三维摄影用于评估注射肉毒素注射对马塞特高的有效性
Dun-Wei Huang1,2, Chung-Yu Lai3, Jia-En Chen4,5
1Division of Plastic and Reconstructive Surgery, Department of Surgery, National Defense Medical Center, Tri-Service General Hospital, No. 325, Sec. 2, Chenggong Rd., Neihu District, Taipei City, 11490, Taiwan, ROC.
Aesthetic plastic surgery
|May 13, 2024
概括
三维摄影 (3DP) 提供了一种客观的方法,用于评估毒素A型 (BoNTA) 对体缩的有效性. 虽然3DP显示了客观的改善,但患者满意度并不总是与这些结果一致.
科学领域:
- 审美医学和整形外科手术
- 医学成像和诊断 医学成像和诊断
- 面部解剖学和生理学 面部解剖学和生理学
背景情况:
- 标志着正方形面部外观的马塞特高,通常用甲型肉毒素 (BoNTA) 治疗.
- 对在马塞特缩症中BoNTA治疗疗效的主观评价在患者和医生之间有所不同.
- 需要客观的评估方法来补充对BoNTA治疗评估的主观反.
研究的目的:
- 介绍和评估三维摄影 (3DP) 的实用性,作为一个客观的工具,用于评估masseter缩中的BoNTA治疗结果.
- 将3DP的客观测量与患者和医生的主观评估进行比较.
- 确定客观面部变化与BoNTA治疗后患者满意度之间的相关性.
主要方法:
- 十名患有马塞特缩症的患者在每侧接受了36U的BoNTA.
- 三维摄影 (3DP) 扫描是在治疗前和治疗后1,3个月和6个月获得的.
- 主观数据包括患者自我感知的突出程度,患者满意度等级和医生评估.
主要成果:
- 在治疗后6个月观察到左肌肉体积的显著减少 (P=.002休息时,P=.004紧缩时).
- 患者报告的面部突出在1个月和3个月下降 (P=.021,P=.039分别),医生得分在所有随访点显著改善.
- 没有注意到右侧按摩器体积或整体患者满意度的显著变化,这与客观发现不一致.
结论:
- 三维摄影 (3DP) 提供了准确的,客观的定量化面部轮变化后的BoNTA治疗masseter缩.
- 按摩器体积的客观改善并不总是转化为一致的患者满意度.
- 建立可靠的客观评估工具对于管理患者的期望和防止化品程序中的潜在争议至关重要.
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