轨道内通道变异及其临床和外科影响. 一个系统的审查
Mathias Orellana-Donoso1, Diego Romero-Zucchino1, Alonso Fuentes-Abarca1
1Escuela de Medicina, Universidad Finis Terrae, 7501015, Santiago, Chile.
Surgical and radiologic anatomy : SRA
|April 29, 2024
概括
这项研究详细介绍了轨道下通道 (IOC) 变异,这对于预防鼻手术期间神经损伤至关重要. 了解这些解剖学变异有助于手术规划,并改善患者的治疗结果.
科学领域:
- 人体解剖学 解剖学 解剖学
- 放射学 放射学是一门学科.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 人们越来越多地认识到阴鼻神经的解剖学变异,特别是轨道下神经 (ION).
- 关于悬浮的轨道下通道 (IOC) 变体的数据有限,尽管它们在鼻腔手术过程中可能会引起阳性并发症.
- 在鼻腔手术之前,使用圆束计算机断层扫描 (CBCT) 进行全面的放射性评估至关重要.
研究的目的:
- 系统地审查和分类下轨道通道 (IOC) 的解剖变异.
- 评估IOC变种的流行情况.
- 报告IOC变种与临床条件和外科手术影响的相关性.
主要方法:
- 在多个数据库 (Medline,Scopus,Web of Science等) 中进行系统的文献搜索. 在2023年6月之前.
- 两位作者使用AQUA工具进行独立研究选择,数据提取和质量评估.
- 使用随机效应模型进行聚合流行率估计.
主要成果:
- 确定了四种类型的IOC变体:1型 (MS屋顶内/下),2型 (部分突出),3型 (完全突出/悬浮) 和4型 (在轨道底部).
- 临床含义因类型而异,影响ION的外科鉴定,并需要像类型 2 中的劣质转移等技术.
- 类型3允许轻松接触ION,具有0°范围.
结论:
- 本综述对IOC变异进行了分类,提供了预防神经损伤和改善手术前评估的临床建议.
- 不一致的统计方法和数据异质性限制了IOC变体和临床结果之间的强有力的关联.
- 未来的研究需要标准化的报告,客观的测量和强大的统计方法,以全面了解IOC变体.
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