部冲击不会对鼻腔气道产生负面影响:通过元分析进行系统审查
Chee Weng Yong1, Bernadette Quah2, Wee Hsuan Ng3
1Assistant Professor, Discipline of Oral and Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, Singapore, Singapore.
概括
部冲击手术不会对鼻腔气道产生负面影响. 这项系统性审查发现,虽然鼻腔体积减少,但气流增加,阻力减少,对生活质量没有不利影响.
科学领域:
- 整形手术 整形手术 整形手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 勒福特I大冲击是一项手术程序,通过将大顶部置于更高位置来纠正中脸不一致.
- 人们担心上部冲击对鼻腔气道和相关呼吸功能可能产生的负面影响.
研究的目的:
- 系统地调查Le Fort I上冲击对鼻气道解剖学,气流,阻力和生活质量的影响.
- 为了确定大部冲击手术是否会导致鼻腔气道通透性的不良结果.
主要方法:
- 进行了系统性审查和元分析,搜索了PubMed,Embase和Cochrane图书馆的数据库.
- 包含的研究评估了Le Fort I大巴损伤后的鼻腔气道结果,不包括头面综合征或之前的鼻腔手术的病例.
- 提取的数据包括解剖变化 (CT,鼻镜,声学鼻计),气流/阻力 (鼻计) 和生活质量指标.
主要成果:
- 分析了10项涉及126-235名患者的研究.
- 部损伤使鼻腔体积减少了21.7%,但最窄部分的截面面积仅减少了8.4%.
- 鼻气流量增加了12.6%,鼻阻力减少了20.2%,鼻镜显示鼻腔阻塞减少.
结论:
- 勒福特I大损伤不会对鼻腔气道产生负面影响.
- 手术程序不会影响鼻狭窄的截面区域.
- 鼻腔气流和阻力表现出有利的变化,患者的生活质量不受不利影响.
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