唇腭裂儿童在三个不同时期接受唇部整形手术效果的三维人体测量分析

Children Pub Date : 2024-07-05 DOI:10.3390/children11070824
G. Rando, Eloá Cristina Passucci Ambrosio, P. K. Jorge, C. Sforza, M. Menezes, Ana Lúcia Pompeia Fraga de de Almeida, Simone Soares, Gisele Silva Dalben, Cristiano Tonello, C. C. Carrara, M. A. A. M. Machado, T. M. Oliveira
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引用次数: 0

摘要

研究目的本研究旨在通过三维人体测量分析评估唇腭裂儿童的颌面部结构,从而评估唇部修复的最佳时机。方法:样本包括 252 个数字化牙科模型:样本包括 252 个数字化牙科模型,根据以下唇部修复时机分为几组:G1(n = 50):3个月;G2(n = 50):5个月和6个月;G3(n = 26):8和10个月。模型在两个时间点进行评估:T1:唇修复前;T2:5 岁时。对线性测量值、面积和 Atack 指数进行分析。结果:在 T1,组间分析显示 G1 的 I-C′、I-C、C-C′ 和节段面积之和的平均值显著低于 G2(分别为 p = 0.0140、p = 0.0082、p = 0.0004、p < 0.0001)。此外,G2 和 G3 的裂隙面积比较也有显著的统计学差异(p = 0.0346)。在第二阶段,组间分析显示,G1 的平均 I-C′ 与 G3 相比有显著的统计学差异(p = 0.0461)。在 I-CC'长度分析中,G1 和 G3 的平均值高于 G2(p = 0.0039)。据统计,G1 的 I-T′ 测量值高于 G2(p = 0.0251)。在组间生长率分析中,G1 和 G2 的 I-C′ 测量值与 G3 相比有显著统计学差异(p = 0.0003)。在阿塔克指数分析中,G1 和其他样本组之间的差异具有统计学意义(p < 0.0001)。结论较晚接受手术的儿童在牙弓的生长和发育方面表现出更好的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Three-Dimensional Anthropometric Analysis of the Effect of Lip Reconstructive Surgery on Children with Cleft Lip and Palate at Three Different Times
Objectives: This investigation aimed to assess the optimal timing for lip repair in children with cleft lip and palate via 3D anthropometric analysis to evaluate their maxillofacial structures. Methods: The sample comprised 252 digitized dental models, divided into groups according to the following timing of lip repair: G1 (n = 50): 3 months; G2 (n = 50): 5 and 6 months; G3 (n = 26): 8 and 10 months. Models were evaluated at two-time points: T1: before lip repair; T2: at 5 years of age. Linear measurements, area, and Atack index were analyzed. Results: At T1, the intergroup analysis revealed that G1 had statistically significant lower means of I-C′, I-C, C-C′, and the sum of the segment areas compared to G2 (p = 0.0140, p = 0.0082, p = 0.0004, p < 0.0001, respectively). In addition, there was a statistically significant difference when comparing the cleft area between G2 and G3 (p = 0.0346). At T2, the intergroup analysis revealed that G1 presented a statistically significant mean I-C′ compared to G3 (p = 0.0461). In the I-CC’ length analysis, G1 and G3 showed higher means when compared to G2 (p = 0.0039). The I-T′ measurement was statistically higher in G1 than in G2 (p = 0.0251). In the intergroup growth rate analysis, G1 and G2 showed statistically significant differences in the I-C′ measurement compared to G3 (p = 0.0003). In the analysis of the Atack index, there was a statistically significant difference between G1 and the other sample sets (p < 0.0001). Conclusion: Children who underwent surgery later showed better results in terms of the growth and development of the dental arches.
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