Marianetti Tito M, Marianetti Sara, Gasparini Giulio, Pelo Sandro
From the Maxillo-Facial Surgery Department, Complesso Integrato Columbus, Catholic University of Rome, Rome, Italy.
J Craniofac Surg. 2014 Jul;25(4):1190-4. doi: 10.1097/SCS.0000000000000838.
The purpose of this study was to relate the facial asymmetries with possible impairments of the skull base, particularly with regard to the three-dimensional position of the glenoid fossa. Fifty-eight subjects met the inclusion criteria (25 men and 33 women) and were included in the analysis. All patients underwent three-dimensional computed tomographies. Patients were classified into 3 asymmetry groups: vertical plane asymmetries, transversal plane asymmetries (TAs), and hybrid forms. A control group, composed of 29 subjects having obstructive sleep apnea syndrome with no asymmetries, was used to compare data from the study populations. The glenoid fossa moved forward and superiorly on the affected side if compared with the healthy side both in the vertical plane asymmetry group and in the TA groups (P < 0.001). Differences were wider in the TA group. Statistically significant differences regarding the middle and posterior cranial base angles were observed between the affected side of the TA patients and the control group. We reported an amplitude reduction of the middle cranial base angle and an increase of the posterior cranial base angle in the affected side. The glenoid fossa could represent the missing link between the development of the temporal region and the ipsilateral hemimandible.
本研究的目的是将面部不对称与颅底可能存在的损害联系起来，特别是关于关节盂窝的三维位置。58名受试者符合纳入标准（25名男性和33名女性）并纳入分析。所有患者均接受了三维计算机断层扫描。患者被分为3个不对称组：垂直平面不对称、横向平面不对称（TA）和混合形式。一个由29名无不对称的阻塞性睡眠呼吸暂停综合征患者组成的对照组用于比较研究人群的数据。与健康侧相比，垂直平面不对称组和TA组中患侧的关节盂窝均向前上方移动（P < 0.001）。TA组的差异更大。TA患者患侧与对照组之间在中颅底角和后颅底角方面观察到统计学上的显著差异。我们报告患侧中颅底角减小而后颅底角增大。关节盂窝可能是颞区发育与同侧半下颌骨之间缺失的联系。
