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毛霉菌病患者眼眶切除术后的假体修复

Prosthetic rehabilitation of resected orbit in a case of mucormycosis.

作者信息

Kaur Harsimran, Nanda Aditi, Verma Mahesh, Mutneja Parul, Koli Dheeraj, Bhardwaj Smiti

机构信息

Senior Research Associate, Maulana Azad Institute of Dental Sciences, New Delhi, India.

Director-Principal, Maulana Azad Institute of Dental Sciences, New Delhi, India.

出版信息

J Indian Prosthodont Soc. 2018 Oct-Dec;18(4):364-369. doi: 10.4103/jips.jips_53_18.

DOI:10.4103/jips.jips_53_18
PMID:30449965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6180739/
Abstract

The design of orbital prosthesis to rehabilitate patients with orbital exenteration depends on the underlying clinical condition, material chosen for prosthesis, method of retention of the prosthesis, and and preference of the patient. Rehabilitation of a patient with orbital exenteration due to mucormycosis has been described by fabricating a prosthesis that used polymethyl methacrylate (to fabricate a conformer) and silicone material (to fabricate prosthetic superstructure). The two-component prosthesis was designed to attain dual mechanical retention using an anatomic undercut (conformer) and manually created mechanical undercut (prosthetic superstructure). The objective was to maintain the biological health of the underlying postsurgical tissue, longevity of the prosthesis, optimal esthetics, and adequate retention.

摘要

用于眼眶内容剜除术后患者康复的眼眶假体设计取决于潜在的临床状况、假体选用的材料、假体的固位方法以及患者的偏好。通过制作一种使用聚甲基丙烯酸甲酯(制作贴合器)和硅酮材料(制作假体上部结构)的假体,已对因毛霉菌病导致眼眶内容剜除术后的患者康复情况进行了描述。这种双组分假体设计为利用解剖学倒凹(贴合器)和手动制作的机械倒凹(假体上部结构)实现双重机械固位。目的是维持术后下方组织的生物学健康、假体的使用寿命、最佳美观效果以及足够的固位力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d16/6180739/aa119eb7ee75/JIPS-18-364-g008.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d16/6180739/aa119eb7ee75/JIPS-18-364-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d16/6180739/35b91a215370/JIPS-18-364-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d16/6180739/aa119eb7ee75/JIPS-18-364-g008.jpg

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本文引用的文献

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Contemp Clin Dent. 2017 Oct-Dec;8(4):662-666. doi: 10.4103/ccd.ccd_558_17.
2
The New Anatomical Classification System for Orbital Exenteration Defect.眼眶内容剜除术后缺损的新解剖学分类系统
J Craniofac Surg. 2017 Oct;28(7):1687-1693. doi: 10.1097/SCS.0000000000003746.
3
Color matching in facial prosthetics: A systematic review.面部假体的颜色匹配:一项系统综述。
毛霉菌病与口腔修复治疗
J Indian Prosthodont Soc. 2021 Oct-Dec;21(4):317-318. doi: 10.4103/jips.jips_436_21.
4
Positioning of iris in an ocular prosthesis: A systematic review.眼部假体中虹膜的定位:一项系统综述。
J Indian Prosthodont Soc. 2020 Oct-Dec;20(4):345-352. doi: 10.4103/jips.jips_374_19. Epub 2020 Oct 8.
J Indian Prosthodont Soc. 2017 Jan-Mar;17(1):3-7. doi: 10.4103/0972-4052.197935.
4
Prosthetic rehabilitation of large mid-facial defect with magnet-retained silicone prosthesis.采用磁性固位硅橡胶假体修复面部中部大面积缺损
J Indian Prosthodont Soc. 2015 Jul-Sep;15(3):276-80. doi: 10.4103/0972-4052.161571.
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