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种植体支持的眼眶假体:硅胶制作的一项技术创新。

Implant-supported orbital prosthesis: a technical innovation of silicone fabrication.

作者信息

Eo Mi Young, Cho Yun Ju, Nguyen Truc Thi Hoang, Seo Mi Hyun, Kim Soung Min

机构信息

Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Korea.

Oral and Maxillofacial Microvascular Reconstruction Lab, Ghana Health Service, Brong Ahafo Regional Hospital, P.O. Box 27, Sunyani, Brong Ahafo, Ghana.

出版信息

Int J Implant Dent. 2020 Sep 15;6(1):51. doi: 10.1186/s40729-020-00248-0.

DOI:10.1186/s40729-020-00248-0
PMID:32929680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7490314/
Abstract

BACKGROUND

Silicone-based facial prostheses have traditionally been considered difficult to make and require time-consuming fabrication due to their basic liquid characteristics.

METHODS AND RESULTS

A detailed procedure for creating an ideal silicone orbital prosthesis was developed, including dental implant-supported retention, three-dimensional (3D) orbital scanning with symmetric volume and size measurement based on matching the opposite side, master mold fabrication for convenient pouring of the liquid silicone elastomer, and easy and comfortable management of the prosthesis by the patient.

CONCLUSION

A silicone orbital prosthesis could be more easily and conveniently produced using updated surgical skills and modern 3D technology. The combination of 3D scanning with digital reconstruction and an innovative fabrication protocol using a reproducible major mold and multiple prototypes fitting resulted in an accuracy personalized facial prosthesis with accessible cost and short production period.

摘要

背景

由于其基本的液体特性,传统上认为硅基面部假体制作困难且需要耗时的制造过程。

方法与结果

制定了一套详细的制作理想硅基眼眶假体的程序,包括牙种植体支持的固位、基于对侧匹配进行对称体积和尺寸测量的三维(3D)眼眶扫描、便于灌注液态硅橡胶弹性体的母模制作,以及患者对假体轻松舒适的管理。

结论

使用更新的手术技术和现代3D技术可以更轻松、方便地制作硅基眼眶假体。3D扫描与数字重建相结合,以及使用可重复的主模和多个适配原型的创新制造方案,产生了一种精确的个性化面部假体,成本可及且生产周期短。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ef/7490314/ad00da6a19f5/40729_2020_248_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ef/7490314/32cc84dab105/40729_2020_248_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ef/7490314/ad00da6a19f5/40729_2020_248_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ef/7490314/32cc84dab105/40729_2020_248_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ef/7490314/ad00da6a19f5/40729_2020_248_Fig2_HTML.jpg

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Prosthetic supply of facial defects: long-term experience and retrospective analysis on 99 patients.面部缺损的假体供应:99例患者的长期经验及回顾性分析
Eur Arch Otorhinolaryngol. 2018 Feb;275(2):607-613. doi: 10.1007/s00405-017-4835-x. Epub 2017 Dec 14.
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Silicone Facial Prosthesis: A Preliminary Report on Silicone Adhesion to Magnet.硅胶面部假体:关于硅胶与磁体粘附的初步报告。
J Craniofac Surg. 2018 Jan;29(1):e6-e8. doi: 10.1097/SCS.0000000000003986.
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Magnet-Retained Orbital Prosthesis Using a Dental Implant.使用牙种植体的磁性固位眼眶假体
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Dental Implant Healing Screws as Temporary Oral Drug Delivery Systems for Decrease of Infections in the Area of the Head and Neck.牙种植体愈合螺钉作为临时口服药物传递系统,以减少头颈部感染。
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