Three-dimensional evaluation of the nasolacrimal duct and maxillary sinus ostium in patients with cleft lip and palate

IF 0.2 4区医学 Q4 ANATOMY & MORPHOLOGY

Journal of the Anatomical Society of India Pub Date : 2023-07-01 DOI:10.4103/jasi.jasi_153_22

E. Bozdemir, Özlem Yarbasi

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引用次数: 0

Abstract

Objective: Cleft lip and/or palate (CLP) is one of the most common congenital craniofacial anomalies. Individuals with CLP experience numerous problems including lack of nutrition, impaired speech, hearing loss, obstruction of nasolacrimal duct, poor dentition and facial morphology, and sinusitis. This study aimed to compare the nasolacrimal canal morphometry (nasolacrimal duct [NLD]), maxillary sinus ostium (MSO) localization, and presence of the accessory maxillary ostium (AMO) in patients with unilateral or bilateral CLP with healthy controls. Materials and Methods: The transversal and anteroposterior diameters and the length of the NLD were measured in 33 patients with unilateral CLP and 30 patients with bilateral CLP using cone-beam computed tomography. There were 16 (53.3%) males and 14 females (46.7%) in the bilateral CLP group and 18 males and 15 females in the unilateral CLP group. The mean ages of the patients were 17.36 ± 5.27 in patients with unilateral CLP and 18.6 ± 5.66 in patients with bilateral CLP. The anteroposterior location of the MSO and AMO was evaluated. Results: The transversal (P = 0.003) and anteroposterior (P = 0.002) diameters of NLD were found to be significantly different between the patients with bilateral CLP and the control group. The NLD length was found to be significantly different between the control group and the affected sides in the unilateral CLP group (P = 0.02). The MSO was found more in the middle region in the control group compared to the unilateral CLP group (P = 0.004). The AMO was found in 66.7% of the patients with bilateral CLP and 62.1% of the patients with unilateral CLP. The AMO was found more in the control group than in the bilateral CLP group (P = 0.01). Conclusions: Cleft lip and palate is an anomaly that can affect both the diameter and the length of the NLD and MSO localization.

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唇腭裂患者鼻泪管和上颌窦骨盆的三维评估

目的：唇裂和/或腭裂（CLP）是最常见的先天性颅面畸形之一。唇腭裂患者会遇到许多问题，包括缺乏营养、语言障碍、听力损失、鼻泪管阻塞、牙齿和面部形态不良以及鼻窦炎。本研究旨在比较单侧或双侧 CLP 患者与健康对照组的鼻泪管形态测量（鼻泪管 [NLD]）、上颌窦骨（MSO）定位以及上颌附属骨（AMO）的存在情况。材料和方法：使用锥束计算机断层扫描测量了 33 名单侧 CLP 患者和 30 名双侧 CLP 患者的 NLD 的横向和前后直径以及长度。双侧 CLP 组有 16 名男性（53.3%）和 14 名女性（46.7%），单侧 CLP 组有 18 名男性和 15 名女性。单侧 CLP 患者的平均年龄为（17.36 ± 5.27）岁，双侧 CLP 患者的平均年龄为（18.6 ± 5.66）岁。对MSO和AMO的前后位置进行了评估。结果：发现双侧 CLP 患者与对照组的 NLD 横径（P = 0.003）和前胸径（P = 0.002）有显著差异。在单侧 CLP 组中，发现对照组和患侧的 NLD 长度有显著差异（P = 0.02）。与单侧 CLP 组相比，对照组在中间区域发现了更多的 MSO（P = 0.004）。66.7%的双侧 CLP 患者和 62.1%的单侧 CLP 患者发现 AMO。对照组的 AMO 发现率高于双侧 CLP 组（P = 0.01）。结论：唇腭裂是一种异常，可影响 NLD 和 MSO 定位的直径和长度。

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来源期刊

Journal of the Anatomical Society of India ANATOMY & MORPHOLOGY-

CiteScore

0.40

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of the Anatomical Society of India (JASI) is the official peer-reviewed journal of the Anatomical Society of India. The aim of the journal is to enhance and upgrade the research work in the field of anatomy and allied clinical subjects. It provides an integrative forum for anatomists across the globe to exchange their knowledge and views. It also helps to promote communication among fellow academicians and researchers worldwide. It provides an opportunity to academicians to disseminate their knowledge that is directly relevant to all domains of health sciences. It covers content on Gross Anatomy, Neuroanatomy, Imaging Anatomy, Developmental Anatomy, Histology, Clinical Anatomy, Medical Education, Morphology, and Genetics.