在成长期患有口唇/ palatal 裂和面部中部低成形症的患者中,经过穿式分心后的头骨底部变化骨质生成
Binyi Zhou1, Guan Li, Peiyang Zhang
1Department of Plastic Surgery, Peking University Third Hospital, Beijing, China.
The Journal of craniofacial surgery
|January 17, 2025
概括
穿越结构分心骨质生成 (TSDO) 改善了由于唇裂 (CLP) 导致的中脸部低成形 (MH) 的儿童的头骨基形态. 这种手术使底尺寸正常化,并推进了中脸骨.
科学领域:
- 面外科手术 面外科手术
- 儿科正统牙科 儿科正统牙科
- 裂口唇和 palatus 治疗 治疗 治疗 治疗
背景情况:
- 穿越性分心骨质生成 (TSDO) 是一种手术技术,用于纠正口唇裂 (CLP) 患者的中脸部缺血症 (MH).
- 在TSDO之后,对术后头骨底部形态变化的研究有限.
- 了解底变化对于评估TSDO的长期影响至关重要.
研究的目的:
- 为了调查TSDO后儿童患者的头骨底部形态变化的MH二级到CLP.
- 为了比较术后的头骨底部尺寸与正常对照组的尺寸.
- 为了确定受TSDO影响的特定的底结构.
主要方法:
- 对35名儿童患者进行了回顾性研究,这些儿童患者患有CLP继发的MH,并接受了TSDO.
- 收集和分析治疗前和后的头骨计算机断层扫描 (CT) 扫描.
- 3D建模重建用于底测量和与102个年龄和性别匹配的对照进行比较.
主要成果:
- 在TSDO治疗后,头骨基段的长度和角度接近正常值.
- 显著的前部延伸在形骨和中部骨中观察到.
- TSDO导致状体过程和吐的前后直径增加,促进了中面的推进.
结论:
- 在儿科患者中,TSDO有效地使头骨底部尺寸和角度正常化,这些患者患有CLP后来的MH.
- 这项手术导致了中面骨的显著前部推进.
- 形骨表现出最显著的变化,表明它在TSDO诱导的中脸部发育中的关键作用.
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