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单侧唇裂婴幼儿术后鼻呼吸效率变化的热成像分析。

Thermographic analysis of postoperative changes in the nasal breathing efficiency in infants and young children with unilateral cleft lip.

机构信息

Federal Scientific Research Center "Crystallography and Photonics", Russian Academy of Sciences, Troitsk, Pionerskaya 2, Moscow, 108840, Russia.

Central Research Institute of Stomatology and Maxillofacial Surgery, Ministry of Health of the Russian Federation, Timur Frunze St, 16, Moscow, 119021, Russia.

出版信息

Int J Comput Assist Radiol Surg. 2021 Dec;16(12):2225-2234. doi: 10.1007/s11548-021-02496-w. Epub 2021 Oct 8.

Abstract

PURPOSE

Nowadays, cheilorhinoseptoplasty is one of the most efficient methods of cleft lip primary surgical treatment eliminating both functional and esthetic issues. In this work, we have proposed, developed, and experimentally tested a new thermography-based algorithm for studying the efficiency and symmetry of nasal breathing prior to and after the surgery.

METHODS

To investigate and analyze the external respiration function of an infant with unilateral cleft lip after surgical respiration symmetry restoration followed by anatomically shaped postoperative endonasal retainer installation, we have applied contactless thermal imaging in real time.

RESULTS

The developed algorithm enables effective analysis of the respiratory function in infants before and after the surgery. Its combination with applied surgical technique experimentally demonstrated the potential of this approach for improving further the efficiency and symmetry of the airflows through the patient's nasal passages after the primary cheilorhinoseptoplasty.

CONCLUSIONS

The results of our study constitute a novel and promising avenue of investigation into the breathing function in infants and young children prior to and after their surgery for unilateral cleft lip. The adaptation of our technique to the conditions of a pediatric hospital will make it a safe and informative tool for noninvasive diagnosing the respiratory function in infants in the early postoperative period.

摘要

目的

如今,鼻翼-鼻中隔成形术是治疗唇裂的最有效方法之一,可同时解决功能和美观问题。本研究提出、开发并实验测试了一种新的基于热成像的算法,用于在手术前后研究鼻呼吸的效率和对称性。

方法

为了研究单侧唇裂婴儿手术后呼吸对称性恢复后和安装解剖形状的术后鼻腔内保持器后的外部呼吸功能,我们实时应用了非接触式热成像。

结果

开发的算法能够有效分析手术前后婴儿的呼吸功能。将其与应用的手术技术相结合,实验证明了该方法在提高单侧唇裂初次鼻翼-鼻中隔成形术后鼻气道气流效率和对称性方面的潜力。

结论

本研究结果为研究单侧唇裂婴儿手术前后的呼吸功能提供了一种新的、有前途的方法。我们的技术适应儿科医院的条件,将成为一种安全且信息丰富的工具,可用于在婴儿手术后早期进行无创诊断呼吸功能。

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