头部定向方法会影响对称性评估
1Department of Oral and Maxillofacial Surgery, University of Illinois Chicago College of Dentistry, Chicago, IL, USA.
International journal of oral and maxillofacial surgery
|December 2, 2025
概括
整形外科手术的规划依赖于头部的方向. 硬和软组织方法产生不同的对称性评估,可能会影响手术结果.
科学领域:
- 牙正和牙面外科 牙正和牙面外科
- 医学成像分析 医学成像分析
背景情况:
- 头部定向对于整形手术规划至关重要,它建立了评估的参考框架.
- 基于硬组织 (HT) 和基于软组织 (ST) 的方法很常见,但它们对对称性评估的影响尚不清楚.
研究的目的:
- 调查HT和ST头部定向技术对整形手术患者对称度评估的影响.
主要方法:
- 追溯分析了57名接受了整形手术的患者.
- 在手术前的CT扫描中,使用HT和ST方法进行了定位.
- 牙中线 (U1) 和牙 (Pog) 位置和滚动的比较.
主要成果:
- 在HT和ST方法之间的对称性评估中观察到显著的差异.
- 中央滚动差异为0.64°,中侧位置差异为0.9mm (U1) 和1.2mm (Pog).
- 这两种方法都显示出出色的可靠性 (ICC > 0.974).
结论:
- 在整形外科手术中,HT和ST头部定向方法产生不同的对称性评估.
- 这些差异可能导致临床上显著的偏差,需要临床医生仔细考虑.
- 衡量每个方法的优缺点对于适当的外科手术工作至关重要.
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