在儿童的上呼吸道体积测量与面异常的儿童
Alex J Gordon1, Tom Ben-Dov2, Leena Asfour2
1NYU Grossman School of Medicine, NYU Langone Health, New York, New York, U.S.A.
The Laryngoscope
|November 28, 2023
概括
与对照人群相比,患有面综合征的儿童的呼吸道体积明显较小,特别是在鼻腔和鼻中. 这种定量分析有助于了解这些患者的呼吸困难.
科学领域:
- 儿科放射学 儿科放射学
- 头骨面部异常 头骨面部异常
- 气道成像 气道成像
背景情况:
- 上呼吸道阻塞在患有面异常的儿童中很常见.
- 为了更好地理解,需要进行定量气道测量.
研究的目的:
- 量化测量儿童的气道体积与面异常.
- 为了将这些体积与年龄和性别匹配的对照进行比较.
主要方法:
- 对儿童头部和部CT扫描的回顾性审查,这些儿童有面异常 (ICD-10代码Q75.1,Q75.4,Q87.0) 和孤立的突 (Q75.0).
- 使用海豚成像软件测量的气道体积 (鼻腔,鼻,口,下).
- 气道总体积计算为个体段体积的总和.
主要成果:
- 综合征患者 (n=30) 的呼吸道总体体积比对照组 (n=30) 低25%.
- 鼻腔体积在综合征患者中小了39%,鼻体积小了32%.
- 在口腔大或下口腔大中没有发现显著的体积差异.
结论:
- 介绍了一种用于量化儿科面患者呼吸道体积的新技术.
- 气道体积减少,特别是在鼻腔和鼻区域,是面综合征的特征.
- 这些发现提高了对这些儿童呼吸障碍的解剖学和病理生理学的理解.
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