{"title":"单侧唇腭裂患者齿槽裂体积和鼻颌形态的三维评估","authors":"Kirti Sehrawat, Santosh Kumar, Pandurangan Harikrishnan","doi":"10.1177/10556656231196057","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the alveolar cleft volume (ACV) and to study its correlation with the nasomaxillary form in patients with unilateral cleft lip and palate (UCLP).</p><p><strong>Design: </strong>Retrospective study.</p><p><strong>Setting: </strong>University Academic Hospital.</p><p><strong>Patients/participants: </strong>30 patients with UCLP and 30 non-cleft patients.</p><p><strong>Interventions: </strong>Cone beam computed tomography (CBCT) scans.</p><p><strong>Results: </strong>The Maxillary sinus volume (MSV) and Nasal cavity volume (NCV) were significantly reduced on the affected side in patients with UCLP (<i>P</i> < .001) and also in the cleft group when compared to the noncleft group (<i>P</i> < .01). The septal deviation measured at anterior, mid and posterior nasal spine were increased in the UCLP group significantly when compared to the non-cleft group (<i>P</i> < .01) and maximum deviation was seen at the mid-level. The mean ACV was found to be 0.587 + 0.396 cm<sup>3</sup>.The nasomaxillary complex was affected in UCLP patients irrespective of cleft size and a statistically significant correlation of ACV was found with septal height only (r value = -0.508). Parameters like septal height, anterior and middle maxillary width were significantly reduced (<i>P</i> < .01) in the cleft group when compared to the non-cleft group.</p><p><strong>Conclusion: </strong>The patients with UCLP showed significant differences among various parameters within the nasomaxillary complex when compared to the control group. Within the cleft group, the MSV and NCV were significantly decreased on the cleft side and also a significant negative correlation of ACV was found with septal height only.</p>","PeriodicalId":55255,"journal":{"name":"Cleft Palate-Craniofacial Journal","volume":" ","pages":"5-12"},"PeriodicalIF":1.2000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Three-Dimensional Evaluation of Alveolar Cleft Volume and Nasomaxillary Form in Patients with Unilateral Cleft Lip and Palate.\",\"authors\":\"Kirti Sehrawat, Santosh Kumar, Pandurangan Harikrishnan\",\"doi\":\"10.1177/10556656231196057\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the alveolar cleft volume (ACV) and to study its correlation with the nasomaxillary form in patients with unilateral cleft lip and palate (UCLP).</p><p><strong>Design: </strong>Retrospective study.</p><p><strong>Setting: </strong>University Academic Hospital.</p><p><strong>Patients/participants: </strong>30 patients with UCLP and 30 non-cleft patients.</p><p><strong>Interventions: </strong>Cone beam computed tomography (CBCT) scans.</p><p><strong>Results: </strong>The Maxillary sinus volume (MSV) and Nasal cavity volume (NCV) were significantly reduced on the affected side in patients with UCLP (<i>P</i> < .001) and also in the cleft group when compared to the noncleft group (<i>P</i> < .01). The septal deviation measured at anterior, mid and posterior nasal spine were increased in the UCLP group significantly when compared to the non-cleft group (<i>P</i> < .01) and maximum deviation was seen at the mid-level. The mean ACV was found to be 0.587 + 0.396 cm<sup>3</sup>.The nasomaxillary complex was affected in UCLP patients irrespective of cleft size and a statistically significant correlation of ACV was found with septal height only (r value = -0.508). Parameters like septal height, anterior and middle maxillary width were significantly reduced (<i>P</i> < .01) in the cleft group when compared to the non-cleft group.</p><p><strong>Conclusion: </strong>The patients with UCLP showed significant differences among various parameters within the nasomaxillary complex when compared to the control group. Within the cleft group, the MSV and NCV were significantly decreased on the cleft side and also a significant negative correlation of ACV was found with septal height only.</p>\",\"PeriodicalId\":55255,\"journal\":{\"name\":\"Cleft Palate-Craniofacial Journal\",\"volume\":\" \",\"pages\":\"5-12\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cleft Palate-Craniofacial Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/10556656231196057\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/8/16 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cleft Palate-Craniofacial Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10556656231196057","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/8/16 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
摘要
目的评估单侧唇腭裂（UCLP）患者的齿槽裂隙体积（ACV），并研究其与鼻颌形态的相关性：设计：回顾性研究：患者/参与者：30 名单侧唇腭裂患者和 30 名双侧唇腭裂患者：30 名单侧唇腭裂患者和 30 名非唇腭裂患者：锥形束计算机断层扫描（CBCT）：UCLP患者患侧的上颌窦容积（MSV）和鼻腔容积（NCV）明显缩小（P P P 3.UCLP患者的鼻颌复合体无论裂隙大小均受影响，且ACV仅与鼻中隔高度存在统计学意义上的显著相关性（r值=-0.508）。鼻中隔高度、上颌骨前部和中部宽度等参数均明显减少（P 结论：鼻中隔高度、上颌骨前部和中部宽度与鼻中隔高度、上颌骨前部和中部宽度之间存在明显的相关性：与对照组相比，UCLP 患者鼻颌复合体的各种参数均有明显差异。在鼻中隔裂隙组中，鼻中隔裂隙侧的 MSV 和 NCV 明显下降，而且 ACV 仅与鼻中隔高度呈显著负相关。
Three-Dimensional Evaluation of Alveolar Cleft Volume and Nasomaxillary Form in Patients with Unilateral Cleft Lip and Palate.
Objective: To evaluate the alveolar cleft volume (ACV) and to study its correlation with the nasomaxillary form in patients with unilateral cleft lip and palate (UCLP).
Design: Retrospective study.
Setting: University Academic Hospital.
Patients/participants: 30 patients with UCLP and 30 non-cleft patients.
Results: The Maxillary sinus volume (MSV) and Nasal cavity volume (NCV) were significantly reduced on the affected side in patients with UCLP (P < .001) and also in the cleft group when compared to the noncleft group (P < .01). The septal deviation measured at anterior, mid and posterior nasal spine were increased in the UCLP group significantly when compared to the non-cleft group (P < .01) and maximum deviation was seen at the mid-level. The mean ACV was found to be 0.587 + 0.396 cm3.The nasomaxillary complex was affected in UCLP patients irrespective of cleft size and a statistically significant correlation of ACV was found with septal height only (r value = -0.508). Parameters like septal height, anterior and middle maxillary width were significantly reduced (P < .01) in the cleft group when compared to the non-cleft group.
Conclusion: The patients with UCLP showed significant differences among various parameters within the nasomaxillary complex when compared to the control group. Within the cleft group, the MSV and NCV were significantly decreased on the cleft side and also a significant negative correlation of ACV was found with septal height only.
期刊介绍：
The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.
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