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纤维性髁突发育不良:采用定制 TMJ 假体行虚拟外科规划下的切除与重建。

Fibrous condylar dysplasia: Resection and reconstruction with a custom-made TMJ prosthesis using virtual surgical planning.

机构信息

Department of oral and maxillofacial surgery, Povisa hospital, 5, rua Salamanca, 36211 Vigo, Pontevedra, Spain.

Department of oral and maxillofacial surgery, Povisa hospital, 5, rua Salamanca, 36211 Vigo, Pontevedra, Spain.

出版信息

J Stomatol Oral Maxillofac Surg. 2018 Apr;119(2):135-139. doi: 10.1016/j.jormas.2017.10.014. Epub 2017 Oct 23.

Abstract

The main objective of this article is to describe the indications for custom-made alloplastic reconstruction of the temporomandibular joint (TMJ) using the new techniques of virtual surgical planning and computer-aided design/computer-aided manufacturing (CAD/CAM) technology through the study of a clinical case and an updated review of the literature. The patient was a 45-year-old male with a fast-growing condylar dysplasia that produced a progressive facial deformity with limited mandibular mobility, which required a radical resection. Predictable, satisfactory, and stable results over time are described from the aesthetic, functional, and symptomatic points of view, through a comprehensive approach to all the aspects of this case by following an appropriate line of development and using the most current techniques.

摘要

本文的主要目的是通过临床病例研究和对文献的最新回顾,描述使用虚拟手术规划和计算机辅助设计/计算机辅助制造(CAD/CAM)新技术对颞下颌关节(TMJ)进行定制式异体重建的适应证。患者为 45 岁男性,患有快速生长的髁突发育不良,导致进行性面部畸形和下颌运动受限,需要进行根治性切除。通过对该病例的各个方面进行全面的处理,并采用最先进的技术,从美观、功能和症状等方面描述了可预测、满意和稳定的长期结果。

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