摘要
目的:将系列数字化导板用于腓骨肌皮瓣修复下颌骨缺损,实现下颌骨缺损的个体化精确修复。方法:10例腓骨肌皮瓣修复下颌骨缺损的患者,男性7例,女性3例,均行术前规划,并3D打印系列数字化导板,术中应用数字化导板精确重建下颌骨,术后利用图像融合技术评价术后效果。术后所有病例未出现相关并发症。结果:系列导板术中就位顺利,重建钛板及髁状突位置准确,面型及咬合关系恢复良好。术后图像融合显示,剩余下颌骨与患侧髁状突术后位置与术前相比误差<2mm。结论:系列数字化导板在重建下颌骨形态、保证髁状突的位置、恢复咬合关系、减少手术时间方面具有优越性。
Objective：To apply serial digital guide to the reconstruction of mandibular defect with fibular myocutaneous flap,realizing accurate and individual reconstruction of mandibular defect.Methods：Ten cases of mandibular defects were reconstructed with fibular myocutaneous flap,of which 7were male,3were female.Preoperative design was made before serial digital guides were manufactured using 3Dprinting.Mandible was reconstructed with the help of serial digital guide.Image fusion technology was used to evaluate postoperative outcome.Results：No complication was found after surgery.All guides took position smoothly.Reconstruction titanium plate and condyle were in their position as designed.Ideal occlusion and facial contour were achieved.Postoperative image fusion showed〈2mm deviation between pre-and post-operative positions of residual mandible and condyle.Conclusion：Serial digital guide could be considered during mandible reconstruction,which could locate condyle position,accurately recover occlusion,and reduce operation time.
出处
《口腔医学研究》
CAS
北大核心
2017年第5期542-545,共4页
Journal of Oral Science Research
基金
江苏省医学重点人才计划项目(编号:20110250)
关键词
数字化导板
腓骨肌皮瓣
下颌骨缺损
Digital guide
Fibular osteo-myocutaneous flap
Mandibular defects
