在顺时针旋转的整形手术中轮效应
Soo Hyun Woo1, Young Chul Kim2, Jang Yeol Lee3
1From the Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine.
Plastic and reconstructive surgery
|September 7, 2023
概括
按时针旋转,使用大后部冲击有效地纠正了亚洲人的骨III类缺陷. 这种方法,特别是轮效应,对于较长的前部下部面部高度 (LAFH) 的人来说更有利.
科学领域:
- 矯正牙醫和牙臉整形醫學
- 手术规划 手术规划
- 面外科手术 面外科手术
背景情况:
- 骨III类恶性闭塞的标准治疗包括大前进和下后退.
- 按时针旋转下巴是一种公认的整形手术技术,但其精确的机制需要进一步调查.
- 这项研究探讨了一种新的方法,使用尾后部冲击与时针旋转来纠正亚洲患者的III类缺陷,而没有尾进步.
研究的目的:
- 介绍和评估"轮效应"在纠正亚洲人的骨III类缺陷.
- 为了评估尾后部冲击的有效性,在没有尾前进的情况下以时针方向旋转.
- 调查下前面面部高度 (LAFH) 与治疗结果之间的关系.
主要方法:
- 对29名患者的回顾性分析,这些患者接受了III类校正,通过顺时针旋转上部复合体,但不包括经过阴茎整形手术的患者.
- 利用基于人工智能的脑力测量分析来测量面部骨标志.
- 通过将LAFH与前鼻脊柱的长度与后鼻脊柱长度进行比较,量化了轮效应.
主要成果:
- 在后鼻脊柱冲击和胸逆转 (P = 0.002) 之间,以及顺时针口腔角度旋转和胸逆转 (P = 0.007) 之间,发现了统计学上显著的相关性.
- 患有较长LAFH的患者表现出每单位后鼻脊柱冲击和口腔角度旋转的更大的头挫折.
- 观察到改善的A点凸度,但没有显著改变塞拉-纳西安-A点角度.
结论:
- 顺时针旋转的正形外科手术,利用轮效应,为骨III类缺陷提供了可行的治疗选择.
- 这种技术的下部逆转组件在患有较长LAFH的患者中更有效.
- 这种方法提供了骨的纠正,而不会改变塞拉-纳西-A点角度,表明稳定的结果.
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