而异,影响疾病的发展. 超视道上皮质细胞与带前鼻炎的慢性鼻炎 (CRFS) 有关,需要进行手术意识.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 放射学 放射学是一门学科.
- 人体解剖学 解剖学 解剖学
背景情况:
- 额头鼻的解剖学变化可以影响疾病的表现和外科手术的结果.
- 国际额头鼻解剖学分类 (IFAC) 系统为描述这些变异提供了一种标准化的方法.
- 了解人口统计学与额头鼻腔解剖学的相关性对于个性化医学至关重要.
研究的目的:
- 使用IFAC系统识别和分类额头鼻的解剖学变异.
- 分析不同患者性别和种族群体中这些变异的流行程度.
- 调查特定解剖学变异与前额卷入性慢性鼻炎 (CRFS) 之间的关联.
主要方法:
- 从2015年至2020年对成年人计算机断层扫描 (CT) 鼻成像的回顾性审查.
- 应用IFAC系统来记录额头鼻细胞的流行.
- 基于患者的性别,种族和CRFS状态的解剖学变异的统计比较.
主要成果:
- 总共分析了184名患者 (368个侧面);48.9%的人患有CRFS.
- 超激增细胞在白人患者中最为普遍 (P = 0.009).
- 在亚洲患者 (P = 0.017) 中,上耳道上质细胞更常见,并且与CRFS相关 (P = 0.024). 亚洲人中CRFS的发病率也更高 (P=0.013).
结论:
- 在额头鼻腔解剖学和CRFS患病率方面存在显著的种族和性别差异.
- 超视道上质细胞被确定为发展CRFS的危险因素.
- 了解这些解剖模式对于优化额头鼻手术结果至关重要.
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