6-18岁人群颈椎发育阶段与颧腋缝骨化的关系。

IF 1 4区医学 Q3 SURGERY

Journal of Craniofacial Surgery Pub Date : 2025-07-07 DOI:10.1097/SCS.0000000000011510

Arezoo Jahanbin, Sara Hafez, Seyed Amir Ali Haj Seyed Alikhani, Farzaneh Lal Alizadeh

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引用次数: 0

摘要

目的：探讨颧骨-上颌缝合骨化与颈椎成熟的关系，为上颌前伸手术寻找合适的年龄。方法与材料：对222例6 ~ 18岁患者（男161例，女61例）进行横断面回顾性研究。颧腋缝合成熟（ZMS）和颈椎成熟（CVM）分别分为5期和6期。采用Mann-Whitney、Spearman、Kruskal-Wallis、独立样本T检验和logistic回归进行数据分析。结果：如果儿童处于CVM的1期，则87.5%的时间处于ZMS成熟的a期。如果儿童处于CVM的第二阶段，则46.5%的时间处于B阶段，41.4%的时间处于ZMS成熟的C阶段。如果儿童处于CVM的第3阶段，则70.8%的时间处于ZMS成熟的第C阶段。如果儿童处于CVM的第4阶段，则64.5%的时间处于ZMS成熟的第D阶段。结论：根据ZMS成熟A、B期患者对上颌前伸的反应较好，提示CVM期为1时，与ZMS成熟A期密切相关。CV成熟的第2阶段与ZMS成熟的B或C阶段相关，CVM第3阶段与ZMS成熟的C阶段高度相关。

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Relationship Between Cervical Vertebral Development Stages and the Ossification of the Zygomaticomaxillary Suture in Individuals Aged 6-18.

Objective: This study aimed to evaluate the correlation between ossification of the zygomaticomaxillary suture and cervical vertebral maturation to find the appropriate age for maxillary protraction.

Method and materials: This cross-sectional retrospective study was performed on 222 CT scans of patients aged between 6 and 18 (including 161 males and 61 females). Zygomaticomaxillary suture (ZMS) maturation and cervical vertebral maturation (CVM) were assessed in 5 and 6 stages, respectively. The Mann-Whitney, Spearman, Kruskal-Wallis, independent samples T test, and logistic regression were used for data analysis. P <0.05 was considered significant.

Results: If a child is at stage 1 in CVM, 87.5% of the time is at stage A in ZMS maturation. In case a child is at stage 2 in CVM, 46.5% of the time is at stage B, and 41.4% is in stage C in ZMS maturation. In case a child is at stage 3 in CVM, 70.8% of the time is at stage C in ZMS maturation. In case a child is at stage 4 in CVM, 64.5% of the time is at stage D in ZMS maturation.

Conclusion: According to the fact that patients who are in stages A and B of ZMS maturation respond better to maxillary protraction, it was indicated that if the CVM stage is 1, it is strongly related to stage A of ZMS maturation. Stage 2 in CV maturation can be related to stages B or C of ZMS maturation and CVM stage 3 is highly related to stage C of ZMS maturation.

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来源期刊

Journal of Craniofacial Surgery 医学-外科

CiteScore

1.70

自引率

11.10%

发文量

968

审稿时长

1.5 months

期刊介绍： The Journal of Craniofacial Surgery serves as a forum of communication for all those involved in craniofacial surgery, maxillofacial surgery and pediatric plastic surgery. Coverage ranges from practical aspects of craniofacial surgery to the basic science that underlies surgical practice. The journal publishes original articles, scientific reviews, editorials and invited commentary, abstracts and selected articles from international journals, and occasional international bibliographies in craniofacial surgery.