完成面部手术prevalência下颌管bífido

Isaura Cristina Senna de Oliveira, Milena Bortolloto Felippe Silva, Ricardo Raitz
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引用次数: 0

摘要

目的:利用锥形束计算机断层扫描(CBCT)评价下颌双裂管(BMC)的患病率及其与面部类型(FT)的相关性。材料与方法:根据FT、性别、年龄、面部侧边,选取180例半下颌患者(90例)作为样本。FT是用Ricketts VERT指数确定的。CBCT根据TF分为3组:30例近面、30例面膜、30例面膜。BMC的分类依据Naitoh et al.(2011)。由训练有素的放射科医生使用Dolphin Imaging®11.0和XoranCat®软件对图像进行分类和评估。采用奎方检验或Fisher精确检验对各组按性别、发病部位、BMC分类进行比较;通过Mann-Whitney测试和Kruskal-Wallis测试比较年龄对性别和BMC存在的影响。采用Fisher精确检验分析患者性别与BMC存在的关系。在所有测试中考虑5%的显著性水平。结果:BMC患者占14.4%,以C型牙槽最多(53.8%),其次为D型后磨牙(15.4%)、E型舌(15.4%)、F型下颌骨(7.7%)。当CMB存在时,没有副作用优势和患者性别的影响。结论:FT不影响BMC的存在和类型。
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O perfil facial e a prevalência de canal mandibular bífido
Objective: To evaluate the prevalence of bifid mandibular canals (BMC) and correlate them with facial types (FT), using cone-beam computed tomography (CBCT). Material and method: The sample, composed of 180 hemimandibles (90 patients), was determined by FT, sex, age and side of the face. The FT was determined using the Ricketts VERT index. The CBCT were divided into three groups according to the TF: 30 brachyfacial, 30 mesofacial and 30 dolichofacial patients. The BMC were classified according to Naitoh et al. (2011). The images were classified and evaluated by a trained radiologist, using the Dolphin Imaging® 11.0 and XoranCat® software. The groups were compared according to sex, affected side and BMC class by the Qui-square test or Fisher’s exact test; the influence of age compared to sex and presence of BMC by the Mann-Whitney test and compared to FT by the Kruskal-Wallis test. The relationship between patient sex and presence of BMC was analyzed using Fisher’s exact test. A 5% significance level was considered in all tests. Results: The proportion of patients with BMC in the sample was 14.4%, with the most frequent type C alveolar (53.8%), followed by types D retromolar (15.4%), E lingual (15.4%) and F mandible base (7.7%). When CMB was present, there was no side predominance and patient’s sex influence. Conclusion: FT does not affect the presence or type of BMC.
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