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在metopic synostosis中的眼睛和轨道解剖学
Linda Gaillard1, Anna E Puppels1, Marjolein H G Dremmen2
1From the Department of Plastic and Reconstructive Surgery and Hand surgery, Erasmus MC-Sophia Children's Hospital, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Plastic and reconstructive surgery. Global open
|October 12, 2023
概括
梅托皮性阴静结与改变的轨道解剖学有关,导致眼较浅,较宽和较高. 这些变化可能会导致视力问题,但确切的关系需要进一步研究.
科学领域:
- 头骨面部解剖学 头骨面部解剖学
- 眼科医生 眼科 眼科
- 儿科外科手术 儿科外科手术
背景情况:
- 梅托皮性视觉静止症与视力障碍的高发病率有关.
- 假设改变的轨道解剖学会对眼睛发育和视觉结果产生负面影响.
- 这项研究调查了metopic synostosis和眼睛/轨道形态之间的关系.
研究的目的:
- 为了比较眼睛和轨道尺寸在患有metopic synostosis和sagittal synostosis的患者.
- 识别可能导致视觉异常的特定解剖学差异.
主要方法:
- 对134名非综合性美托皮性静止症患者和134名对照患者 (非综合性沙吉塔性静止症) 的回顾性分析.
- 从手术前的CT扫描中测量眼睛 (轴长,宽,球高度) 和轨道尺寸.
- 经患者年龄和性别调整后的统计分析.
主要成果:
- 两组之间轴长或轴宽没有显著差异.
- 梅托皮综合症患者的地球高度显着较小 (P=0.0002).
- 轨道尺寸的显著差异,包括更窄的轨道间长度和轨道轴,以及更大的垂直轨道高度 (P<0.001).
结论:
- 与对照人群相比,患有梅托皮位症的患者的轨道较浅,更宽,更高.
- 虽然眼睛的尺寸在很大程度上是相似的,但地球的高度是减少的.
- 改变的轨道和眼睛尺寸可能在视觉异常中起因作用,尽管发育序列尚不清楚.
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