嵌体颅骨成形术计算机辅助设计的注意事项：技术说明
Considerations in computer-aided design for inlay cranioplasty: technical note.
作者信息
Nout Erik, Mommaerts Maurice Y
机构信息
European Face Centre, Universitair Ziekenhuis Brussel, VUB, Brussels, Belgium.
Division of Oro-Maxillo-Facial Surgery, GH Elisabeth-Tweesteden, Tilburg, The Netherlands.
出版信息
Oral Maxillofac Surg. 2018 Mar;22(1):65-69. doi: 10.1007/s10006-017-0668-4. Epub 2018 Jan 8.
CONTEXT
Cranioplasty is a frequently performed procedure that uses a variety of reconstruction materials and techniques. In this technical note, we present refinements of computer-aided design-computer-aided manufacturing inlay cranioplasty.
OBJECTIVE, DESIGN, AND SETTING: In an attempt to decrease complications related to polyether-ether-ketone (PEEK) cranioplasty, we gradually made changes to implant design and cranioplasty techniques. These changes include under-contouring of the implant and the use of segmented plates for large defects, microplate fixation for small temporal defects, temporal shell implants to reconstruct the temporalis muscle, and perforations to facilitate the drainage of blood and cerebrospinal fluid and serve as fixation points.
RESULTS
From June 2016 to June 2017, 18 patients underwent cranioplasty, and a total of 31 PEEK and titanium implants were inserted. All implants were successful.
CONCLUSIONS
These changes to implant design and cranioplasty techniques facilitate the insertion and fixation of patient-specific cranial implants and improve esthetic outcomes.
背景
颅骨成形术是一种常用的手术，采用多种重建材料和技术。在本技术说明中，我们介绍了计算机辅助设计-计算机辅助制造镶嵌式颅骨成形术的改进方法。
目的、设计和背景：为了减少与聚醚醚酮（PEEK）颅骨成形术相关的并发症，我们逐渐对植入物设计和颅骨成形术技术进行了改进。这些改进包括植入物轮廓欠修整以及对大的缺损使用分段板、对小的颞部缺损使用微型板固定、使用颞部壳状植入物重建颞肌，以及设置穿孔以促进血液和脑脊液引流并作为固定点。
结果
2016年6月至2017年6月，18例患者接受了颅骨成形术，共植入31枚PEEK和钛植入物。所有植入均成功。
结论
植入物设计和颅骨成形术技术的这些改进有助于患者特异性颅骨植入物的插入和固定，并改善美学效果。
Zotero 插件