Análise da fossa pterigopalatina em pacientes submetidos à expansão maxilar rápida assistida cirurgicamente: um estudo morfométrico utilizando a tomografia computadorizada de feixe cônico

Autores

DOI:

https://doi.org/10.33448/rsd-v10i12.20388

Palavras-chave:

Fossa pterigopalatina; Radiologia; Tomografia computadorizada de feixe cônico; Técnica de expansão palatina.

Resumo

Este estudo retrospectivo, observacional e longitudinal realizou uma análise morfométrica da fossa pterigopalatina (PPF) em pacientes submetidos à expansão maxilar rápida assistida cirurgicamente (SARME) utilizando TCFC (TCFC). Foram avaliadas tomografias CBCT de 41 pacientes consecutivos e foram realizadas as seguintes medições: Volume de PPF (PPFV), altura (PPFH), comprimento (PPFL) e ângulo (PPFA). A amostra foi dividida em grupos D (pacientes submetidos à SARME; n=26) e controle (n=15). O grupo D foi subdividido em D+ (com disjunção pterigomaxilar - PMD) e D- (sem PMD). As diferenças entre o período pré e pós-operatório foram testadas usando o U Mann-Whitney ou o teste t. Os grupos D+ e D- foram comparados usando os testes ANOVA ou Kruskal-Wallis unidirecionais (nível de significância fixado em 5%). Em geral, houve variações morfométricas no PPF, com valores mais baixos após a SARME. As diferenças para PPFH, PPFL e PPFA não foram significativas (p>0,05). No lado direito, houve diferenças no PPFV, com valores mais baixos em pacientes do grupo D+ (p<0,05). Estes achados indicam uma redução morfométrica de PPF após a SARME, com diferenças quando a disjunção é realizada ou não. O cirurgião maxilofacial deve estar ciente destas mudanças ao realizar a SARME com ou sem disjunção.

Biografia do Autor

Isabella Maria Zanutto, State University of Maringa

Master student in integrated dentistry, Department of Dentistry, State University of Maringá, Maringá, PR, Brazil

Liogi Iwaki Filho, State University of Maringa

Titular Professor of Oral and Maxillofacial Surgery, Department of Dentistry, State University of Maringá, Maringá, PR, Brazil

Breno Gabriel da Silva, University of São Paulo

PhD Student in Statistics and Agricultural Experimentation, Department of Exact Sciences, “Luiz de Queiroz” College of Agriculture, University of São Paulo (ESALQ/USP), Piracicaba, SP, Brazil.

Mariliani Chicarelli da Silva, State University of Maringa

Adjunct Professor of Dental Radiology and Imaging, Department of Dentistry, State University of Maringá, Maringá, PR, Brazil

Elen de Souza Tolentino, State University of Maringa

Assistant Professor of Dental Radiology and Imaging, Department of Dentistry, State University of Maringá, Maringá, PR, Brazil

Eder Alberto Sigua-Rodriguez , University Institution Colleges of Colombia

Resident of Oral and Maxillofacial Surgery, Department of Dentistry, State University of Maringá, Maringá, PR, Brazil.  

Lilian Cristina Vessoni Iwaki, State University of Maringa

Titular Professor of Dental Radiology and Imaging, Department of Dentistry, State University of Maringá, Maringá, PR, Brazil.  

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Publicado

16/09/2021

Como Citar

ZANUTTO, I. M.; IWAKI FILHO, L. .; SILVA, B. G. da .; SILVA, M. C. da .; TOLENTINO, E. de S.; SIGUA-RODRIGUEZ , E. A. .; IWAKI, L. C. V. . Análise da fossa pterigopalatina em pacientes submetidos à expansão maxilar rápida assistida cirurgicamente: um estudo morfométrico utilizando a tomografia computadorizada de feixe cônico. Research, Society and Development, [S. l.], v. 10, n. 12, p. e158101220388, 2021. DOI: 10.33448/rsd-v10i12.20388. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/20388. Acesso em: 24 nov. 2024.

Edição

v. 10 n. 12

Seção

Ciências da Saúde

Licença

Copyright (c) 2021 Isabella Maria Zanutto; Liogi Iwaki Filho; Breno Gabriel da Silva; Mariliani Chicarelli da Silva; Elen de Souza Tolentino; Eder Alberto Sigua-Rodriguez ; Lilian Cristina Vessoni Iwaki

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