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在正统牙科手术治疗中神经肌肉评估:单手术和双手术之间的比较
Lucia Giannini1, Luisa Gigante2, Giada Di Iasio1,2
1Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Bioengineering (Basel, Switzerland)
|January 28, 2026
概括
与双手术相比,单手术带来了更快的神经肌肉适应和功能恢复. 这突显了手术方法对患者治疗结果的重要性,以纠正牙和面部形.
科学领域:
- 牙正和口腔外科 牙正和口腔外科
- 生物医学工程 生物医学工程
- 神经肌肉生理学 神经肌肉生理学
背景情况:
- 整形手术可以纠正dentofacial变形,但它的神经肌肉影响尚未完全理解.
- 不同的手术策略可能会以不同的方式影响神经肌肉适应.
- 了解这些适应对于优化治疗结果至关重要.
研究的目的:
- 为了比较经过单轴心和双轴心整形手术的患者的神经肌肉变化.
- 评估外科手术对神经肌肉适应的影响.
- 为了评估不同类型的整形手术后的功能恢复.
主要方法:
- 表面电肌图 (sEMG) 和下动态图 (Mandibular Kinesiography) 在80名患者 (单和双) 和20名对照组中使用.
- 分析包括电肌图形对称性指数 (百分比重叠系数-POC),肌肉活动和下运动参数.
- 收集了五个治疗阶段的数据,从手术前到最后的随访.
主要成果:
- 两个手术组都在手术前显示神经肌肉活动减少.
- 单手术导致较早的sEMG对称性稳定和更快的功能恢复 (IMPACT值).
- 双手术显示出更大的可变性和更慢的恢复,尽管所有患者的下部运动都有所改善.
结论:
- 神经肌肉适应与手术方法有关,而不仅仅是手术的程度.
- 功能性评估是管理正手术患者的宝贵补充.
- 研究结果表明,根据手术策略,定制功能康复可能是有益的.
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