Correlation Between Cranial Base Morphology and the Position of the Glenoid Fossa in Patients With Facial Asymmetry
Correlation Between Cranial Base Morphology and the Position of the Glenoid Fossa in Patients With Facial Asymmetry
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DOI：
10.1097/scs.0000000000000838
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发表时间：
2014-07-01
影响因子：
0.9
通讯作者：
Pelo, Sandro
中科院分区：
文献类型：
--
作者：
Marianetti, Tito M.;Marianetti, Sara;Pelo, Sandro
本研究的目的是将面部不对称与颅底可能的损伤联系起来，特别是与关节窝的三维位置有关。58名受试者符合纳入标准（25名男性和33名女性）并被纳入分析。所有患者均行三维计算机断层扫描。患者分为3组：垂直平面不对称、横向平面不对称和混合型。对照组由29名患有阻塞性睡眠呼吸暂停综合征的受试者组成，没有不对称，用于比较研究人群的数据。在垂直平面不对称组和TA组中，患侧肩关节窝比健康侧肩关节窝前移更明显（P < 0.001）。TA组的差异更大。患侧TA患者与对照组中、后颅底角差异有统计学意义。我们报告了患侧中颅底角的幅度减小和后颅底角的增加。盂窝可能代表了颞区和同侧下颌骨发育之间缺失的一环。
The purpose of this study was to relate the facial asymmetries with possible impairments of the skull base, particularly with regard to the three-dimensional position of the glenoid fossa.Fifty-eight subjects met the inclusion criteria (25 men and 33 women) and were included in the analysis. All patients underwent three-dimensional computed tomographies. Patients were classified into 3 asymmetry groups: vertical plane asymmetries, transversal plane asymmetries (TAs), and hybrid forms. A control group, composed of 29 subjects having obstructive sleep apnea syndrome with no asymmetries, was used to compare data from the study populations.The glenoid fossa moved forward and superiorly on the affected side if compared with the healthy side both in the vertical plane asymmetry group and in the TA groups (P < 0.001). Differences were wider in the TA group. Statistically significant differences regarding the middle and posterior cranial base angles were observed between the affected side of the TA patients and the control group. We reported an amplitude reduction of the middle cranial base angle and an increase of the posterior cranial base angle in the affected side.The glenoid fossa could represent the missing link between the development of the temporal region and the ipsilateral hemimandible.