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双侧唇腭裂患者上颌窦容积的 3D 评估。

3D evaluation of the maxillary sinus volumes in patients with bilateral cleft lip and palate.

机构信息

Department of Dentomaxillofacial Radiology, Necmettin Erbakan University, 42090 Konya, Turkey.

Department of Orthodontics, Private Practice, 06530 Ankara, Turkey.

出版信息

J Clin Pediatr Dent. 2024 Mar;48(2):173-180. doi: 10.22514/jocpd.2024.045. Epub 2024 Mar 3.

Abstract

One of the most common congenital anomalies of the head and neck region is a cleft lip and palate. This retrospective case-control research aimed to compare the maxillary sinus volumes in individuals with bilateral cleft lip and palate (BCLP) to a non-cleft control group. The study comprised 72 participants, including 36 patients with BCLP and 36 gender and age-matched control subjects. All topographies were obtained utilizing Cone Beam Computed Tomography (CBCT) for diagnostic purposes, and 3D Dolphin software was utilized for sinus segmentation. Volumetric measurements were taken in cubic millimeters. No significant differences were found between the sex and age distributions of both groups. Additionally, there was no statistically significant difference observed between the BCLP group and the control group on the right and left sides ( > 0.05). However, the mean maxillary sinus volumes of BCLP patients (8014.26 ± 2841.03 mm) were significantly lower than those of the healthy control group (11,085.21 ± 3146.12 mm) ( < 0.05). The findings of this study suggest that clinicians should be aware of the lower maxillary sinus volumes in BCLP patients when planning surgical interventions. The utilization of CBCT and sinus segmentation allowed for precise measurement of maxillary sinus volumes, contributing to the existing literature on anatomical variations in BCLP patients.

摘要

头颈部最常见的先天畸形之一是唇腭裂。本回顾性病例对照研究旨在比较双侧唇腭裂(BCLP)患者和非唇腭裂对照组的上颌窦容积。该研究纳入了 72 名参与者,包括 36 名 BCLP 患者和 36 名性别和年龄匹配的对照组。所有的断层均采用锥形束 CT(CBCT)进行诊断,并使用 3D Dolphin 软件进行鼻窦分割。以立方毫米为单位进行容积测量。两组在性别和年龄分布上无显著差异。此外,BCLP 组和对照组在左右两侧均无统计学差异(>0.05)。然而,BCLP 患者的上颌窦平均容积(8014.26±2841.03mm)明显低于健康对照组(11085.21±3146.12mm)(<0.05)。本研究结果表明,临床医生在计划手术干预时应注意 BCLP 患者的上颌窦容积较小。CBCT 和鼻窦分割的应用允许对上颌窦容积进行精确测量,为 BCLP 患者的解剖变异提供了更多的文献支持。

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