在患有面异常的儿童中,术后上呼吸道体积测量
Tom Ben-Dov1, Lydia Pan2, Alex J Gordon2
1Department of Otolaryngology-Head and Neck Surgery, NYU Langone Health, New York, New York, USA.
概括
患有面异常的儿童在术后的呼吸道体积小于正常. 三维 (3D) 呼吸道分析有助于手术规划,以优化呼吸.
科学领域:
- 医疗成像医学成像
- 面外科手术 面外科手术
- 儿科耳鼻喉科 儿科耳鼻喉科
背景情况:
- 面异常可以显著影响气道尺寸.
- 术后呼吸道评估对于患者的结果至关重要.
- 规范性数据为评估气道大小提供了一个基准.
研究的目的:
- 为量化手术后的上呼吸道体积,在儿科患者的面异常.
- 为了将这些数量与已确定的规范值进行比较.
- 评估3D成像在评估术后呼吸道动态中的实用性.
主要方法:
- 这是一项追溯性比较研究,涉及21名患有面异常的儿科患者.
- 使用3D处理软件 (海豚3D) 来测量CT扫描的上呼吸道体积.
- 将测量量与公布的规范数据进行比较.
主要成果:
- 手术后的口腔大体积显著减少 (43.7%的减少,P<.001).
- 上空气道总体体积显著减少 (31.6%,P = .003).
- 与规范相比,鼻或鼻下部体积没有发现显著差异.
结论:
- 患有面异常的儿童在术后的呼吸道体积减少.
- 即使是微小的气道体积增加也可以大大改善空气流量.
- 3D呼吸道评估对于手术规划和优化呼吸道功能是有价值的.
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