综合性鼻腔轮分类及其从放射检查的特征:一个横截面研究
Xi Lin1, Shaobing Li1, Xianghuai Zheng2
1Affiliated Implantology center, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, People's Republic of China.
BMC oral health
|August 30, 2024
概括
一个新的大鼻 (MS) 轮分类系统,可以帮助外科医生在手术前评估鼻地板升高 (SFE). 这种基于形束计算断层扫描 (CBCT) 的系统揭示了影响SFE结果的显著解剖变异.
科学领域:
- 牙科 牙科是指牙科的专业.
- 口腔和牙面部外科手术
- 放射学 放射学是一门学科.
背景情况:
- maksillary sinus (MS) 解剖学呈现出显著的变化,影响像 sinus floor elevation (SFE) 这样的外科手术程序.
- 准确的手术前评估对于成功的SFE结果至关重要.
- 现有的分类系统可能无法充分捕捉成员国的解剖学多样性.
研究的目的:
- 提出一个全面的上 sinus (MS) 轮分类系统.
- 使用形束计算断层扫描 (CBCT) 评估解剖特征.
- 为了研究MS轮和鼻地板高度 (SFE) 之间的关系.
主要方法:
- 对283个接受SFE的患者的CBCT扫描进行分析.
- 根据口腔-平板 (类型A-E) 和 mesial-distal (类型1-4) 的评估,对MS轮的分类.
- 测量关键的解剖学参数:剩余骨高度 (RBH),鼻宽度 (SW),大鼻角 (MSA),口腔俯冲角 (BDA),口腔鼻 (PNR) 和鼻深度.
主要成果:
- 确定了11个不同的MS轮组.
- 在RBH,MSA,BDA和SW的统计学上显著的差异被观察到跨组.
- 狭窄和倾斜的MS (A2) 组显示出最高的RBH,而方形和形鼻腔 (D3) 组显示出最低的RBH.
- 在SW和MSA之间有很强的正相关性 (r=0.67);在SW和BDA之间有很强的负相关性 (r=-0.65).
- 鼻腔缩 (PNR) 的患病率为38%,在卵状和斜坡MS (C2) 组中经常出现.
结论:
- 大鼻 (MS) 存在显著的解剖变异,需要一个强大的分类系统.
- 拟议的MS轮分类系统有助于外科医生进行手术前评估.
- 该系统有助于更精确地了解MS解剖学,从而改善SFE规划.
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