在未经修复的成年患者中,使用形光束计算机断层扫描对大 sinus 的三维评估
1Department of Oral and Maxillofacial Plastic and Trauma Surgery Ward, Beijing Stomatological Hospital, Capital Medical University, Beijing, China.
The Journal of craniofacial surgery
|February 2, 2026
概括
与对照组相比,患有隔离口腔裂 (ICP) 的成年人表现出较小的上鼻腔尺寸和较高的鼻炎率. 这表明口腔裂会对上鼻发育产生负面影响.
科学领域:
- 头骨面部解剖学 头骨面部解剖学
- 医学成像医学成像
- 口腔和大面部外科手术
背景情况:
- 隔离口腔裂 (ICP) 是一种常见的先天性疾病,影响面部发育.
- 上鼻,中面的关键解剖结构,可能受到裂的影响.
- 了解ICP患者的上鼻特征对于手术规划和结果至关重要.
研究的目的:
- 调查和比较三维 (3D) 特性和大鼻炎的患病率在成年患者与隔离裂 palates (ICP) 和健康的对照.
- 为了确定未修复的ICP是否会影响大鼻腔尺寸.
主要方法:
- 从50名未经修复的成年ICP患者和35名对照组的形光束计算机断层扫描 (CBCT) 数据的回顾性分析.
- 使用Mimics软件进行3D重建和大 sinus的体积测量.
- 两组之间的鼻尺寸 (长度,深度,高度,体积) 和鼻炎存在的比较.
主要成果:
- 鼻炎在ICP患者 (36.0%) 中比在对照组 (14.3%) 中更为普遍.
- 与对照组相比,ICP患者的上鼻腔平均长度,深度,高度和体积显著减少 (P<0.001).
- 在ICP组中,在两性或两侧之间没有发现鼻尺寸的显著差异.
结论:
- 未修复的隔离裂口与成人上鼻腔尺寸的减少有关.
- 在ICP患者中,上鼻炎的发病率较高.
- 口腔裂似乎对上鼻的发育产生不利影响.
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