在II类患者中对上呼吸道的评估,这些患者在整形外科手术中经历了上部逆行和逆时针旋转
Flávio Fidêncio de Lima1,2, Tayná Mendes Inácio De Carvalho1,3, Bianca Pulino4,5,6
1Department of Oral and Maxillofacial Surgery, Encore Clinic, São Paulo 04545-041, Brazil.
Craniomaxillofacial trauma & reconstruction
|September 24, 2025
概括
以逆时针方向 (CCW) 旋转的上逆行手术可以安全地纠正II类缺陷. 这种整形外科手术方法显示了维持上呼吸道尺寸的有利趋势,表明了良好的功能和美学结果.
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
- 航空航道管理的管理.
背景情况:
- 已知部逆转手术对骨愈合和软组织的影响,但其对上呼吸道的影响尚不清楚.
- 了解上呼吸道变化对于全面的整形手术规划至关重要.
研究的目的:
- 为了评估尾背后与逆时针方向 (CCW) 旋转相结合如何影响上呼吸道尺寸.
- 评估这种手术技术的安全性和有效性,用于II类缺陷.
主要方法:
- 八名II类恶性闭塞患者的回顾性观察病例系列.
- 使用海豚成像软件分析手术前和手术后 (6个月) 的面部CT扫描.
- 气道体积,表面积和线性距离的测量;通过威尔科克森试验进行统计分析.
主要成果:
- 显著的骨变化包括下前进 (10.2毫米),下腺前进 (5.2毫米) 和CCW旋转 (4.1°).
- 观察到气道体积和表面积的增加,但没有达到统计学意义 (p=0.327和p=0.050).
- 在手术后观察到气道适应的有利趋势.
结论:
- 用CCW旋转的尾后退有效地纠正II类变形,而不会损害上呼吸道.
- 这种技术在整形手术中提供了功能和美学改进的潜力.
- 需要进一步的长期研究来证实这些初步发现.
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