评估下颌窦的变化:系统回顾

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI:10.61186/wjps.12.3.3
Majid Eshghpour, Touraj Vaezi, Sahand Samieirad, Ali Manafi, Alireza Ebrahimpour, Abdolrahim Shams
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引用次数: 0

摘要

背景:本文旨在系统回顾LeFort术后上颌窦的变化。我们研究并分析了 LeFort I 截骨术后出现的解剖异常,以及手术前后上颌窦容积(MSV)的异常:在 Google Scholar、PubMed 和 Scopus 等多个数据库中进行了系统检索。所用文章均为英文原文。这项研究一直持续到 2023 年 9 月,在对文章进行审查后,使用了几个关键词,如 "上颌窦 "和 "LeFort I 截骨术"。根据 PICO 框架对获得的数据进行了评估:结果:15 项研究结果表明,手术前后 MSV 量均有所减少(考虑到上颌窦的三个维度,测量方法为线性测量)。男性和女性的减少值不同,男性减少得更多。与其他手术一样,这种手术也会产生一些副作用,一些患者在术后会出现这些副作用:结论:无论是男性还是女性患者,经过一片式截骨术还是多节段截骨术后,MSV 都有所降低。尽管如此,根据本系统综述和荟萃分析,一片式 LeFort I 截骨术比多节段截骨术能减少更多的 MSV。
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Assessment of Maxillary Sinus Variations Post-LeFort: A Systematic Review.

Background: The purpose of this article was to systematically review maxillary sinus changes after LeFort. We examined and analyzed the anatomical abnormalities that occurred following LeFort I osteotomy, as well as the abnormalities of maxillary sinus volume (MSV) before and after the operation.

Methods: A systematic search was conducted on various databases, such as Google Scholar, PubMed, and Scopus. The articles used were in English and original. This study was conducted until September 2023, and after reviewing the articles, several keywords, such as "Maxillary sinus" and "LeFort I osteotomy", were employed. The obtained data were evaluated based on the PICO framework.

Results: Findings from 15 studies showed that the amount of MSV decreased before and after the operation (considering the three dimensions of the sinus, the measurement was performed linearly). These reduction values differed between men and women, with men having a greater reduction. As is the case with other operations, there were some side effects associated with this type of operation that some patients experienced postoperatively.

Conclusion: In both male and female patients, the MSV was reduced after one-piece and multi-segment osteotomies. Nonetheless, one-piece LeFort I osteotomy showed a higher reduction in MSV than the multi-segment osteotomy method, according to this systematic review and meta-analysis.

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