不同颅骨骨骼类型患者的大耳甲分布和侧边:回顾性分析大耳甲病例。

IF 2 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Farhad Ghorbani, Ali Modaberi, Nasim Morshedian, Ali Gorgin, Maryam Paknahad
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引用次数: 0

摘要

目的:鼻甲大疱是一种常见的解剖变异,其特征为鼻甲骨内充满空气的空腔,影响鼻窦功能和手术计划。本研究的目的是评估在计算机断层扫描(CT)中证实有甲壳大疱(CB)的患者中甲壳大疱(CB)的分布、侧边性和颅骨骼类型的相关性。方法:对2023年3月至2024年3月期间接受头部和面部CT扫描的774例患者进行回顾性队列研究。根据头指数将患者分为中脑病组、短脑病组和多脑病组。采用CT扫描评估大耳甲的分布和侧边性,采用卡方检验进行统计学分析,显著性水平为P。结果:cb阳性患者以左侧大耳甲最常见(49.48%),其次为右侧(31.91%)和双侧(18.6%)受累。乙型肝炎病毒阳性病例中,中头个体所占比例最大(55.56%),其次是多头个体(22.86%)和短头个体(21.57%)。中头畸形组(P = 0.001)和短头畸形组(P = 0.013)存在显著的性别差异,男性右侧和双侧甲壳大裂的患病率较高。结论:乙型肝炎病毒阳性患者颅骨大孔的分布在不同颅骨骨骼类型间存在显著差异,以中脑区患者的总体患病率最高。我们的研究结果强调了颅形态学对脑脊髓炎表现的影响。这一发现可能会加强cb阳性患者的放射学评估和个体化手术计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Distribution and laterality of concha bullosa in patients with different cranial skeletal types: a retrospective analysis among cases with concha bullosa.

Objective: Concha bullosa, a common anatomical variation characterized by air-filled cavities in the turbinate bones, can influence sinonasal function and surgical planning. This study aims to evaluate the distribution, laterality, and cranial skeletal type associations of concha bullosa (CB) among patients with confirmed CB findings on computed tomography (CT) scans.

Methods: A retrospective cohort study was conducted on 774 patients who underwent cranial and facial CT scans between March 2023 and March 2024. Patients were classified into mesocephalic, brachycephalic, and dolichocephalic groups based on the cephalic index. The distribution and laterality of concha bullosa were assessed using CT scans, and statistical analyses were performed using the Chi-square test, with a significance level set at P < 0.05.

Results: Among CB-positive patients, left-sided concha bullosa was most common (49.48%), followed by right-sided (31.91%) and bilateral (18.6%) involvement. Mesocephalic individuals constituted the largest proportion of CB-positive cases (55.56%), followed by dolichocephalic (22.86%) and brachycephalic (21.57%) individuals. A significant gender difference was observed in the mesocephalic (P = 0.001) and brachycephalic (P = 0.013) groups, with males exhibiting a higher prevalence of right-sided and bilateral concha bullosa.

Conclusion: Concha bullosa distribution varies significantly among cranial skeletal types among CB-positive patients, with mesocephalic individuals exhibiting the highest overall prevalence. Our findings underscore the influence of cranial morphology on the presentation of CB. This insight may enhance radiological evaluation and individualized surgical planning in CB-positive patients.

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来源期刊
Maxillofacial Plastic and Reconstructive Surgery
Maxillofacial Plastic and Reconstructive Surgery DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.30
自引率
13.00%
发文量
37
审稿时长
13 weeks
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