在保守治疗后,罗宾序列面部形状:长期随访
Gabriela Leticia Clavisio Siqueira1, Cristiano Tonello2, Adriano Porto Peixoto3
1PhD student, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo.
The Journal of craniofacial surgery
|November 7, 2023
概括
罗宾序列 (RS) 呈现了面部凸起和逆转,随着生长而减少,但持续到永久牙. 保守的治疗改善了食和呼吸,但长期下生长需要进一步研究,往往需要整形手术.
科学领域:
- 头骨面部的发展
- 儿童整形手术 儿童整形手术
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 罗宾序列 (RS) 是一种先天性疾病,导致微,光和呼吸困扰.
- 保守治疗解决了食和呼吸问题,但长期下增长数据有限.
- 了解RS的面生长对于预测长期结果至关重要.
研究的目的:
- 为了评估孤立的罗宾序列患者保守治疗的面部形状的纵向变化.
- 评估不同发育阶段 (婴儿,混合和永久牙) 的面生长模式.
- 为了比较RS患者和对照组之间的面部形状参数.
主要方法:
- 100名患者的面部形状的摄影分析 (50名单独的RS,50名对照).
- 在RS患者的三个时间点 (T1,T2,T3) 测量面部凸角度 (FCA).
- 在RS和对照组之间比较了FCA,鼻角,脑角,面部下部三角和面部高度的比率.
主要成果:
- 与对照人群相比,RS患者表现出增加的面部凸度,更大的面部下部第三角,以及较高的中部至下部前部面部高度比.
- 纵向分析显示,增加的面部凸度在婴儿期最明显,并且通过混合和永久牙保持相对稳定.
- 虽然凸性随着生长而减少,但RS患者的逆向性持续到永久牙.
结论:
- 罗宾序列与持续的面部凸起和逆转有关,尽管与生长有所减少.
- 保守的RS管理并不能完全解决下部发育不良,这往往导致需要进行正手术.
- 对长期下生长和RS手术结果的进一步研究是必要的.
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