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单侧裂口唇有骨轨道的不对称性:一项回顾性研究

Eeva Kormi¹, Elina Peltola², Niilo Lusila³

¹Päijät-Häme Joint Authority for Health and Wellbeing, Department of Oral and Maxillofacial Surgery, Päijät-Häme Central Hospital, 15850 Lahti, Finland.

Journal of personalized medicine

|July 29, 2023

概括

非综合症的单边口唇裂和 palatal 患者需要 orthognathic 手术表现出显著的骨轨道不对称. 这种不对称性,不存在于非裂患者,影响面部重建的虚拟手术规划.

科学领域:

面外科手术面外科手术
整形手术整形手术整形手术
医疗成像医学成像

背景情况:

面部不对称是单边口唇裂 (UCLP) 的一个常见特征.
虚拟手术规划 (VSP) 越来越多地使用,使轨道定位和不对称性对治疗结果至关重要.
在VSP中自动细分需要准确的解剖数据.

研究的目的:

为了研究骨轨异对称性在非综合征UCLP患者接受正形手术.
为了在UCLP患者中比较裂隙和逆侧侧之间的轨道测量.
为了评估UCLP患者是否表现出轨道不对称性,与非裂纹骨类III患者相比.

主要方法:

从UCLP患者 (n=15) 和骨类III患者 (n=16) 的圆束计算机断层扫描 (CBCT) 或计算机断层扫描 (CT) 数据的回顾性分析.
测量骨轨道的宽度,高度,深度,以及从土部到轨下通道的距离.
骨轨道的体积测量分析和使用双面配对t测试的统计比较.

主要成果:

在UCLP患者中,裂口侧的骨轨体积显著减少 (p=0.014).
在裂侧,从轨道下通道到土角的距离较短 (p=0.019).
轨道的解剖学位置在裂侧比在对侧侧面更是中间后部.

结论:

经历了正形手术的非综合征性UCLP患者表现出显著的骨轨道不对称.
这种不对称性在没有裂的III类骨患者的对照组中没有观察到.
在UCLP患者的轨道不对称性必须在虚拟手术规划中考虑上腺低成形和面部不对称性纠正.

关键词:

嘴唇裂口是一个问题.裂口口腔的 palatal palatal 是一个口腔裂口.计算机辅助的计算机辅助.面部不对称的情况轨道轨道轨道轨道整形手术是指整形手术.手术手术手术手术手术手术手术

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