Sun Yue, Du Wen, Xu Chunwei, Lin Yunfeng, Liu Xian, Luo En
State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
J Craniofac Surg. 2020 Jun;31(4):1133-1136. doi: 10.1097/SCS.0000000000006335.
Computer-aided surgery has been widely used in treatment of hemifacial microsomia and matured in recent decades. These techniques include the computer-aided design, virtual surgical planning, modeling surgery, rapid prototyping techniques, intraoperative navigation and so on. The purpose of this article is to summarize the current application of computer-aided design/computer-aided manufacturing technology in the treatment for hemifacial microsomia during the last 5 years, as well as the views and discussions on some topics, and finally introduce a method of our team. Our effort is that using the holes predrilled in cutting guides, the pre-bent titanium plates are easily placed. Avoiding potential bone autorotation caused by unfitness between conventional titanium plates and bone surface, which keeps the bone fixation precisely in line with the preoperative virtual plan and reduce the movement of bone segments due to the undesirable stress of the plates.
计算机辅助手术已广泛应用于半侧颜面短小畸形的治疗，并在近几十年中逐渐成熟。这些技术包括计算机辅助设计、虚拟手术规划、模型手术、快速成型技术、术中导航等。本文旨在总结近5年来计算机辅助设计/计算机辅助制造技术在半侧颜面短小畸形治疗中的应用现状，以及对一些相关问题的观点和讨论，最后介绍我们团队的一种方法。我们的成果是利用在切割导板上预先钻好的孔，能够轻松放置预弯钛板。避免了传统钛板与骨面不匹配导致的潜在骨自动旋转，使骨固定精确符合术前虚拟规划，并减少因钛板不理想应力导致的骨段移动。
