在骨架III类缺陷症患者中,喉气道结构和功能的变化,在正确骨头手术后一年
Li Hongyu1,2, Cui Jing1,2, Wang Shouyi1,2
1Department of Oral and Maxillofacial Surgery, Jinan Stamotological Hospital, No.101 Jingliu Road, Jinan, Shandong, 250001, China.
Clinical oral investigations
|February 4, 2025
概括
骨III类缺陷的骨头骨手术显著减少了喉气道尺寸,并在手术后一年增加了气道阻力. 这些结构和功能变化影响治疗计划,以改善患者的治疗结果.
科学领域:
- 矯正牙醫和臉外科手術
- 生物医学工程 生物医学工程
- 3D成像和计算流体动力学
背景情况:
- 骨III类缺陷呈现复杂的解剖学挑战.
- 整形手术是严重的III类骨缺陷的常见治疗方法.
- 了解手术后的气道变化对于患者管理至关重要.
研究的目的:
- 在III类异常闭塞患者的正经手术后分析喉气道结构和功能的变化.
- 为了量化呼吸道尺寸和空气流动力学的变化,手术后一年.
主要方法:
- 分析了30名患者的形光束计算机断层扫描 (CBCT) 扫描,在Lefort I和双边斜裂骨切除术之前和一年后进行了分析.
- 使用Element 3D (E3D) 重建和分析了3D气道模型.
- 使用ICEM-CFD和Fluent软件进行了计算流体动力学 (CFD) 模拟,以评估气道功能.
主要成果:
- 观察到喉气道的最小前后直径,横截面积和体积的显著减少.
- 喉气道阻力在手术后显著增加,而壁切应力保持相对稳定.
- 鼻截面区域没有显著的变化.
结论:
- 整形手术导致喉呼吸道在手术后一年内发生显著的解剖和功能变化.
- 减少喉气道的最小横截面积是治疗规划的关键因素.
- 进一步考虑这些气道修改对于优化III类缺陷手术结果至关重要.
相关概念视频
Anatomy of Respiratory System I: Upper Respiratory Tract
918
The upper respiratory tract plays a vital role in the respiratory system, comprising several structures that facilitate air intake and prepare air for the lungs. It also serves as the first line of defense against pathogens and particles. This tract includes the nose and nasal cavity, the oral cavity, the paranasal sinuses, and the pharynx, each with specific functions and features.
Nose and nasal cavity
The nose and nasal cavity represent the main external openings of the respiratory tract....
Nose and nasal cavity
The nose and nasal cavity represent the main external openings of the respiratory tract....
918
Pharynx
1.2K
The pharynx, a tubular structure framed by skeletal muscle and lined with mucous membrane, extends continuously from the nasal cavities. It is segmented into three major areas: the nasopharynx, oropharynx, and laryngopharynx.
Nasopharynx
The nasopharynx, bordered by the conchae of the nasal cavity, serves exclusively as an air conduit. In its superior region, the pharyngeal tonsils or adenoids are located. These tonsils are clusters of lymphoid reticular tissue akin to a lymph node. The precise...
Nasopharynx
The nasopharynx, bordered by the conchae of the nasal cavity, serves exclusively as an air conduit. In its superior region, the pharyngeal tonsils or adenoids are located. These tonsils are clusters of lymphoid reticular tissue akin to a lymph node. The precise...
1.2K
The Hyoid Bone
1.7K
The hyoid bone is a small U-shaped bone located in the upper neck at the level of the inferior mandible, with its tips pointing posteriorly. It does not directly articulate with any other bone in the body. The hyoid acts as the attachment site for the tongue, the larynx, and the pharynx. It is held in position by a series of small muscles attached from above or below. These muscles help to move the hyoid up/down or forward/back in coordination with movements of the tongue, larynx, and pharynx...
1.7K
Chronic Pharyngitis
989
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
989
Sutures of the Skull
6.1K
The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
6.1K


