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在患有III类骨缺陷症的患者中,在双边松裂骨切除术后,不同语言分裂模式对骨稳定性的影响

Chenxinzi Lin¹, Mingjuan Li¹, Jingyuan Zhang¹

¹State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, China; Department of Orthognathic & Cleft Lip and Palate Plastic Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan, China.

Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery

|June 4, 2025

概括

在双边斜骨切除术 (BSSO) 后的语言分裂模式对III类缺陷患者的下性复发产生影响. 具体来说,LSS2组表现出更严重的前下复发和增加了弗兰克福特下平面角 (FMA).

科学领域:

整形手术整形手术整形手术
面外科手术面外科手术
牙科研究牙科研究

背景情况:

骨III类缺陷通常需要进行外科纠正,例如双边松裂骨切除术 (BSSO).
在BSSO后的语言分裂模式可以影响手术结果和骨稳定性.
了解这些模式对于预测和管理术后复发至关重要.

研究的目的:

为了研究不同的语言分裂模式的影响,由语言分裂量表 (LSS) 分类,在BSSO后骨稳定性.
在不同LSS组中比较下复发程度和弗兰克福下平面角度 (FMA) 的变化.

主要方法:

对159名患有骨III类缺陷的患者进行了回顾性队列研究,这些患者接受了BSSO.
使用Lingual Split Scale (LSS) 将语言分裂骨折分类为LSS1,LSS2和LSS3组.
使用ANOVA和千平方测试分析手术前,手术后1周和手术后6个月的侧面脑图.

主要成果:

部在BSSO后表现出良好的骨稳定性.
与LSS1和LSS3组相比,LSS2组表现出明显更严重的前下复发 (P=0.011).
在手术后的LSS2组中观察到弗兰克福下平面角 (FMA) 的显著增加 (P=0.003).

结论:

不同的语言分裂模式显著影响BSSO后的骨稳定性,在III类恶性闭塞中.
LSS2语言分裂模式与下下复发的增加和FMA的不利变化有关.
根据语言分裂模式定制手术技术可能会改善骨的长期稳定性.

关键词:

双边松骨裂骨切除术是双边松骨裂骨切除术.语言分裂是语言的分裂.整形手术整形手术整形手术复发复发的情况骨的稳定性骨的稳定性

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