Li Ting, Lai Zhi Chao, Wang Xu Dong, Feng Yan, Li You Qing, Fang Xue Dong
Department of General Surgery, The Second Affiliated Hospital, Jilin Province, China.
J Craniofac Surg. 2013 Jul;24(4):1411-3. doi: 10.1097/SCS.0b013e3182903673.
The objectives of this study were to measure the length of horizontal segment of facial nerve (HFN), the length of vertical segment of facial nerve (VFN), and the angle between these 2 segments on a fully displayed multislice computed tomographic multiplanar reconstruction (MPR) images of HFN and VFN and to analyze the data with respects to side, sex, and age. Parameters of 234 patients (468 observations, 118 men and 116 women, aged 4-70 years) with intact temporal bone were measured on multislice computed tomographic multiplanar reconstruction images. The data gained were analyzed by statistical method. The left and right lengths of VFN were significantly different (P < 0.05). And the length of HFN, the length of VFN, and the angle between males and females were significantly different (P < 0.05). We divided the data into 3 groups to study correlations between measurements and age. In underaged group, there was a strong positive correlation between the length of VFN and age; the value of Pearson correlation was 0.645. And there was a weak correlation between the angle and the age; the value of Pearson correlation was 0.270. In older-aged group, there was a moderate negative correlation between the length of VFN and age; the value of Pearson correlation was -0.408. Our results are of high potential to expand the visual field to facial nerve and may provide more detailed information to surgeries of facial nerve, middle ear, and temporal bone.
本研究的目的是在面神经水平段(HFN)和垂直段(VFN)的全显多层计算机断层扫描多平面重建(MPR)图像上测量HFN的水平段长度、VFN的垂直段长度以及这两段之间的夹角,并就其侧别、性别和年龄对数据进行分析。在多层计算机断层扫描多平面重建图像上测量了234例颞骨完整患者(468次观察,118名男性和116名女性,年龄4至70岁)的参数。采用统计学方法对所得数据进行分析。VFN的左右长度存在显著差异(P<0.05)。男性和女性之间HFN的长度、VFN的长度以及夹角存在显著差异(P<0.05)。我们将数据分为3组以研究测量值与年龄之间的相关性。在未成年组中,VFN的长度与年龄之间存在强正相关;Pearson相关值为0.645。夹角与年龄之间存在弱相关;Pearson相关值为0.270。在老年组中,VFN的长度与年龄之间存在中度负相关;Pearson相关值为-0.408。我们的结果极有可能拓展对面神经的视野,并可能为面神经、中耳和颞骨手术提供更详细的信息。