唇腭裂患儿的鼻中隔软骨偏曲——一项MRI分析
Cartilaginous septum deviation in children with cleft lip, alveolus and palate--an MRI analysis.
作者信息
Bayerlein Thomas, Proff Peter, Koppe Thomas, Fanghaenel Jochen, Hosten Norbert
机构信息
Department of Orthodontics, Preventive and Pediatric Dentistry, Ernst Moritz Arndt University, Greifswald, Germany.
出版信息
J Craniomaxillofac Surg. 2006 Sep;34 Suppl 2:49-51. doi: 10.1016/S1010-5182(06)60011-5.
INTRODUCTION
This study aimed to investigate by MRI examination the degree of deviation of the cartilaginous septum in relation to cleft size in patients with cleft lip, alveolus and palate.
MATERIAL AND METHODS
Six children with cleft lip, alveolus and palate at age 5-20 days were examined with a 1.0 Tesla scanner using a head coil. The following parameters were evaluated: maximal cleft size (millimeter) and degree of the nasal septum deviation from the median-sagittal plane (degrees).
RESULTS
Two children with bilateral clefts had no deviation; 3 children with unilateral (left-sided) cleft had a deviation to the right and 1 patient with a unilateral right-sided cleft a deviation to the left side. In all 4 patients, the degree of the nasal septum deviation increased with cleft size.
CONCLUSION
Cartilaginous nasal septum deviation was noticed only in patients with unilateral cleft lip and palate toward the non-cleft side and was greater with increasing cleft sizes.
引言
本研究旨在通过MRI检查调查唇裂、牙槽突裂和腭裂患者软骨鼻中隔的偏斜程度与裂隙大小的关系。
材料与方法
对6例年龄在5 - 20天的唇裂、牙槽突裂和腭裂患儿使用1.0特斯拉扫描仪及头部线圈进行检查。评估以下参数：最大裂隙大小（毫米）以及鼻中隔偏离正中矢状面的程度（度）。
结果
2例双侧唇裂患儿无鼻中隔偏斜；3例单侧（左侧）唇裂患儿鼻中隔向右偏斜，1例单侧右侧唇裂患儿鼻中隔向左偏斜。在所有4例患儿中，鼻中隔偏斜程度随裂隙大小增加。
结论
仅在单侧唇腭裂患者中观察到软骨鼻中隔向非裂隙侧偏斜，且随着裂隙增大偏斜更明显。
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