利用计算机断层扫描技术分析单侧唇裂腭裂术后患者在青少年期和成年期的三维鼻部不对称性。
Three-dimensional nasal asymmetry analysis between adolescence and adulthood in postoperative patients with unilateral cleft lip and palate using computed tomography.
机构信息
Department of Stomatology, Shenzhen Longhua District Central Hospital, Shenzhen, Guangdong Province, China.
Department of Stomatology, Shenzhen Luohu Hospital Group Luohu People's Hospital, Shenzhen, China.
出版信息
Odontology. 2024 Apr;112(2):630-639. doi: 10.1007/s10266-023-00855-4. Epub 2023 Oct 9.
AIM
To investigate the differences of the nasal soft and hard tissue asymmetry in postoperative patients with unilateral cleft lip and palate (UCLP) between adolescence and adulthood, and to explore the correlation of nasal soft and hard tissue asymmetry.
METHODS
CT data from 47 repaired UCLP patients were included and divided into two groups:1. adolescent group: 23 patients (15 males, 8 females; age: 10-12 years old). 2. adult group: 24 patients (16 males, 8 females; age:18-32 years old). The three-dimensional asymmetry in nasal soft and hard tissues was analyzed. Additionally, the correlation between nasal soft and hard tissue asymmetry was also analyzed.
RESULTS
Both the adolescent group and adult group showed asymmetries in nasal soft and hard tissues. Compared to the adolescent group, the adult group had a significantly increased horizontal asymmetry of nasal soft tissues Sbal (P < 0.05). Furthermore, the sagittal asymmetry of soft tissue Glat (P < 0.05), Sbal (P < 0.001), Sni (P < 0.001) and hard tissue LPA (P < 0.05) also increased significantly. In the adult group, there were more landmarks with a correlation between the asymmetry of nasal hard tissue and soft tissue compared to the adolescent group. There were moderate to strong correlations between nasal hard and soft tissue symmetries in the horizontal and sagittal directions (0.444 < r < 764), but no correlation in the vertical direction in the adult group (P > 0.05).
CONCLUSIONS
The asymmetry of nasal soft and hard tissues in patients with repaired UCLP becomes more apparent in the horizontal and sagittal dimensions from adolescence to adulthood. The correlation between the asymmetry of nasal hard tissue and soft tissue becomes stronger in the horizontal and sagittal dimensions. These factors should be taken into account when performing treatment for repaired UCLP patients in adolescence and adulthood.
目的
探讨青少年与成年单侧唇裂腭裂（UCLP）术后患者鼻软硬组织不对称的差异，并探讨鼻软、硬组织不对称的相关性。
方法
纳入 47 例修复后的 UCLP 患者的 CT 资料，分为两组：1. 青少年组：23 例（男 15 例，女 8 例；年龄：10-12 岁）。2. 成年组：24 例（男 16 例，女 8 例；年龄：18-32 岁）。分析鼻软、硬组织的三维不对称性，并分析鼻软、硬组织不对称的相关性。
结果
青少年组和成年组的鼻软、硬组织均存在不对称性。与青少年组相比，成年组的鼻软组织结构 Sbal 的水平不对称显著增加（P<0.05）。此外，软组织结构 Glat（P<0.05）、Sbal（P<0.001）、Sni（P<0.001）和硬组织结构 LPA（P<0.05）的矢状不对称性也显著增加。与青少年组相比，成年组中鼻硬组织与软组织结构不对称的标志点相关性更多。在成年组中，鼻硬、软组织在水平和矢状方向上具有中度至强相关性（0.444<r<764），但在垂直方向上无相关性（P>0.05）。
结论
修复后的 UCLP 患者鼻软、硬组织的不对称性在青少年至成年期的水平和矢状方向上更加明显。鼻硬、软组织不对称在水平和矢状方向上的相关性更强。在对青少年和成年修复后的 UCLP 患者进行治疗时，应考虑这些因素。
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