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两件式可拆式互锁模具用于低剂量率近距离放射治疗:一种用于制作放射治疗修复体的牙科技术。

Two-piece detachable interlocking mold for low-dose-rate brachytherapy: A dental technique for radiotherapy prosthesis fabrication.

机构信息

Graduate student, Department of Maxillofacial Prosthetics, Graduate School, Tokyo Medical and Dental University (TMDU), Tokyo, Japan; Assistant Lecturer, Department of Prosthodontics, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.

Project Assistant Professor, Department of Maxillofacial Prosthetics, Graduate School, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.

出版信息

J Prosthet Dent. 2024 Aug;132(2):467-472. doi: 10.1016/j.prosdent.2022.06.021. Epub 2022 Aug 5.

Abstract

Brachytherapy is a type of radiotherapy used to eradicate malignancies in the head-and-neck region. Early-stage mucosal carcinomas, such as carcinomas of the hard palate and gingival mucosa, can be treated with low-dose-rate brachytherapy by using a radiotherapy prosthesis called a mold. Prosthodontists play a significant role in the design and fabrication of these molds, which deliver therapeutic doses to the primary lesion and protect adjacent tissues from radiation exposure. However, planning and observing ongoing treatment is difficult for radiation oncologists because the shield part cannot be removed from the carrier part or requires an attachment to do so. This article describes a technique for fabricating a 2-piece detachable interlocking mold without any special attachment for low-dose-rate brachytherapy.

摘要

近距离放射疗法是一种用于消除头颈部恶性肿瘤的放射疗法。早期黏膜癌,如硬腭和牙龈黏膜癌,可以通过使用称为模具的放射治疗假体进行低剂量率近距离放射疗法来治疗。修复专家在这些模具的设计和制造中发挥着重要作用,这些模具可以向原发性病变提供治疗剂量,并保护相邻组织免受辐射暴露。然而,由于屏蔽部分不能从载体部分移除或需要附件才能移除,因此放射肿瘤学家很难进行计划和观察正在进行的治疗。本文介绍了一种用于制造 2 件式可拆卸互锁模具的技术,无需任何特殊附件即可进行低剂量率近距离放射治疗。

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