在二次膜骨移植后鼻基形成的形态变化,对于患有膜裂隙的患者
Shoko Kirikoshi1, Yuki Arimura2, Tadashi Yamanishi3
1Department of Oral and Maxillofacial Surgery, Osaka Women's and Children's Hospital, Osaka, Japan; Dentistry and Oral-Maxillofacial Surgery, Division of Oral Pathobiological Science, Graduate School of Dental Medicine, Faculty of Dental Medicine, Hokkaido University, Hokkaido, Japan.
二次膜骨移植 (SABG) 在患有单边唇裂的患者中不会显著改变鼻底部的三维位置. 这一发现在皮肤和骨表面分析中是一致的.
科学领域:
- 面外科手术 面外科手术
- 整形外科 整形外科 整形外科
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 单侧气膜裂往往导致鼻底部的不对称.
- 二次膜骨移植 (SABG) 是解决这些缺陷的常见手术程序.
- SABG对三维 (3D) 鼻底部位置的影响需要精确的评估.
研究的目的:
- 为了研究SABG后鼻底部的3D位置变化,在单侧气泡裂患者中.
- 为了比较SABG在裂侧与非裂侧的影响.
- 评估3D面部摄影和计算机断层扫描 (CT) 在评估这些变化的可靠性.
主要方法:
- 分析了一组50名患有单边膜裂隙的SABG接受治疗的患者.
- 使用3D面部摄影和CT扫描收集了手术前和12个月术后的数据.
- 测量了鼻底部 (皮肤和骨表面) 的前后变化,并在裂和非裂侧面进行了比较.
主要成果:
- 3D面部摄影显示,裂和非裂侧面之间的皮肤位移没有显著的前后差异 (-0.03±0.90毫米).
- 电脑图像扫描显示,两侧皮肤运动之间没有显著的前后皮肤运动差异 (+0.31±0.82毫米).
- 鼻底下骨表面的CT分析显示了裂和非裂侧面之间的统计学上显著差异 (+0.20 ± 1.38毫米对比 -0.61 ± 1.03毫米,p=0.001).
结论:
- 二次膜骨移植 (SABG) 似乎不会在鼻腔底部引起显著的三维位置变化.
- 虽然骨表面运动显示出统计学意义,但关于鼻底部定位的临床相关性需要进一步调查.
- 三维面部摄影和CT都是评估SABG后鼻底形态的宝贵工具.
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