Septal Deviation 对眼睛不对称性的影响:手术前面部评估的含义
Je Ho Bang1, Su Jin Kim1, Kun Hee Lee2
1Department of Otorhinolaryngology, Head and Neck Surgery, School of Medicine, Kyung Hee University College of Medicine, Kyung Hee University Hospital, 892 Dongnam-Ro, Gangdong, Seoul, Korea.
修鼻术后的面部不对称性通常与眼睛不对称性有关. 骨隔膜偏差,而不是软骨,与眼睛水平差异和轨道不对称有显著的相关性,影响手术结果.
科学领域:
- 整形外科 整形外科 整形外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗成像医学成像
背景情况:
- 面部不对称和由此产生的不满在鼻美术后很常见.
- 鼻隔膜偏差和眼部不对称之间的关系还没有得到很好的定义.
- 眼睛在感知面部不对称方面至关重要.
研究的目的:
- 评估隔膜偏差和垂直眼睛水平不对称之间的关联.
- 使用基于计算机断层扫描 (CT) 的骨分析进行客观测量.
- 为了研究鼻子结构和眼睛对齐之间的联系.
主要方法:
- 对52名接受初级鼻美术的患者进行了回顾性分析.
- 通过正面照片评估眼睛不对称和背部偏差 (DD).
- 使用CT扫描和轨道参数3D重建测量骨隔膜偏差 (BSD) 和软骨隔膜偏差 (CSD).
主要成果:
- 在63.5%的患者中观察到眼睛不对称.
- BSD和DD与眼睛不对称有显著的关联 (分别p < 0.044和p < 0.001).
- 在CT上的轨道不对称性与眼睛不对称性有很强的相关性 (p < 0.001),特别是上层轨道边缘 (SOR) 高度和轨道面积.
结论:
- 眼睛不对称反映了潜在的面部中部骨失衡,与BSD密切相关.
- SOR高度和轨道区域不对称性是BSD相关的面部不对称性的关键因素.
- 手术前的轨道骨评估可以提高鼻整形手术的规划和患者的满意度.
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