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在双边唇裂患者的缺陷康复中使用主动螺杆鼻膜成型装置
Aida M Mossaad1, Moustapha A Abdelrahman2, Salem A Waly3
1Oral Surgery, National Research Center, Cairo, EGY.
Cureus
|September 30, 2024
概括
活跃的鼻膜成型 (ANAM) 有效地减少了裂间隙和前额旋转,同时延长了双边裂唇的婴儿的结膜. 这种非手术方法在手术修复之前显示出显著的改善.
科学领域:
- 面外科手术 面外科手术
- 儿童整形外科 儿童整形外科
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 双边口唇裂在鼻腔和气泡膜对称性方面提出了重大挑战.
- 早期干预对于优化裂患者手术结果至关重要.
- 鼻膜成型是一种常见的术前技术,但活性装置提供了增强的控制.
研究的目的:
- 评估活性鼻膜成型 (ANAM) 装置在非手术延长结肠膜和减少裂间隙方面的有效性.
- 评估ANAM对双边口唇裂的婴儿上前旋转的影响.
- 在手术修复之前确定ANAM的安全性和有效性.
主要方法:
- 一个案例系列的六名婴儿 (一个月大) 完全双边裂口唇和 palatal.
- 应用一个活跃的鼻膜模具 (ANAM) 设备与3D螺丝两个月.
- 在ANAM治疗前后测量唇部缺陷大小,鼻孔间隙,大结节长度和前额旋转.
主要成果:
- 前额前旋转显著减少 (平均差异± SD:4.22 ± 0.4,p < 0.05).
- 唇孔和鼻孔间隙显著减少 (p < 0.05).
- 骨高度显著增加 (平均差异± SD:2.0 ± 0.4,p < 0.001).
结论:
- ANAM装置是一种安全有效的非手术方法,用于改善结骨的长度和减少裂相关的形.
- 阿纳姆有助于显著减少嘴唇和鼻孔间隙和前额头突出.
- 这种技术为双边口唇裂的手术前管理提供了一种有价值的辅助方法.
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