勒福特I骨切除术是否会影响鼻腔隔膜的偏差?
Canay Yılmaz Asan1, Ebru Baydan2, Mehmet Amuk3
1Assistant Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Erciyes University, Kayseri, Turkey.
概括
勒福特I骨切除术可以通过影响鼻腔隔膜来改变鼻子的外观. 前进和冲击运动显著增加了术后隔膜角度变化的风险.
科学领域:
- 口腔和牙面部外科手术
- 整形手术 整形手术 整形手术
- 头骨面部解剖学 头骨面部解剖学
背景情况:
- 勒福特I骨切除术通过手术重新放置了部.
- 大骨和鼻腔结构之间存在密切的解剖接近.
- 部的重新定位可能会影响鼻腔隔膜和周围组织.
研究的目的:
- 为了研究大运动对Le Fort I骨折术后鼻腔隔膜的影响.
- 分析鼻腔隔膜角度的变化,使用形光束计算机断层扫描 (CBCT).
- 为了测试大冲击和前进影响隔膜角度的假设.
主要方法:
- 对77名接受Le Fort I骨切除术的患者进行了回顾性队列研究.
- 术前 (T0) 和术后 (T1,≥12个月) 的CBCT成像.
- 分析鼻腔隔膜角度变化,与大垂直和水平运动相关.
主要成果:
- 在术后观察到平均鼻腔隔膜角的显著增加 (P = .031).
- 在28%的患者中, Septal 角下降.
- 结合上前进和冲击导致术后角变化率更高 (P = .014).
结论:
- 勒福特I骨切除术与鼻腔外观的变化有关.
- 在这种手术后,多达37%的病例中会出现 Septal 偏差.
- 了解这些变化对于手术规划和患者的结果至关重要.
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