头部倾斜是否影响面部外观,而不是头部转动?
Mohamad Reza Akbari1, Masoud Khorrami-Nejad2, Haleh Kangari3
1Translational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Journal of ophthalmic & vision research
|August 21, 2023
概括
面部不对称性在头部倾斜而不是转头的患者中更为常见. 与头转相比,头倾斜与面部不对称的更高患病率有关.
科学领域:
- 眼科医生 眼科 眼科
- 儿科眼科医生 儿科眼科医生
- 面外科手术 面外科手术
背景情况:
- 先天性头部倾斜和头部转动是儿科患者常见的疾病.
- 面部不对称可能是由于长时间的异常头部姿势造成的.
- 了解这些情况中面部不对称的患病率和特征对于诊断和管理至关重要.
研究的目的:
- 为了比较先天性头部倾斜患者与先天性头部转动患者的面部不对称参数的频率和类型.
- 为了确定与每个条件相关的特定的定量和定性面部不对称性特征.
主要方法:
- 一项涉及155名受试者的横截比较研究:58名具有先天性纯头部转向 (杜安收缩综合征),33名具有先天性纯头部倾斜 (引进或杜安收缩综合征的上升) 和64名正向对照.
- 数字照片的计算机分析,以评估相对面部尺寸和面部角度.
- 对面部,脸和鼻孔的片面压缩以及膜偏差进行定性评估.
主要成果:
- 与对照组 (34.3%) 相比,头部倾斜 (97%) 和头部转 (86.2%) 的群体中面部不对称性发生的频率明显高.
- 头部倾斜的患者的平均面部角度 (1.78o) 和相对面部尺寸 (1.027) 比头部倾斜的患者 (1.19o和1.018分别) 高得多.
- 特定的定性不对称性,如鼻孔压缩和结肠膜偏差,在头部倾斜组中更为普遍.
结论:
- 无论是先天性的头部倾斜还是头部转动都与与正方体受试者相比,面部不对称的频率显著更高.
- 先天性头部倾斜显示了面部不对称的更高的流行率和严重程度,包括定量和定性参数,而不是先天性头部倾斜.
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