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长期的形态和功能结果的前面面部进展在综合征性关节缩症
Dominic J Romeo1, Patrick Akarapimand1, Jonathan H Sussman1
1Division of Plastic, Reconstructive and Oral Surgery, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA.
概括
像LeFort III和单块手术这样的前脸外科手术在综合性关突症患者中长期显著增加了鼻气道体积. 每一毫米的中间面进步都会产生大量的气道扩张,改善呼吸功能.
科学领域:
- 面外科手术 面外科手术
- 儿童整形手术 儿童整形手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠的药物 睡眠的药物
背景情况:
- 众所周知,面额外科手术可以增加气道体积.
- 关于特定手术技术对上呼吸道的长期影响的数据有限.
研究的目的:
- 为了分析经过LeFort III,单块和单块与LeFort II程序的纵向体积测量,测量和功能结果.
- 评估这些前脸外科手术对综合性关节缩症中面部缺血的影响.
主要方法:
- 包括患有综合性关节缩症的患者,他们接受了面额外科手术.
- 在手术前和后生成鼻气道的3D重建.
- 分析了手术技巧,呼吸道变化,面部运动,多睡眠学数据和人口统计数据.
主要成果:
- 在41名患者的45项手术中,手术后鼻气道体积增加了111.0%.
- 在所有外科手术技术中,气道体积在短期和长期都增加了.
- 中面的前进平均为72毫米至91毫米,有点复发;每毫米的前进增加了545毫米3.3的气道体积.
- 阻塞性呼吸暂停-呼吸暂停指数 (OAHI) 和SpO2 nadir在手术后得到改善.
结论:
- 勒福特III,单块和单块与勒福特II手术导致持续的鼻气道体积增加.
- 长期发生的中面斜性复发,但并不能否定气道体积的增加.
- 气道体积的增加与中脸部角的推进成正比,无论选择的具体骨切除术如何.
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