评估鼻腔呼吸和立体气道体积变化在整形手术患者的评估
Hayrunisa Koçyiğit Daştan1, Mustafa Temiz2, Sümer Münevveroğlu2
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Graduate School of Health Sciences, Istanbul Medipol University, TEM Avrupa Otoyolu Goztepe Çıkışı No: 1 Bağcılar, 34214, İstanbul, Turkey.
Journal of stomatology, oral and maxillofacial surgery
|July 28, 2024
概括
涉及逆时针方向 (CCW) 旋转大的正鼻手术可以显著增加上鼻气道体积. 然而,这种手术方法并没有证明鼻腔气道的气流或阻力有所改善.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 面外科手术 面外科手术
- 呼吸系统医学 呼吸系统医学
背景情况:
- 整形手术涉及显著的骨运动,以纠正dentofacial变形.
- 部进步,特别是反时钟方向 (CCW) 旋转,在治疗特定的缺陷中很常见.
- 这些运动对鼻气道尺寸和功能的影响需要详细研究.
研究的目的:
- 为了评估在整形手术后鼻气道的体积变化.
- 评估鼻气道体积变化与鼻气流和阻力之间的相关性.
- 为了确定上部运动,包括CCW旋转,对鼻气道的特定影响.
主要方法:
- 研究了一组25名患有II或III类缺陷闭塞的患者,接受了Le Fort I和双边斜裂骨架骨切除术.
- 使用计算机断层扫描 (CT) 在手术前和手术后六个月量化鼻腔体积.
- 鼻腔空气流量和阻力在同一时间点使用鼻计和声学鼻计进行测量.
主要成果:
- 上鼻气道体积显著增加,特别是在接受CCW旋转的患者中.
- 鼻腔体积的变化与旋转方向有所不同;CCW旋转通常会增加体积,而顺时针 (CW) 旋转则显示出不同的结果.
- 没有观察到鼻腔气流或阻力在统计学上显著的改善,也没有发现气道体积变化和功能参数之间的显著相关性.
结论:
- 在整形外科手术中逆时针方向 (CCW) 旋转大巴,有效地增加了上鼻气道体积.
- 尽管体积增加了,但CCW旋转并没有显著提高鼻气道的气流或降低阻力.
- 经过手术改变鼻气道体积的功能影响需要进一步研究.
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