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采用虚拟手术规划和 3D 打印手术模板的正颌与轮廓整形手术一次性治疗颌面不对称。

One-Stage treatment for maxillofacial asymmetry with orthognathic and contouring surgery using virtual surgical planning and 3D-printed surgical templates.

机构信息

State Key Laboratory of Oral Diseases and Department of Oral and Maxillofacial Surgery, Sichuan University, West China College of Stomatology, Chengdu 610041, China.

State Key Laboratory of Oral Diseases and Department of Oral and Maxillofacial Surgery, Sichuan University, West China College of Stomatology, Chengdu 610041, China.

出版信息

J Plast Reconstr Aesthet Surg. 2019 Jan;72(1):97-106. doi: 10.1016/j.bjps.2018.08.015. Epub 2018 Aug 27.

Abstract

PURPOSE

Asymmetry is one of the most common maxillofacial deformities. One-stage treatment for maxillofacial asymmetry with orthognathic and contouring surgery has been rarely reported. This retrospective study aims to investigate the feasibility of simultaneous orthognathic and facial bone contouring surgery with the help of virtual surgical planning and 3D-printed navigation templates for facial asymmetry.

PATIENTS AND METHODS

From January 2012 to December 2015, 51 patients diagnosed with maxillofacial asymmetry received treatment of combined orthognathic and contouring surgery under the guidance of virtual surgical planning and 3D-printed templates. Photographs and measurements were taken before and after operation to evaluate the effectiveness of the treatment.

RESULTS

Photographs and cephalometric analysis showed the asymmetry was effectively corrected. All patients were satisfied with the aesthetic results.

CONCLUSION

This study suggested the clinical feasibility of simultaneous orthognathic and contouring surgery for the treatment of maxillofacial asymmetry. Virtual surgical planning and 3D-printed surgical templates enable the surgeons to plan and carry out the procedure more predictably and achieve satisfactory outcomes.

摘要

目的

不对称是最常见的颌面畸形之一。采用正颌和轮廓手术一次性治疗颌面不对称的方法鲜有报道。本回顾性研究旨在探讨借助虚拟手术规划和 3D 打印导航模板治疗颌面不对称的同时进行正颌和面部骨轮廓手术的可行性。

患者和方法

自 2012 年 1 月至 2015 年 12 月,51 例诊断为颌面不对称的患者在虚拟手术规划和 3D 打印模板的指导下接受了联合正颌和轮廓手术治疗。在术前和术后拍摄照片并进行测量,以评估治疗效果。

结果

照片和头影测量分析显示,不对称得到了有效矫正。所有患者均对美学效果满意。

结论

本研究提示同时进行正颌和轮廓手术治疗颌面不对称具有临床可行性。虚拟手术规划和 3D 打印手术模板使外科医生能够更有把握地规划和进行手术,从而获得满意的效果。

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