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克鲁宗综合征:应用内置牵张器进行手术治疗的虚拟规划。

Crouzon syndrome: Virtual planning of surgical treatment by application of internal distractors.

作者信息

Rahimov Chingiz, Asadov Ruslan, Hajiyeva Gunel, Verdiyev Nazim, Novruzov Zaur, Farzaliyev Ismayil

机构信息

Department of Oral and Maxillofacial Surgery, Medical University, Baku, Azerbaijan.

Scientific Center of Medical Care for Children with Developmental Disabilities of Craniofacial Region and Congenital Diseases of Nervous System, Moscow, Russian Federation.

出版信息

Ann Maxillofac Surg. 2016 Jan-Jun;6(1):135-40. doi: 10.4103/2231-0746.186144.

Abstract

Crouzon syndrome is one of the frequent pathologies within craniosynostosis syndrome. Current progress in computers and biotechnologies allows improving surgical approach and forecasting final result of reconstruction as well. We present a case of successful surgical treatment of Crouzon syndrome, done by application of virtual planning allowing determining "monobloc" features, type of reconstruction and distraction protocol as well. A 20-year-old female had presented with craniofacial deformity. Clinical and radiological investigation revealed Crouzon syndrome. The "monobloc" creation, cranioplasty and internal distractors positioning, direction and schedule of advancement were done according to preoperative virtual planning data achieved by Materialise Mimics Research software. Nine months postoperative functional and esthetic result and radiological findings showed to be reasonable. That application of virtual simulation significantly allows to determine best direction of distraction and improves postoperative outcomes of surgical treatment of Crouzon syndrome.

摘要

克鲁宗综合征是颅缝早闭综合征中常见的病症之一。计算机和生物技术的当前进展使得手术方法得以改进,同时也能预测重建的最终结果。我们展示了一例成功治疗克鲁宗综合征的手术病例,通过应用虚拟规划确定了“整块”特征、重建类型以及牵张方案。一名20岁女性因颅面畸形前来就诊。临床和放射学检查显示为克鲁宗综合征。根据Materialise Mimics Research软件获得的术前虚拟规划数据,进行了“整块”创建、颅骨成形术以及内牵张器的定位、推进方向和时间表。术后九个月的功能和美学结果以及放射学检查结果均显示良好。虚拟模拟的应用显著有助于确定最佳牵张方向,并改善克鲁宗综合征手术治疗的术后效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e89/4979330/9b800c9aa193/AMS-6-135-g001.jpg

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