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应用数字化模板精确定位和切除下颌骨大囊肿骨盖:病例系列研究。

Precise locating and cutting of the bone lid with a digital template during the treatment of large mandibular cysts: A case series study.

机构信息

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

出版信息

J Craniomaxillofac Surg. 2021 May;49(5):358-361. doi: 10.1016/j.jcms.2021.01.010. Epub 2021 Feb 5.

Abstract

The aim of the study was to investigate the efficacy and safety of a digital template in the bone lid technique during enucleation of large mandibular cysts. Six patients were enrolled in this study. Patients' preoperative CT data were collected to design and produce the digital templates. The bone lids were located and cut under the guidance of the digital templates, and then replanted and fixed following cyst enucleation. Postoperative clinical symptoms were observed and recorded from postoperative days 1-7. The follow-up visits were set at 3, 6, and 12 months. The cystic lesions were exactly and fully exposed without the need for secondary bone removal. The contours of the mandibles recovered well, with excellent sealing of the defects. Apart from one case with postoperative infection and one case with 2-month numbness of the lower lip, no other complications occurred. Six months after the surgery, patients' appearance and function were well-restored. A digital template in the bone lid technique during enucleation of large mandibular cysts was effective and safe.

摘要

本研究旨在探讨在颌骨囊肿摘除术中应用数字化模板进行骨瓣技术的疗效和安全性。本研究纳入了 6 名患者。收集患者术前 CT 数据,设计并制作数字化模板。在数字化模板的引导下定位并切割骨瓣,然后在囊肿摘除后进行再植和固定。术后 1-7 天观察并记录临床症状。随访时间为术后 3、6 和 12 个月。囊性病损被准确而充分地暴露,无需二次骨切除。下颌骨轮廓恢复良好,缺损处封闭良好。除 1 例术后感染和 1 例下唇 2 个月麻木外,无其他并发症发生。术后 6 个月,患者的外观和功能恢复良好。数字化模板在颌骨囊肿摘除术中应用骨瓣技术是有效且安全的。

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