Study of Morphological Changes in the Inferior Turbinate After Le Fort I Osteotomy
Study of Morphological Changes in the Inferior Turbinate After Le Fort I Osteotomy
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Le Fort I截骨术后下鼻甲形态变化的研究
DOI：
10.1097/scs.0000000000008656
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Tetsuya Yoda
中科院分区：
文献类型：
--
作者：
Nobuyoshi Tomomatsu 1;Namiaki Takahara;Koichi Nakakuki;Yasuhiro Kurasawa;Takuya Iwasaki;Tetsuya Yoda
目的：有病例中，患者抱怨的鼻塞后，乐堡我截骨术，但与术后的鼻腔，包括鼻中隔和下鼻甲的形态变化的关系，尚不明确。研究设计：作者评价了三维关系的形态变化，在下鼻甲手术前和手术后的84例谁接受了乐堡我截骨术。结果：高海拔组（4.0mm以上）31侧，中海拔组93侧，低海拔组（2.0mm以下）44侧。高海拔组下鼻甲体积为术前的76.9±12.8%。结论：Le Fort Ⅰ型截骨术后，下鼻甲组织体积随上颌骨抬高量的增加而减小，下鼻甲与鼻腔底的接触率为67.7%。虽然软组织体积可能会因呼吸功能的适应而减少，但在高海拔组中，下鼻道并不完全通气。如果随着上颌骨的移动逆时针方向抬高超过4.0 mm，则有必要考虑同时进行下鼻甲切除，因为这可能导致鼻塞。
Objective:There are cases in which patients complain of nasal obstruction after Le Fort I osteotomy, but the relationship with postoperative morphological changes in the nasal cavity, including the septum and inferior turbinate, is not clear.Study Design:The authors evaluated the three-dimensional relationship of the morphological changes in the inferior turbinate before and after surgery in 84 patients who underwent Le Fort I osteotomy. Three classifications were made according to superior amount of maxillary movement at the base of nasal cavity.Results:The high elevation group (4.0 mm or more) had 31 sides, the moderate elevation group had 93 sides, and the low elevation group (less than 2.0 mm) had 44 sides. The volume of inferior turbinate was 76.9±12.8% of that before surgery in the high elevation group. The high-and moderate-elevation groups had significantly higher changes than the low elevation group, and the rate of contact between inferior turbinate and nasal cavity floor was 67.7%.Conclusions:After Le Fort I osteotomy, the volume of inferior turbinate tissue decreased in proportion to the amount of elevation of the maxilla. Although the soft tissue volume may be reduced due to adaptation of respiratory function, the inferior nasal passage was not completely ventilated in the high elevation group. If the elevation exceeds 4.0 mm counterclockwise with maxillary movement, it is necessary to consider the concomitant inferior turbinate resection because it may lead to nasal obstruction.
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一体式 Le Fort 1 截骨术推进上颌骨的骨骼稳定性；
DOI：
10.1016/j.bjoms.2004.01.003
发表时间：
2004
期刊：
The British journal of oral & maxillofacial surgery
影响因子：
--
作者：
G. Hoffman;P. Brennan
通讯作者：
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影响因子：
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作者：
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DOI：
10.1054/ijom.2000.0001
发表时间：
2001-04-01
影响因子：
2.4
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Erbe, M;Lehotay, M;Neukam, FW
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DOI：
10.1016/0278-2391(88)90009-2
发表时间：
1988
期刊：
Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
影响因子：
--
作者：
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影响因子：
2.4
作者：
S. Haarmann;A. Budihardja;K. Wolff;K. Wangerin
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