在慢性鼻炎患者内镜鼻手术后的解剖学变化
Ameen Biadsee1,2,3, Rabie Shehadeh1, Matan Katz2,3
1Department of Otolaryngology-Head and Neck Surgery, Western University, London, ON N6A 3K7, Canada.
Journal of clinical medicine
|April 12, 2025
概括
下轮 (IT) 外骨折有效地在鼻手术后长期侧面化了IT. 乙切除术没有改变羊皮板或地球位置,这表明这些结构的安全性.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术解剖学 手术解剖学
- 医疗成像医学成像
背景情况:
- 鼻手术可以改变鼻和鼻骨结构.
- 之前的研究指出了手术后的纸膜和眼膜膜的媒介化.
- 有限的证据存在于低级轮机 (IT) 在外断后的长期位置.
研究的目的:
- 在修复内镜外科手术后评估IT,羊皮膜和球体的解剖变化.
- 评估低级轮机 (IT) 外裂随着时间的推移的耐用性.
主要方法:
- 对44名患者进行了回顾性内镜修复性手术的回顾性分析,其中包括ethmoidectomy和IT外骨折.
- 术前和术后CT扫描的比较,以测量解剖变化.
- 对隔膜和侧鼻壁相对IT位置的量化,轨道间距离和地球位置.
主要成果:
- 观察到IT的显著,持久的横向化,在手术后持续了几年.
- 没有检测到轨道间距离 (IOD) 或地球位置的统计学意义上的变化.
- 乙切除术并没有导致纸板的媒介化或球体的移位.
结论:
- 下轮机 (IT) 的外裂会对轮机的位置产生持久的影响.
- 修复内镜内腔外科手术,包括乳房切除术,在拉米纳纸和地球定位方面似乎是安全的.
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