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节段性下颌骨切除及游离骨皮瓣重建术后的上颌牙合垫——病例报告

Maxillary Occlusal Splint Following Segmental Mandibulectomy and Osteocutaneous Free Flap Reconstruction - A Case Report.

作者信息

Petty Allison G, Ahmed Zain Uddin, Habib Amr A, Huryn Joseph M, Rosen Evan B

机构信息

Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Miami Cancer Institute, Miami, FL, USA.

出版信息

Ann Maxillofac Surg. 2020 Jul-Dec;10(2):518-520. doi: 10.4103/ams.ams_253_19. Epub 2020 Jul 2.

DOI:10.4103/ams.ams_253_19
PMID:33708608
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7943992/
Abstract

Postsurgical malocclusion is a possible sequela of care following segmental mandibulectomy and osteocutaneous free flap reconstruction. Patient-specific factors may make surgical correction an impossibility. In addition, conservative occlusal adjustments may be insufficient for correction of the occlusion. An alternative approach for the management of severe postoperative malocclusion is to fabricate a maxillary occlusal splint, which establishes interocclusal articulating surfaces and facilitates mastication. The purpose of this report is to demonstrate the technique and utility of a maxillary prosthesis to correct posttreatment malocclusion in the oncologic patient.

摘要

节段性下颌骨切除术和骨皮游离皮瓣重建术后,手术性错牙合畸形是一种可能的后遗症。患者的个体因素可能使手术矫正无法进行。此外,保守的咬合调整可能不足以矫正咬合。治疗严重术后错牙合畸形的另一种方法是制作上颌咬合夹板,它能建立牙合间的咬合面并促进咀嚼。本报告的目的是展示一种上颌修复体矫正肿瘤患者治疗后错牙合畸形的技术和效用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd3/7943992/f72419a62dea/AMS-10-518-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd3/7943992/9105d9e35a2b/AMS-10-518-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd3/7943992/1b06b40afa41/AMS-10-518-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd3/7943992/f262f64134c7/AMS-10-518-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd3/7943992/f72419a62dea/AMS-10-518-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd3/7943992/9105d9e35a2b/AMS-10-518-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd3/7943992/1b06b40afa41/AMS-10-518-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd3/7943992/f262f64134c7/AMS-10-518-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fd3/7943992/f72419a62dea/AMS-10-518-g004.jpg

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本文引用的文献

1
Oral rehabilitation for patients with marginal and segmental mandibulectomy: A retrospective review of 111 mandibular resection prostheses.边缘性和节段性下颌骨切除术患者的口腔修复:111 例下颌骨切除修复体的回顾性研究。
J Prosthet Dent. 2019 Jul;122(1):82-87. doi: 10.1016/j.prosdent.2018.09.020. Epub 2019 Feb 16.
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Complications of head and neck reconstruction and their treatment.头颈部重建的并发症及其治疗。
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Quality of life perspectives in patients with oral cancer.
口腔癌患者的生活质量观点。
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Le Fort I osteotomy to correct malocclusion after reconstruction of the maxilla with the free fibula flap.采用游离腓骨瓣重建上颌骨后,行勒福Ⅰ型截骨术矫正错牙合畸形。
J Craniofac Surg. 2009 Sep;20(5):1420-3. doi: 10.1097/SCS.0b013e3181aee3b8.
5
Osteotomy to treat malocclusion following reconstruction of the mandible with the free fibula flap.采用游离腓骨瓣重建下颌骨后行截骨术治疗错牙合畸形。
Plast Reconstr Surg. 2003 Jul;112(1):31-6. doi: 10.1097/01.PRS.0000065910.66161.DD.
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Removable partial overdentures for special patients.特殊患者的可摘局部覆盖义齿。
Dent Clin North Am. 1990 Oct;34(4):741-58.