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手术导航提高单侧复杂颧骨复合体骨折复位精度的效果:一项随机对照试验。

Surgical navigation improves reductions accuracy of unilateral complicated zygomaticomaxillary complex fractures: a randomized controlled trial.

机构信息

Department of Oral & Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, P.R. China.

Key Laboratory of Oral Medicine, Guangzhou Institute of Oral Disease, Stomatology Hospital of Guangzhou Medical University, Guangzhou, 510140, China.

出版信息

Sci Rep. 2018 May 2;8(1):6890. doi: 10.1038/s41598-018-25053-z.

Abstract

Accurate reduction is the key to successful treatment of bone fractures. Complicated zygomaticomaxillary complex fracture, known as one of the most challenging facial bone fractures, is often hard to achieve an accurate reduction, thus leading to facial deformity. In this study, twenty patients with unilateral complicated zygomaticomaxillary complex fractures were included and randomly divided into experimental and control groups, which is with and without the aid of surgical navigation, respectively. The pre- and postoperative imaging data were collected and then analysed using Geomagic Studio 11 software and Brainlab iPlan CMF 3.0. A more precise reduction was showed in the experimental group according to the measurement results of both software programmes than in the control group. In conclusion, surgical navigation showed great value in performing accurate reductions of complicated zygomaticomaxillary complex fractures and restoring facial contour.

摘要

准确的复位是骨折治疗成功的关键。复杂的颧骨-上颌复合体骨折,被认为是最具挑战性的面部骨折之一,通常很难实现准确的复位,从而导致面部畸形。在这项研究中,我们纳入了 20 例单侧复杂颧骨-上颌复合体骨折患者,并将其随机分为实验组和对照组,分别采用和不采用手术导航。收集术前和术后的影像学数据,并使用 Geomagic Studio 11 软件和 Brainlab iPlan CMF 3.0 进行分析。根据这两个软件程序的测量结果,实验组的复位更为精确。总之,手术导航在实现复杂颧骨-上颌复合体骨折的精确复位和恢复面部轮廓方面具有重要价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a32/5932064/15db343e50c6/41598_2018_25053_Fig1_HTML.jpg

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