部自转:在临床决策中,关键的虚拟参数是关于部第一和部第一序列的临床决策
F O Andriola1, Y Weinberg2, L Grosjean3
1Department of Oral and Maxillofacial Surgery, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil; Division of Maxillofacial Surgery, Department of Surgery, AZ Sint-Jan Brugge-Oostende AV, Bruges, Belgium.
International journal of oral and maxillofacial surgery
|February 13, 2024
概括
在中间 splint 设计中,部自转会影响准确性. 这项研究指导了根据特定的运动和形来在整形外科手术中选择首或下首序列,以最大限度地减少错误.
科学领域:
- 整形手术 整形手术 整形手术
- 虚拟手术规划虚拟手术规划
- 生物医学工程 生物医学工程
背景情况:
- 在中间 splint 设计期间的下自旋可以导致显著的转移错误和减少 orthognathic 手术的准确性.
- 优化中间 splint 设计对于可预测的外科结果至关重要.
研究的目的:
- 为了评估下巴自旋转在首和下首序列中,用于中间 splint 设计.
- 根据患者特定因素,指导临床决策制定最合适的序列.
- 为了识别影响自旋要求的直角运动和面形变形.
主要方法:
- 分析了194名接受正手术的患者的3D虚拟手术规划数据.
- 使用克鲁斯卡尔-瓦利斯试验和后期偶尔对比的子组分析.
- 评估特定的运动 (Le Fort I垂直/斜面变化,斜坡纠正) 和变形 (II类,III类,前开口咬伤).
主要成果:
- 首次序列适用于涉及Le Fort I后部侵入,前部开口咬伤和骨III类变形的双骨切除术.
- 建议在Le Fort I全球挤出过程中进行下第一个序列,特别是在大斜率校正时.
- 特定的直角运动和变形需要不同程度的下自旋.
结论:
- 在部第一和下部第一序列之间做出选择时,应考虑计划的直角运动和面形的类型.
- 了解自旋转要求有助于选择最佳的手术顺序,从而提高中间 splint 设计的准确性.
- 这项研究提供了有价值的见解,以改善复杂的正形病例的虚拟规划和外科手术执行.
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