在不同骨类别中下孔和道的位置以及双边斜裂骨切除术的含义
Raquel Werczler Queiroz de Castro1, Daniel Amaral Alves Marlière2, Francisco Haiter Neto1
1Division of Oral Radiology, Piracicaba Dental School, University of Campinas, Campinas, Brazil.
Journal of maxillofacial and oral surgery
|October 8, 2024
概括
这项研究分析了不同骨类的下解剖学,发现了轻微的变化. 外科医生应注意在二级和三级患者中进行双边松骨折切除术 (BSSO) 的特定测量,以确定关键的手术区域.
科学领域:
- 口腔和牙面部外科手术
- 人体解剖学 解剖学 解剖学
- 放射学 放射学是一门学科.
背景情况:
- 对下管 (MC) 和下孔 (MF) 的准确解剖学知识对于安全的手术程序至关重要.
- 双边松骨折切除术 (BSSO) 是一种常见的手术,了解骨类别之间的解剖学变异对于手术规划很重要.
研究的目的:
- 评估下孔 (MF) 和下通道 (MC) 在骨类I,II和III的位置差异.
- 确定这些解剖学变异对执行双边斜骨折切除术 (BSSO) 的影响.
主要方法:
- 一项采用圆束计算机断层扫描 (CBCT) 的横截面研究,对90名骨类I,II和III的患者进行了测试.
- 使用多平面重建,对MF和MC进行了线性测量,以及下尺寸.
- 统计分析,包括双向ANOVA和Tukey测试,用于比较骨类别之间的测量.
主要成果:
- 从统计学上显著的差异被观察到从MF的线性测量到骨类I和II之间的下突.
- 在与MC的位置 (B,C) 或尺寸 (D,E,F) 相关的测量中,在骨类中没有发现显著差异.
- 从MC到膜脊 (A) 的线性测量在III类骨中比II类更短.
结论:
- 虽然大多数测量表明BSSO技术可能不需要对不同类别的骨进行重大修改,但特别强调了特定的解剖学地标.
- 测量从MF到二级下口,从MC到三级膜,可以帮助外科医生在BSSO期间识别关键区域.
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