脊柱鼻气化类型和与相邻的神经血管结构的相关性使用圆束计算机断层扫描
Mohadese Tavakoli1, Nasim Jafari-Pozve2, Seyed Sasan Aryanezhad2
1Faculty of Dentistry, Isfahan (khorasgan) Branch, Islamic Azad university, Isfahan, Iran.
概括
圆束计算机断层扫描 (CBCT) 显示了常见的状鼻肺炎和Onodi细胞,突出显示了视神经和内动脉的风险. 建议进行手术前的CBCT,以预防并发症.
科学领域:
- 放射学 放射学是一门学科.
- 人体解剖学 解剖学 解剖学
- 神经外科 神经外科
背景情况:
- 状鼻气动化的模式各不相同,并且可能涉及关键的神经血管结构.
- 了解这些变异对于手术规划至关重要,特别是对于跨形手术.
- 体细胞代表了一种具有潜在临床意义的解剖变异.
研究的目的:
- 评估鼻肺炎类型及其与视神经 (ON) 和内动脉 (ICA) 的关系.
- 评估与状鼻相关的Onodi细胞的患病率和特征.
- 确定形光束计算机断层扫描 (CBCT) 在识别这些解剖变异中的实用性.
主要方法:
- 一项横截面研究分析了97个成年患者的CBCT扫描.
- 状鼻肺炎的分类是基于与土耳其的关系.
- 评估ON和ICA与状鼻 (平滑或延长类型) 的距离.
- 评估Onodi细胞的存在及其与状鼻的空间关系.
主要成果:
- 细胞后类型的肺炎是最常见的 (82.5%).
- 最常见的是ON,ICA和状鼻之间的平滑相关性.
- 在28.9%的病例中存在单体细胞,侧面类型是最常见的.
结论:
- 状鼻肺炎,奥诺迪细胞和神经血管突起是常见的发现.
- CBCT对于手术前评估状鼻解剖学是有价值的.
- 建议进行手术前的CBCT成像,以减轻跨形外科手术中的术前和术后并发症.
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