Narasimhan H V, Dheeraj D, Darshana D, Sreekumar A V
Principal and Head, Department of Oral and Maxillofacial Surgery, Century International Institute of Dental Sciences, Poinachi, Kasargod, Kerala, India.
J Contemp Dent Pract. 2012 Nov 1;13(6):938-44. doi: 10.5005/jp-journals-10024-1258.
Treatment planning, reconstruction and rehabilitation of maxillofacial and dental defects have always been a challenge for a maxillofacial surgeon. Reconstruction of the oral cavity is often a difficult task as it involves the restoration of both the esthetic or cosmetic form as well as the preoperative function. Understanding the oral cavity anatomy as well the functional capacities of its various subunits is required to achieve good results. The recent advances in treatment planning, diagnostic imaging and reconstructive techniques, especially in the field of osseointegration, tissue expanders, perforator flaps, microvascular free tissue transfer and bone engineering, have yielded excellent functional and esthetic outcomes. This article provides a brief overview on various advanced reconstructive and rehabilitation techniques available in contemporary clinical practice.
颌面部及牙体缺损的治疗计划制定、重建与修复一直是颌面外科医生面临的挑战。口腔重建往往是一项艰巨的任务,因为它既要恢复美观外形,又要恢复术前功能。要取得良好效果,需要了解口腔解剖结构及其各个亚单位的功能能力。治疗计划、诊断成像和重建技术的最新进展,尤其是在骨整合、组织扩张器、穿支皮瓣、微血管游离组织移植和骨工程领域,已经产生了出色的功能和美学效果。本文简要概述当代临床实践中可用的各种先进重建和修复技术。