计算机断层扫描对顶形变形学和面部复杂变化的严重性进行定量分析,这些变化发生在后部突性头症患者身上
Rosalinda Calandrelli1, Fabio Pilato2,3, Luca Massimi4
1Radiology and Neuroradiology Unit, Department of Imaging, Radiation Therapy and Hematology, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy.
后侧位性脑 (PSP) 导致面变化,严重程度取决于诊断年龄和洞不对称指数 (CVAI). 部变化发生在早期,而中脸部变化出现在严重的病例中.
科学领域:
- 面外科手术 面外科手术
- 儿童整形手术 儿童整形手术
- 发育生物学是发展生物学.
背景情况:
- 后侧位性脑 (PSP) 显著影响面骨架.
- 面部形在PSP受年龄和诊断时的严重程度的影响.
研究的目的:
- 量化PSP儿童的面部变化.
- 调查年龄和PSP严重程度对面部形学的影响.
主要方法:
- 对22名患有PSP的婴儿进行高分辨率手术前CT扫描的分析.
- 根据早期/晚期诊断和PSP严重程度进行分类 (CVAI:轻度至中度3-12%,重度>12%).
- 对PSP患者的面部复合物的比较与年龄相匹配的健康对照.
主要成果:
- 所有PSP患者都有单边的lambdoid suture synostosis.所有PSP患者都有单边的lambdoid suture synostosis.
- 在所有患者中都观察到下部不对称性和状沟位置的改变.
- 晚期诊断的严重PSP显示下斜率发生变化,双边减少中面深度.
结论:
- 由PSP诱导的底形不规则导致面部复杂生长变化.
- 面部变化与顶形障碍症严重程度 (CVAI) 相相关.
- 形重塑发生在早期;中面部变化是次要的,在严重的情况下就会出现.
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