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