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眶颅纤维发育不良：采用钛三维打印技术进行即刻重建

Orbitocranial Fibrous Dysplasia: Immediate Reconstruction with Titanium 3-dimensional Printing.

作者信息

Pruksapong Chatchai, Lohwongwatana Boonrat

机构信息

Division of Plastic and Reconstructive Surgery, Department of Surgery, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand.

Advanced Materials Analysis Research Unit, Department of Metallurgical Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, Thailand.

出版信息

Plast Reconstr Surg Glob Open. 2020 Sep 21;8(9):e3114. doi: 10.1097/GOX.0000000000003114. eCollection 2020 Sep.

DOI:10.1097/GOX.0000000000003114
PMID:33133963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7544177/
Abstract

We present the case of an 18-year-old man who was referred to our department with a suspected tumor in the right orbital region, which caused exophthalmos due to its pressure effect. Preoperative CT imaging revealed an expansile ground-glass appearance of bone mass, with sclerotic bone on the right frontal bone (right superior orbital wall). There was no orbital mass and no enlargement of the extraocular muscles and tendons; the retrobulbar fat and optic nerve appeared unremarkable. A preoperative tissue biopsy confirmed the FD. Complete tumor removal was performed via the right hemicoronal approach. The orbital roof and temporal bone defect were immediately reconstructed using the 3-dimensional titanium printing plate.

摘要

我们报告了一例18岁男性患者，因右眼眶区域疑似肿瘤被转诊至我科，该肿瘤因其压迫作用导致眼球突出。术前CT成像显示骨块呈膨胀性磨玻璃样外观，右侧额骨（右上眶壁）有硬化骨。未发现眼眶肿物，眼外肌和肌腱无增粗；球后脂肪和视神经未见异常。术前组织活检确诊为骨纤维异常增殖症。通过右半冠状切口进行肿瘤完整切除。使用三维钛打印板立即重建眶顶和颞骨缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a296/7544177/72c526655152/gox-8-e3114-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a296/7544177/abb84acfc340/gox-8-e3114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a296/7544177/579ec305cce7/gox-8-e3114-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a296/7544177/24fab4c25b24/gox-8-e3114-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a296/7544177/72c526655152/gox-8-e3114-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a296/7544177/abb84acfc340/gox-8-e3114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a296/7544177/579ec305cce7/gox-8-e3114-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a296/7544177/24fab4c25b24/gox-8-e3114-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a296/7544177/72c526655152/gox-8-e3114-g004.jpg

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Biomed Res Int. 2018 Feb 22;2018:2053486. doi: 10.1155/2018/2053486. eCollection 2018.
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Orbitocranial Fibrous Dysplasia: Outcome of Radical Resection and Immediate Reconstruction With Titanium Mesh and Pericranial Flap.眶颅纤维发育不良：钛网联合颅骨膜瓣根治性切除及即刻重建的疗效
J Craniofac Surg. 2016 Nov;27(8):e719-e723. doi: 10.1097/SCS.0000000000003033.
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Surgical Management of Polyostotic Craniofacial Fibrous Dysplasia: Long-Term Outcomes and Predictors for Postoperative Regrowth.
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Plast Reconstr Surg. 2016 Jun;137(6):1833-1839. doi: 10.1097/PRS.0000000000002151.
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3D printed Ti6Al4V implant surface promotes bone maturation and retains a higher density of less aged osteocytes at the bone-implant interface.3D 打印 Ti6Al4V 种植体表面促进骨成熟，并在骨-种植体界面保持更高密度的年轻程度较低的成骨细胞。
Acta Biomater. 2016 Jan;30:357-367. doi: 10.1016/j.actbio.2015.11.013. Epub 2015 Nov 11.
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