神戸大学附属図書館デジタルアーカイブ
入力補助
English
カテゴリ
学内刊行物
ランキング
アクセスランキング
ダウンロードランキング
https://doi.org/10.24546/0100485259
このアイテムのアクセス数:
227
件
(
2024-05-28
18:18 集計
)
閲覧可能ファイル
ファイル
フォーマット
サイズ
閲覧回数
説明
106-114 (fulltext)
pdf
807 KB
208
メタデータ
ファイル出力
メタデータID
0100485259
アクセス権
open access
出版タイプ
Version of Record
タイトル
The Impact of Mandibular Distraction Osteogenesis on Cephalometric Measurements in Infants with Pierre Robin Sequence
著者
DANG HOANG THOM ; VU NGOC LAM ; TRAN THIET SON
著者名
DANG HOANG THOM
著者名
VU NGOC LAM
著者名
TRAN THIET SON
収録物名
The Kobe journal of the medical sciences
巻(号)
69(3)
ページ
106-114
出版者
Kobe Journal of Medical Sciences 刊行会
Kobe Journal of Medical Sciences
刊行日
2023
注記
2023年11月24日 本文差替え
抄録
BACKGROUND: The obstruction of the upper airway (UAO) in infants diagnosed with Robin Sequence (RS) is caused by micrognathia, and in severe cases, it can result in obstructive sleep apnea (OSA). Mandibular distraction osteogenesis (MDO) is a secure and efficient remedy for significant UAO. However, there is insufficient data on the related cephalometric changes. Therefore, this study meticulously analyzes the mandibular cephalometric changes in infants with RS who have undergone MDO using internal devices. The aim is to gain a more comprehensive understanding of the short- and long-term impacts of distraction on the mandible. METHODS: The study examined 73 consecutive cases of mandibular distraction osteogenesis (MDO) performed by a single surgeon. Preoperative and postoperative lateral cephalograms, as well as CT scans of the mandible, were utilized to assess population averages for both time points. A two-sample T-Test with equal variance was used for this analysis. RESULTS: After the MDO procedure, 19 out of 21 cephalometric parameters exhibited significant morphological changes. On average, there were notable improvements of 20.3 mm (60.7%) in length, 9.8 mm (49.7%) in height, 12.6 mm (36.1%) in width, and 211% in airway parameters. However, most parameters showed only mild regression at the time of device removal and 6 to 12 months post-MDO. Nonetheless, the cephalometric parameters remained significantly improved compared to the preoperative measurements. CONCLUSIONS: The use of cephalometric measurement is a potent approach that provides a clear and measurable understanding of how MDO influences both immediate and long-term growth of the mandible. This quantitative assessment of the effects of mandibular distraction allows for the refinement of surgical techniques and the optimization of outcomes. Therefore, incorporating cephalometric measurements in the evaluation of patients undergoing MDO can lead to better surgical planning and more favorable results.
キーワード
Mandibular distraction osteogenesis
Cephalometric Measurement
Pierre Robin Sequence
カテゴリ
The Kobe journal of the medical sciences
>
69巻
>
69巻3号(2023)
紀要論文
詳細を表示
資源タイプ
departmental bulletin paper
言語
English (英語)
ISSN
0023-2513
OPACで所蔵を検索
CiNiiで学外所蔵を検索
NCID
AA00711740
OPACで所蔵を検索
CiNiiで表示
ホームへ戻る