临床鼻偏差在中面进步后,在患有综合性关节突症的患者中
Iris E Cuperus1, Parinaz Rostamzad1, Simone E Bernard2
1Department of Plastic and Reconstructive Surgery and Hand Surgery, Sophia Children's Hospital - Erasmus Medical Center, Rotterdam, the Netherlands.
The Journal of craniofacial surgery
|March 27, 2025
概括
在患有阿珀特综合征和克鲁松综合征的患者中,面部中部手术可能会导致鼻子偏差. 虽然37%的患者出现了不对称性恶化,但超过一半的患者随着时间的推移自发改善.
科学领域:
- 面外科手术 面外科手术
- 儿童整形手术 儿童整形手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 鼻子偏差是中脸手术后的一个已知的并发症.
- 了解长期的鼻变化对于患者护理至关重要.
研究的目的:
- 评估中脸手术后临床可见的鼻子偏差的发生率和进展.
- 评估这些鼻子偏差随着时间的推移的自然过程和自发纠正的潜力.
主要方法:
- 对Apert和Crouzon患者进行Le Fort III,单块或面部双分割手术的回顾性分析.
- 通过2D照片评估的临床鼻腔偏差 (手术前,短期,长期术后).
- 对现有的手术前和手术后CT扫描进行审查.
主要成果:
- 37%的患者在手术后出现了恶化的鼻不对称.
- 在那些偏差恶化的患者中,53%的患者长期表现出自发改善.
- 没有发现发展或自我纠正鼻偏差的预测因素.
结论:
- 在16%的患者中存在手术前鼻偏差.
- 中脸手术导致37%的鼻子偏差恶化,但超过一半的这些病例出现了自发改善.
- 鉴于不可预测性,与患者和家人讨论鼻子偏差风险至关重要.
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