下颌骨重建的虚拟手术规划与术中导航：从精准到微创
[Virtual surgical planning and intraoperative navigation for mandibular reconstruction: from accurate to minimal invasive].
作者信息
Sun Jian
机构信息
Department of Oral and Maxillofacial-Head and Neck Oncology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, National Research Center of Stomatology, Shanghai, 200011,
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 Jul 15;32(7):821-826. doi: 10.7507/1002-1892.201806027.
Simultaneous restoration of function and appearance should be performed in mandibular reconstruction. Option of reconstructive techniques is determined by cause, location, extent, and classification of the mandibular defects. Vascularize bone graft is one of the most popular technique in current clinical practice of mandibular reconstruction. Fibula is the most common donor site for mandibular reconstruction. The disadvantage of low height of neo-mandible reconstructed by single fibular segment can be solved by vascularized double barrel fibula graft. Using virtual surgical planning and intraoperative navigation for mandibular reconstruction leads to simplify surgical procedure, reduce operating time and injury, and decrease donor site morbidity so that accurate mandibular reconstruction could be completed. Direction of minimal invasive surgery for mandibular reconstruction will be developed by intraoral approach and intraoral anastomosis.
下颌骨重建应同时恢复功能和外观。重建技术的选择取决于下颌骨缺损的病因、位置、范围和分类。带血管蒂骨移植是目前下颌骨重建临床实践中最常用的技术之一。腓骨是下颌骨重建最常用的供区。单节段腓骨重建的新下颌骨高度较低的缺点可通过带血管蒂双筒腓骨移植来解决。利用虚拟手术规划和术中导航进行下颌骨重建可简化手术过程，减少手术时间和损伤，并降低供区并发症，从而完成精确的下颌骨重建。下颌骨重建的微创手术方向将通过口内入路和口内吻合来发展。
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