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使用丙烯酸材料进行颅骨成形术:一种新的技术方法。

Cranioplasty using acrylic material: a new technical procedure.

作者信息

Chiarini Luigi, Figurelli Sabina, Pollastri Giuseppe, Torcia Elio, Ferrari Francesca, Albanese Massimo, Nocini Pier Francesco

机构信息

Department of Neuroscience, Head and Neck Rehabilitation, Section of Dentistry and Oral and Maxillofacial Surgery, University Hospital of Modena e Reggio Emilia, Italy.

出版信息

J Craniomaxillofac Surg. 2004 Feb;32(1):5-9. doi: 10.1016/j.jcms.2003.08.005.

Abstract

AIM

Today, cranioplasty is performed using different procedures. Numerous materials may be used to reconstruct the cranial vault including autologous bone and different types of synthetic resins. When plastic materials are used, the main requirement for an effective cranioplasty is the preoperative shaping of the implant to fit the bony defect precisely. In this paper, experience with a new method for cranioplasty using an acrylic cranial implant is presented.

MATERIAL AND METHODS

In this new technical procedure an acrylic implant, precisely shaped to the defect, is fabricated preoperatively using CT data. The study consists of 15 cases in whom cranioplasty was performed using this method. In all these, reconstruction was at least 3 months after the initial operation that lead to the cranial bony defect.

RESULTS

No major complications occurred and the final functional and aesthetic results were good in all cases. The acrylic implant manufacture does not require the use of complex computer interface software or high-tech equipment, but involves simple, cheap, repeatable processes.

摘要

目的

如今,颅骨成形术采用不同的手术方法进行。可使用多种材料来重建颅顶,包括自体骨和不同类型的合成树脂。当使用塑料材料时,有效的颅骨成形术的主要要求是术前对植入物进行塑形,使其精确适配骨缺损。本文介绍了一种使用丙烯酸颅骨植入物进行颅骨成形术的新方法的经验。

材料与方法

在这种新技术中,术前利用CT数据制作精确适配缺损形状的丙烯酸植入物。该研究包括15例采用此方法进行颅骨成形术的病例。在所有这些病例中,重建手术至少在导致颅骨骨缺损的初次手术后3个月进行。

结果

未发生重大并发症,所有病例的最终功能和美学效果均良好。丙烯酸植入物的制造不需要使用复杂的计算机接口软件或高科技设备,而是涉及简单、廉价且可重复的过程。

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