产后共运动:抑郁性角大脑肌切除术与抑郁性角大脑肌切除术和 Buccinator 肌切除术的客观和主观比较
Cristina V Sanchez1, Alp Ercan1, Shai M Rozen1
1Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
Journal of reconstructive microsurgery
|February 21, 2024
概括
添加 buccinator myectomies 抑郁角 (DAO) myectomies 对于后性突触没有提供显著的临床益处. 客观和主观结果与单独的DAO肌切除术相比没有改善.
科学领域:
- 整形外科 整形外科 整形外科
- 面部复苏术 面部复苏术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 脊髓后突触会导致肌肉强度失衡,限制面部运动和微笑.
- 抑郁角 (DAO) 肌切除术是对协同运动的常见治疗方法.
- 在DAO骨髓切除术中添加 buccinator骨髓切除术的数量正在增加,但其影响尚未研究.
研究的目的:
- 为了比较单独的DAO肌切除术对DAO肌切除术与同时进行的 buccinator肌切除术的影响.
- 评估客观的面部指标和主观的患者在这些程序后的结果.
主要方法:
- 追溯对患有后性协的患者进行审查.
- 在DAO肌切除组 (n=18) 和DAO + Buccinator肌切除组 (n=19) 之间的比较.
- 通过客观的微笑测量 (角度,游览,牙科展示) 和患者报告的问卷 (FDI,肌肉切除术特定) 评估结果.
主要成果:
- 在微笑游览,角度或牙科展览方面,在手术后的两组之间没有发现显著的差异.
- 患者报告的结果,包括面部残疾指数得分,没有显著差异.
- 针对肌肉切除术的具体问卷的答案在两组之间也没有显著差异.
结论:
- 在DAO肌切除术中添加 buccinator肌切除术并没有产生显著的临床益处.
- 孤立的DAO肌切除似乎与基于客观和主观评估的联合程序一样有效.
- 进一步的研究可能会探索围腔协的替代或辅助治疗方法.
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