在人类胎儿尸体中检测到的耳廓畸形异常。

IF 1 4区 医学 Q3 SURGERY Journal of Craniofacial Surgery Pub Date : 2025-01-01 Epub Date: 2024-07-04 DOI:10.1097/SCS.0000000000010468
Özlem Elvan, Alev Bobuş Örs, Evrim Güneş
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引用次数: 0

摘要

这项研究的目的是根据人类胎儿的形态表现,调查其耳廓畸形的发生率和多样性。该研究共检查了来自 56 个福尔马林固定胎儿(32 个女性和 24 个男性)的 100 个耳廓,胎龄从 17 周到 36 周不等。根据现有文献中概述的形态畸形对耳廓进行了分类。在分析的样本中,67%的样本出现耳廓畸形,其余33%的样本没有出现耳廓畸形。在有畸形的耳廓中,73%显示出单一类型的畸形:22%为海螺状畸形;13%为斯塔尔耳;13%为倒海螺状畸形;12%为覆耳;7%为杯状畸形;6%为缩耳。此外,27%的耳廓在同一侧表现出两种不同的畸形:有盖耳的海螺嵴占 10%;有斯塔尔耳的海螺嵴占 5%;有反螺旋第 3 海螺嵴的海螺嵴占 3%;有盖耳的缢耳占 5%;有杯状耳的缢耳占 2%;有倒置海螺碗的缢耳占 2%。最常见的畸形是耳蜗畸形,而杯状耳畸形最少。在这些胎儿中,10 个双侧耳廓正常,8 个单侧耳廓正常,12 个双侧耳廓畸形相同,14 个双侧耳廓畸形不同。即使是形态正常的胎儿,耳廓畸形的形状和对称性也可能不同。识别这些畸形有助于对新生儿的此类畸形进行准确诊断和制定治疗计划。
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Auricular Deformational Anomalies Detected in Human Fetal Cadavers.

The aim of the study was to investigate the incidence and diversity of deformational auricular anomalies in human fetuses based on their morphologic appearances. A total of 100 auricles from 56 formalin-fixed fetuses (32 female and 24 male), gestational ages ranging from 17 to 36 weeks, were examined. The auricles were categorized according to the morphologic deformities outlined in existing literature. Of the samples analyzed, 67% exhibited auricular deformities, while the remaining 33% showed no auricle anomalies. Among the auricles with deformities, 73% displayed a single type of deformity: Conchal crus, 22%; Stahl's ear, 13%; inverted conchal bowl, 13%; lidding ear, 12%; cup ear, 7%; and constricted ear, 6%. In addition, 27% of the auricles exhibited 2 different deformities on the same side: Conchal crus with lidding ear, 10%; conchal crus with Stahl's ear, 5%; conchal crus with the antihelix 3rd crus, 3%; constricted ear with lidding ear, 5%; constricted ear with cup ear, 2%; and constricted ear with inverted conchal bowl, 2%. The most prevalent deformity was conchal crus, whereas cup ear was the least. Among the fetuses, 10 had bilaterally normal auricles, 8 had unilaterally normal auricles, 12 exhibited the same deformity bilaterally, and 14 displayed different deformities on each side. Auricular deformational variations can vary in shape and symmetry, even in morphologically normal fetuses. Identifying these deformities can contribute to accurate diagnosis and treatment planning for such anomalies in newborns.

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来源期刊
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.
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