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一种使用计算机辅助模拟手术管理近端节段的新方法：髁头位置正确且近端节段放置更佳。

A novel method for the management of proximal segment using computer assisted simulation surgery: correct condyle head positioning and better proximal segment placement.

作者信息

Lee Yong-Chan, Sohn Hong-Bum, Kim Sung-Keun, Bae On-Yu, Lee Jang-Ha

机构信息

Department of Oral and Maxillofacial Surgery, Bestian Seoul Hospital, 429, Dogok-ro, Gangnam-gu, Seoul 135-998 South Korea.

Department of Orthodontics, Eton Dental Hospital, Choonchun, Gangwondo 215-804 South Korea.

出版信息

Maxillofac Plast Reconstr Surg. 2015 Aug 4;37(1):21. doi: 10.1186/s40902-015-0023-3. eCollection 2015 Dec.

DOI:10.1186/s40902-015-0023-3
PMID:26258114
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4523716/
Abstract

Computer Assisted Simulation Surgery (CASS) is a reliable method that permits oral and maxillofacial surgeons to visualize the position of the maxilla and the mandible as observed in the patient. The purpose of this report was to introduce a newly developed strategy for proximal segment management according to Balanced Orthognathic Surgery (BOS) protocol which is a type of CASS, and to establish the clinical feasibility of the BOS protocol in the treatment of complex maxillo-facial deformities. The BOS protocol consists of the following 4 phases: 1) Planning and simulation phase, 2) Modeling phase, 3) Surgical phase, and 4) Evaluation phase. The surgical interventions in 80 consecutive patients were planned and executed by the BOS protocol. The BOS protocol ensures accuracy during surgery, thereby facilitating the completion of procedures without any complications. The BOS protocol may be a complete solution that enables an orthognatic surgeon to perform accurate surgery based on a surgical plan, making real outcomes as close to pre-planned outcomes as possible.

摘要

计算机辅助模拟手术（CASS）是一种可靠的方法，可使口腔颌面外科医生直观看到患者上颌骨和下颌骨的位置。本报告的目的是介绍一种根据平衡正颌外科手术（BOS）方案（一种CASS）进行近端节段管理的新开发策略，并确立BOS方案在治疗复杂颌面畸形中的临床可行性。BOS方案包括以下4个阶段：1）规划与模拟阶段，2）建模阶段，3）手术阶段，4）评估阶段。连续80例患者的手术干预均按照BOS方案进行规划和实施。BOS方案确保手术过程的准确性，从而顺利完成手术且无任何并发症。BOS方案可能是一个完整的解决方案，使正颌外科医生能够根据手术计划进行精确手术，使实际结果尽可能接近预先计划的结果。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8552/5126957/5c3dd69053dd/40902_2015_23_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8552/5126957/2853282504ba/40902_2015_23_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8552/5126957/4f461f43f6cd/40902_2015_23_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8552/5126957/5cf01b0fa207/40902_2015_23_Fig9_HTML.jpg
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