使用分形维度法评估正颌手术后的下颌骨愈合、下颌骨髁状突和内眦。

IF 2.2 3区 医学
O. Muftuoglu, H-A Karasu
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引用次数: 0

摘要

背景本研究旨在比较单颌和双颌正颌手术后患者下颌骨截骨线和下颌骨髁突处骨结构的骨小梁变化。根据手术操作将患者分为两组:单颚(双侧矢状劈开臼齿截骨术)或双颚(Le Fort I 截骨术和双侧矢状劈开臼齿截骨术)手术。使用分形分析方法对患者的全景照片(术前、术后第 2 天、术后第 3 个月和第 12 个月)上的下颌骨截骨线、下颌骨髁状突和下颌角的骨小梁变化进行评估。结果单颌组患者术前、术后第 2 天、术后第 3 个月和术后第 12 个月的下颌骨髁状突和内眦区域的分形分析值差异无统计学意义。双颌组术前、术后第 2 天、术后第 3 个月和术后第 12 个月的下颌骨髁状突和内眦区域的骨折分析值差异无统计学意义。两组截骨线的骨折分析值差异明显。最低值出现在术后第 2 天,在术后第 3 个月和第 12 个月达到了术前值。该结果表明,分形分析法可用于评估正颌手术后截骨线和间接受影响区域骨愈合过程中的骨小梁情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of mandibular bony healing, mandibular condyle and angulus after orthognathic surgery using fractal dimension method.
BACKGROUND This study aims to compare the trabeculation changes in the bone structure observed at the mandibular osteotomy line and the mandibular condyle in patients after single and double-jaw orthognathic surgery. MATERIAL AND METHODS The study included 38 patients (23 female, 15 male) who underwent mandibular surgery with bilateral sagittal split ramus osteotomy technique. The patients were divided into two groups according to their surgical operation: single-jaw (bilateral sagittal split ramus osteotomy) or double-jaw (Le Fort I osteotomy and bilateral sagittal split ramus osteotomy) surgery. Trabecular changes seen in mandibular osteotomy lines, mandibular condyle and mandibular angulus were evaluated on panoramic radiographs of patients (preoperative, postoperative 2nd day, postoperative 3rd month and 12th month) using fractal analysis method. Fractal dimension analysis was calculated by box counting method. RESULTS No statistically significant difference was found between the fractal analysis values in the mandibular condyle and angulus region preoperatively, postoperative 2nd day, postoperative 3rd month and postoperative 12th month in the single jaw group. There was no statistically significant difference between the fractal analysis values in the mandibular condyle and angulus region preoperatively, postoperative 2nd day, postoperative 3rd month and postoperative 12th month in the double jaw group. A significant difference was found in fractal analysis values in osteotomy lines in both groups. The lowest value was found on the 2nd postoperative day and reached the preoperative values in the 3rd and 12th months postoperatively. Fractal analysis values didn't show significant difference between the single, double-jaw groups in all periods. CONCLUSIONS This result suggests that the fractal analysis method can be used to evaluate trabeculation in the bone healing process of the osteotomy lines and indirectly affected areas in the postoperative period after orthognathic surgery.
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来源期刊
CiteScore
4.50
自引率
0.00%
发文量
52
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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