在儿童下重建后以自由骨板进行对称的中面生长
Shuo Liu1, Wen-Bo Zhang2, Yao Yu2
1Attending Doctor, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, China.
概括
使用自由长片的小儿下重建并没有导致严重的中脸形. 适当的重建和封闭促进年轻患者的中面生长和对称性.
科学领域:
- 面外科手术 面外科手术
- 儿科重建性手术 儿科重建性手术
- 三维头脑测量 3D头脑测量
背景情况:
- 自由关节是下重建的常见方法,即使在儿科病例中也是如此.
- 自由关节片下重建对儿科中脸对称性的影响尚不清楚.
- 头骨和面部生长是一个相互依赖的过程,需要对面部中部发育在重建后进行评估.
研究的目的:
- 为了评估小儿科患者的中脸对称性,下下巴重建后,用自由骨.
- 评估这种重建技术对面部生长和发育的长期影响.
主要方法:
- 儿科患者 (≤14岁) 进行自由骨片下巴重建的回顾性队列研究.
- 术后计算机断层扫描 (CT) 扫描,在多个时间点使用3D脑表测量进行分析.
- 在水平,垂直和前后维度中评估面部中间对称性;通过视觉模拟尺度评估患者满意度.
主要成果:
- 包括13名儿科患者 (9名男性,4名女性;平均年龄12.23岁).
- 从手术后1年,受影响的侧面显示,从上部第一个牙到水平平面 (0.7-1.6毫米) 的距离增加,并且从甲骨裂到冠状平面 (0.6-1.2毫米) 的距离减少.
- 在其他测量中没有发现显著差异;所有患者都报告说,他们对手术后面部对称度感到满意.
结论:
- 针对儿科下缺陷的自由关节板重建不会导致严重的中脸形.
- 有效的下重建和在儿科患者中实现适当的闭塞可以支持中脸部生长和对称性.
- 这种技术是小儿下重建的可行选择,促进了令人满意的美学和功能结果.
相关概念视频
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