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鼻中隔偏曲与面部骨骼不对称

Nasal Septal Deviation and Facial Skeletal Asymmetries.

作者信息

Hartman Christopher, Holton Nathan, Miller Steven, Yokley Todd, Marshall Steven, Srinivasan Sreedevi, Southard Thomas

机构信息

The University of Iowa - Orthodontics, S219 Dental Science Building, Iowa City, Iowa.

The University of Iowa - Anthropology, 114 Macbride Hall, Iowa City, Iowa.

出版信息

Anat Rec (Hoboken). 2016 Mar;299(3):295-306. doi: 10.1002/ar.23303. Epub 2016 Jan 22.

Abstract

During ontogeny, the nasal septum exerts a morphogenetic influence on the surrounding facial skeleton. While the influence of the septum is well established in long snouted animal models, its role in human facial growth is less clear. If the septum is a facial growth center in humans, we would predict that deviated septal growth would be associated with facial skeletal asymmetries. Using computed tomographic (CT) scans of n = 55 adult subjects, the purpose of this study was to test whether there is a correlation between septal deviation and facial asymmetries using three-dimensional (3D) geometric morphometric techniques. We calculated deviation as a percentage of septal volume relative to the volume of a modeled non-deviated septum. We then recorded skeletal landmarks representing the nasal, palatal, and lateral facial regions. Landmark data were superimposed using Procrustes analysis. First, we examined the correlation between nasal septal deviation and the overall magnitude of asymmetry. Next, we assessed whether there was a relationship between nasal septal deviation and more localized aspects of asymmetry using multivariate regression analysis. Our results indicate that while there was no correlation between septal deviation and the overall magnitude of asymmetry, septal deviation was associated with asymmetry primarily in the nasal floor and the palatal region. Septal deviation was unassociated with asymmetries in the lateral facial skeleton. Though we did not test the causal relationship between nasal septal deviation and facial asymmetry, our results suggest that the nasal septum may have an influence on patterns of adult facial form.

摘要

在个体发育过程中,鼻中隔对周围面部骨骼发挥形态发生学影响。虽然鼻中隔的影响在长鼻动物模型中已得到充分证实,但其在人类面部生长中的作用尚不清楚。如果鼻中隔是人类的面部生长中心,我们预计鼻中隔生长偏斜会与面部骨骼不对称相关。本研究利用n = 55名成年受试者的计算机断层扫描(CT),目的是使用三维(3D)几何形态测量技术检验鼻中隔偏斜与面部不对称之间是否存在相关性。我们将偏斜计算为鼻中隔体积相对于模拟无偏斜鼻中隔体积的百分比。然后,我们记录代表鼻、腭和面部外侧区域的骨骼标志点。使用普氏分析对标志点数据进行叠加。首先,我们检查鼻中隔偏斜与不对称总体程度之间的相关性。接下来,我们使用多元回归分析评估鼻中隔偏斜与不对称更局部方面之间是否存在关系。我们的结果表明,虽然鼻中隔偏斜与不对称总体程度之间没有相关性,但鼻中隔偏斜主要与鼻底和腭部区域的不对称相关。鼻中隔偏斜与面部外侧骨骼的不对称无关。虽然我们没有测试鼻中隔偏斜与面部不对称之间的因果关系,但我们的结果表明鼻中隔可能对成人面部形态模式有影响。

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