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翼下颌吊带面积对下颌后退术后稳定性的影响。

The Effect of Pterygomasseteric Sling's Area in the Postoperative Stability after Mandibular Setback Surgery.

机构信息

Graduate Institute of Dental Sciences, School of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.

Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

出版信息

Biomed Res Int. 2017;2017:7216120. doi: 10.1155/2017/7216120. Epub 2017 Oct 9.

DOI:10.1155/2017/7216120
PMID:29130044
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5654338/
Abstract

PURPOSE

The purpose of the present study was to investigate the correlation between the postoperative stability and area of pterygomasseteric sling (PMS).

MATERIALS AND METHODS

Forty patients of mandibular prognathism were treated by isolated mandibular setback. Serial lateral cephalograms were collected (preoperatively [T1], immediately after surgery [T2], and more than 1 year postoperatively [T3]). The postoperative stability (T32) was divided into 3 groups (total, forward, and backward movements). The areas of PMS, immediate surgical changes (T21), postoperative stability (T32), and final surgical change (T31) were analyzed by Student's -test, Pearson's correlation coefficient, and multiple linear regression analysis.

RESULTS

The amount of mean setback (T21) was 12.6 mm in total group, 13.8 mm in forward group, and 10.8 mm in backward group. In the total group, postoperative stability (T32) was 0.6 mm forward and reduction area of PMS (T31) was 291 mm (17.2%). The reduction area of PMS (T31) was 298.2 mm (18%) and 263.1 (15.3%) mm in the forward group (3 mm) and backward group (2.4 mm), respectively. However, reduction area of PMS (T31) showed weak correlation with postoperative stability (T32) in all groups.

CONCLUSION

Total and forward groups presented significant correlations between postoperative stability (T32) and amount of setback (T21).

摘要

目的

本研究旨在探讨翼下颌肌吊带(PMS)的术后稳定性与面积之间的相关性。

材料和方法

40 例下颌前突患者行单纯下颌后退术。收集连续的侧位头颅侧位片(术前[T1]、术后即刻[T2]和术后 1 年以上[T3])。将术后稳定性(T32)分为三组(总移动、前向移动和后向移动)。通过 Student's t 检验、Pearson 相关系数和多元线性回归分析,对 PMS 面积、即刻手术变化(T21)、术后稳定性(T32)和最终手术变化(T31)进行分析。

结果

总组平均后退量(T21)为 12.6mm,前向组为 13.8mm,后向组为 10.8mm。在总组中,术后稳定性(T32)为 0.6mm 前向,PMS 面积减少(T31)为 291mm(17.2%)。前向组(3mm)和后向组(2.4mm)的 PMS 面积减少(T31)分别为 298.2mm(18%)和 263.1mm(15.3%)。然而,各组的 PMS 面积减少(T31)与术后稳定性(T32)相关性较弱。

结论

总组和前向组的术后稳定性(T32)与后退量(T21)之间存在显著相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b7/5654338/3811529ba274/BMRI2017-7216120.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b7/5654338/d4afe3756837/BMRI2017-7216120.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b7/5654338/d02889756a1b/BMRI2017-7216120.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b7/5654338/89d0a4202d6e/BMRI2017-7216120.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b7/5654338/35bc7831b235/BMRI2017-7216120.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b7/5654338/3811529ba274/BMRI2017-7216120.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b7/5654338/d4afe3756837/BMRI2017-7216120.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b7/5654338/d02889756a1b/BMRI2017-7216120.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b7/5654338/89d0a4202d6e/BMRI2017-7216120.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b7/5654338/35bc7831b235/BMRI2017-7216120.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b7/5654338/3811529ba274/BMRI2017-7216120.005.jpg

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