目的:本研究的目的是比较唇腭裂(CLP)患者与骨性1级患者的眼眶区域投影。
方法:回顾性。
方法:单中心。
方法:52例单侧CLP的头影测量数据,25例双侧CLP,纳入60名没有CLP的骨骼1级健康参与者。
方法:总共5个参数,3在轨道区域,2在亚轨道区域,决定了眼眶区域在侧位脑图上的投影,评估了颅面区域的13个参数。
结果:横向,劣等,眼眶前段参数在组间相似,与对照组相比,CLP组的眶下参数处于令人沮丧的位置(P<0.05)。CLP组之间在眶下参数方面没有发现显着差异。在上颌骨和下颌骨的前后位置之间发现了中度正相关。眶外侧区与上颌前高度呈中度负相关,眶下区域与上颌倾斜度呈中度负相关。
结论:与对照组相比,CLP的亚轨道投影更具挑战性,但CLP组间无差异。另一方面,眶顶投射与上颌和下颌发育之间存在显着相关性。结果表明,CLP患者需要针对眶下区域的替代治疗方式。
OBJECTIVE: The aim of this study was to compare the orbitomalar region projection in patients with cleft lip and palate (CLP) with skeletal class 1 cases.
METHODS: Retrospective.
METHODS: Single center.
METHODS: Cephalometric data of 52 cases with unilateral CLP, 25 cases with bilateral CLP, and 60 healthy participants in skeletal class 1 without CLP were included.
METHODS: A total of 5 parameters, 3 in the orbital and 2 in the suborbital region, that determine the projection of the orbitomalar region on lateral cephalograms, and 13 parameters of the craniofacial region were evaluated.
RESULTS: Lateral, inferior, and anterior orbital parameters were similar between groups, while suborbital parameters were in a retrusive position in the CLP groups compared to the control group (P < .05). No significant difference was found between the CLP groups in terms of suborbital parameters. A moderate positive correlation was found between orbitomalar parameters and the anteroposterior positions of the maxilla and mandible. The lateral orbital region had a moderate negative correlation with anterior maxillary height, and the suborbital region had a negative moderate correlation with maxillary inclination.
CONCLUSIONS: Suborbital projection was more retrusive in CLP compared to the control group, but no difference was found between the CLP groups. On the other hand, the correlation between orbitomalar projection and maxillary and mandibular development was significant. The results show that there is a need for alternative treatment modalities for the suborbital region in patients with CLP.