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非综合征性单侧唇腭裂患者的面中部不对称:一项回顾性CBCT分析

Midface asymmetry in non-syndromic unilateral cleft lip-palate: a retrospective cbct analysis.

作者信息

Üstdal Berkhas Tumani, Evlice Burcu, Duyan Yüksel Hazal

机构信息

Çukurova University, Faculty of Dentistry, Department of Oral and Maxillofacial Radiology, Adana, Turkiye.

出版信息

Eur Oral Res. 2024 May 5;58(2):83-87. doi: 10.26650/eor.20241169632.

DOI:10.26650/eor.20241169632
PMID:39011174
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11246714/
Abstract

PURPOSE

The aim of this study was to determine the relationship between the zygomaticomaxillary complex (ZMC) and infraorbital foramen region (IFR) with facial symmetry in patients with unilateral cleft lip and palate (UCLP) using cone beam computed tomography (CBCT).

MATERIALS AND METHODS

In this retrospective study, CBCT images of 30 non-syndromic UCLP patients were included, along with 30 age- and sex-matched control individuals. ZMC symmetry was evaluated in the axial section by comparing the right and left sides. Similarly, symmetry in the IFR was assessed in the coronal section. The significance level was set at p<0.05 for statistical analysis.

RESULTS

The study group comprised 12 female and 18 male patients, with ages ranging from 10 to 18 years (mean age 14.1 years). Both ZMC and IFR measurements were significantly lower on the cleft sides of the study group compared to both the non-cleft sides of UCLP patients and the control group (p<0.001, p=0.022, and p=0.036, respectively). Furthermore, IFR measurements were significantly lower in the control group compared to the non-cleft sides of the study group (p=0.04).

CONCLUSION

This study demonstrated that individuals with UCLP exhibit asymmetry in both the ZMC and the IFR. These findings suggest a negative impact on facial aesthetics.

摘要

目的

本研究旨在使用锥形束计算机断层扫描(CBCT)确定单侧唇腭裂(UCLP)患者的颧上颌复合体(ZMC)和眶下孔区域(IFR)与面部对称性之间的关系。

材料与方法

在这项回顾性研究中,纳入了30例非综合征性UCLP患者的CBCT图像,以及30例年龄和性别匹配的对照个体。通过比较左右两侧在轴向截面评估ZMC对称性。同样,在冠状截面评估IFR的对称性。统计分析的显著性水平设定为p<0.05。

结果

研究组包括12名女性和18名男性患者,年龄在10至18岁之间(平均年龄14.1岁)。与UCLP患者的非腭裂侧和对照组相比,研究组腭裂侧的ZMC和IFR测量值均显著降低(分别为p<0.001、p=0.022和p=0.036)。此外,对照组的IFR测量值与研究组的非腭裂侧相比显著降低(p=0.04)。

结论

本研究表明,UCLP患者在ZMC和IFR均表现出不对称。这些发现提示对面部美学有负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd18/11246714/5c78c8b40174/eor-058-083-e002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd18/11246714/6c46264ddd91/eor-058-083-e001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd18/11246714/5c78c8b40174/eor-058-083-e002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd18/11246714/6c46264ddd91/eor-058-083-e001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd18/11246714/5c78c8b40174/eor-058-083-e002.jpg

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