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虚拟手术规划在手术夹板辅助的粉碎性上颌下颌骨折复位和/或固定中的应用。

Utilization of Virtual Surgical Planning for Surgical Splint-Assisted Comminuted Maxillomandibular Fracture Reduction and/or Fixation.

作者信息

Kongsong Wichuda, Sittitavornwong Somsak

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.

Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Alabama at Birmingham, Alabama, USA.

出版信息

Craniomaxillofac Trauma Reconstr. 2020 Dec;13(4):334-341. doi: 10.1177/1943387520948677. Epub 2020 Aug 17.

Abstract

STUDY DESIGN

This article was a technical note.

OBJECTIVE

To demonstrate the utilization of virtual surgical planning for surgical splint (VSPSS) fabrication. The VSPSS was used as an intraoperative assisting and guiding tool for reduction and/or fixation of treatment of comminuted maxillomandibular fractures.

METHODS

The presented technical note showed the fabrication process that began with data acquisition and presurgical planning using virtual surgical planning (VSP). The VSPSS was designed and fabricated after the fractures were reduced digitally in VSP. In the operating room, the VSPSS was seated to guide reduction and/or allow satisfactory fixation in three different situations.

RESULTS

Postoperative radiographs showed an acceptable reduction of the fractures. All patients had stable and repeatable occlusion postoperatively.

CONCLUSIONS

The VSPSS is a feasible tool for surgeons to assist in the comminuted maxillomandibular fracture management, decrease operating time, and improve fracture stability.

摘要

研究设计

本文为一篇技术说明。

目的

展示用于制作手术夹板的虚拟手术规划(VSPSS)的应用。VSPSS被用作术中辅助和引导工具,用于治疗粉碎性颌面部骨折的复位和/或固定。

方法

所展示的技术说明呈现了制作过程,该过程始于使用虚拟手术规划(VSP)进行数据采集和术前规划。在VSP中对骨折进行数字化复位后,设计并制作VSPSS。在手术室中,VSPSS被用于在三种不同情况下引导复位和/或实现满意的固定。

结果

术后X线片显示骨折复位情况可接受。所有患者术后咬合稳定且可重复。

结论

VSPSS是外科医生辅助管理粉碎性颌面部骨折、减少手术时间并提高骨折稳定性的可行工具。

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本文引用的文献

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Virtual Surgical Planning for the Management of Severe Atrophic Mandible Fractures.用于严重萎缩性下颌骨骨折治疗的虚拟手术规划
Craniomaxillofac Trauma Reconstr. 2018 Jun;11(2):150-156. doi: 10.1055/s-0037-1601865. Epub 2017 Apr 19.
3
Management of Bilateral Edentulous Mandible Fractures Through an Intraoral Approach Using CAD/CAM Technology: A Case Report.
J Oral Maxillofac Surg. 2018 May;76(5):1056.e1-1056.e6. doi: 10.1016/j.joms.2018.01.008. Epub 2018 Jan 31.
6
Controversies in Maxillofacial Trauma.颌面创伤中的争议
Oral Maxillofac Surg Clin North Am. 2017 Nov;29(4):391-399. doi: 10.1016/j.coms.2017.06.002.
7
How useful is 3D printing in maxillofacial surgery?3D 打印在颌面外科中有多大用处?
J Stomatol Oral Maxillofac Surg. 2017 Sep;118(4):206-212. doi: 10.1016/j.jormas.2017.07.002. Epub 2017 Jul 18.

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