Bozzato V, Schneider M H, Al Kadah B, Schick B
Hals-Nasen-Ohrenklinik der Universität des Saarlandes, Kirrberger Str., 66421, Homburg, Deutschland.
, Amerikastr. 32, 66482, Zweibrücken, Deutschland.
HNO. 2015 Oct;63(10):727-36; quiz 737-8. doi: 10.1007/s00106-015-0035-4.
The past century saw rapid development of craniofacial prostheses. Particularly the challenging issue of surgical fixation was the subject of intensive research and development. During the past three decades, the principle of osseointegration has proven to provide a reliable method for epithesis fixation. The continuous technical development of implant systems has led to almost minimally invasive surgical techniques, with ever increasing stability of the implants. Osseointegrated implants are a proven and durable solution in the rehabilitation of the patient with a defect in the craniofacial region. Overall complication rates are low. The design and mechanics of the implants, as well as the artificial body of the epithesis itself, are topics of current medical-technical research by anaplastologists and surgeons. Finally, functional prostheses, such as the tracheostomy epithesis, deserve particular attention.
过去一个世纪见证了颅面修复体的快速发展。特别是具有挑战性的手术固定问题成为了深入研发的主题。在过去三十年中,骨结合原理已被证明为修复体固定提供了一种可靠的方法。植入系统的持续技术发展已带来几乎微创的手术技术,植入物的稳定性也不断提高。骨结合植入物在颅面区域有缺损的患者康复中是一种经过验证且持久的解决方案。总体并发症发生率较低。植入物的设计和力学原理,以及修复体本身的假体部分,是整形修复专家和外科医生当前医学技术研究的课题。最后,功能性假体,如气管造口修复体,值得特别关注。