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使用打印钛网对上颌骨和下颌骨缺损进行手术重建。

Surgical Reconstruction of Maxillary and Mandibular Defects Using a Printed Titanium Mesh.

作者信息

Shan Xiao-Feng, Chen Hui-Min, Liang Jie, Huang Jin-Wei, Cai Zhi-Gang

机构信息

Associate Professor, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China.

Attending Physician, Department of General Dentistry 2, Peking University School and Hospital of Stomatology, Beijing, China.

出版信息

J Oral Maxillofac Surg. 2015 Jul;73(7):1437.e1-9. doi: 10.1016/j.joms.2015.02.025. Epub 2015 Mar 18.

Abstract

PURPOSE

To reconstruct maxillary and mandibular defects with printed titanium mesh using computer-assisted surgery (CAS) for the achievement of structural, esthetic, and functional goals.

PATIENTS AND METHODS

The authors designed and implemented this prospective study of patients with maxillary or mandibular defects who underwent reconstruction with printed titanium mesh using CAS. After surgery, the preoperative design and postoperative outcome were evaluated using Geomagic Studio software.

RESULTS

The sample was comprised of 2 patients with maxillary defects and 2 with mandibular defects. A satisfactory contour was achieved in all patients. The rate of concordance between the preoperative design and the postoperative outcome was higher than 81 and 94% within 3 mm for the mandibular and maxillary reconstructions, respectively.

CONCLUSION

The results of this study suggest that complicated maxillary and mandibular defects can be satisfactorily reconstructed with customized printed titanium meshes using CAS.

摘要

目的

使用计算机辅助手术(CAS)通过打印钛网重建上颌骨和下颌骨缺损,以实现结构、美学和功能目标。

患者与方法

作者设计并实施了这项前瞻性研究,研究对象为使用CAS通过打印钛网进行重建的上颌骨或下颌骨缺损患者。术后,使用Geomagic Studio软件评估术前设计和术后结果。

结果

样本包括2例上颌骨缺损患者和2例下颌骨缺损患者。所有患者均获得了满意的外形。下颌骨和上颌骨重建术前设计与术后结果在3毫米范围内的符合率分别高于81%和94%。

结论

本研究结果表明,使用CAS定制打印钛网可令人满意地重建复杂的上颌骨和下颌骨缺损。

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