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使用计算机辅助手术模拟进行颞下颌关节定制全关节重建与正颌外科联合手术的方案

Protocol for concomitant temporomandibular joint custom-fitted total joint reconstruction and orthognathic surgery using computer-assisted surgical simulation.

作者信息

Movahed Reza, Wolford Larry M

机构信息

Orthodontics, Saint Louis University, 40 North Kingshighway Boulevard, Apartment 16A, Saint Louis, MO 63108, USA.

Departments of Oral and Maxillofacial Surgery and Orthodontics Texas, A&M University Health Science Center Baylor College of Dentistry, Baylor University Medical Center, 3409 Worth St. Suite 400, Dallas, TX 75246, USA.

出版信息

Oral Maxillofac Surg Clin North Am. 2015 Feb;27(1):37-45. doi: 10.1016/j.coms.2014.09.004.

Abstract

Combined orthognathic and total joint reconstruction cases can be predictably performed in 1 stage. Use of virtual surgical planning can eliminate a significant time requirement in preparation of concomitant orthognathic and temporomandibular joint (TMJ) prostheses cases. The concomitant TMJ and orthognathic surgery-computer-assisted surgical simulation technique increases the accuracy of combined cases. In order to have flexibility in positioning of the total joint prosthesis, recontouring of the lateral aspect of the rami is advantageous.

摘要

正颌与全关节重建联合手术病例可在一个阶段中得到可预测的实施。使用虚拟手术规划可消除在准备同期正颌和颞下颌关节(TMJ)假体病例时所需的大量时间。同期TMJ与正颌手术——计算机辅助手术模拟技术提高了联合病例的准确性。为了在全关节假体定位上具有灵活性,对下颌支外侧进行重新塑形是有利的。

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