在骨II类患者中,下前进后长期上呼吸道变化,有或没有大倒退:为期2年的回顾性研究
Hong-Yi Tang1, Zi-Rui Zhou1, Jiang-Feng Fu1
1Department of Orthodontics, Peking University School and Hospital of Stomatology, National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing Key Laboratory of Digital Stomatology & NHC Key Laboratory of Digital Stomatology & NMPA Key Laboratory for Dental Materials Beijing, 22 Zhongguancun Avenue South, Haidian District, Beijing, 100081, China.
BMC oral health
|December 12, 2025
概括
通过双边斜裂骨切除术 (BSSO) 进行隔离下部推进,在II类患者中显著扩大上呼吸道,持续两年. 与联合手术相比,这种技术在短期和长期表现出更高的疗效.
科学领域:
- 整形手术 整形手术 整形手术
- 头骨面部解剖学 头骨面部解剖学
- 航空路评估 航空路评估
背景情况:
- 骨II类缺陷通常表现为气道尺寸受损.
- 手术的进步旨在改善骨关系和潜在的呼吸道功能.
- 了解特定骨切除术后的长期气道变化对于治疗规划至关重要.
研究的目的:
- 为了评估骨II类患者2年的口腔气道修饰.
- 为了比较隔离下部进步 (双侧斜分裂骨解剖 - BSSO) 和部逆转 (Le Fort I骨解剖) 的BSSO后的呼吸道变化.
主要方法:
- 对82名骨II类患者的圆束计算机断层扫描 (CBCT) 数据的回顾性分析.
- 测量包括三个时间点的总上呼吸道体积 (V),最小横截面积 (CSAmin) 和区域体积 (鼻,鼻,光):手术前,手术后3个月和手术后2年.
- 进行了统计分析,包括多变量回归,以评估变化和预测因素.
主要成果:
- 隔离的BSSO显著增加了呼吸道体积和最小截面面积,在手术后的3个月和2年.
- 在3个月到2年之间观察到气道尺寸的减少,这表明有些复发.
- 与BSSO + Le Fort I联合程序相比,孤立的BSSO显示出更大的短期气道改善和优越的长期稳定性.
结论:
- 使用BSSO的隔离下推进导致骨II类患者在2年内持续,显著的上呼吸道扩张.
- 观察到的气道变化主要是由硬组织的进步驱动的.
- 孤立的BSSO在II类患者的呼吸道管理中提供了优越的短期和长期疗效,与上下联合手术相比.
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