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A Virtual Surgical Planning Algorithm for Delayed Maxillomandibular Reconstruction.用于延迟下颌骨重建的虚拟手术规划算法。
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Improved virtual surgical planning with 3D- multimodality image for malignant giant pelvic tumors.利用三维多模态影像改善恶性巨大盆腔肿瘤的虚拟手术规划
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Using a Second Free Fibula Osteocutaneous Flap after Repeated Mandibulectomy Is Associated with a Low Complication Rate and Acceptable Functional Outcomes.在反复进行下颌骨切除术后使用第二块游离腓骨骨皮瓣，并发症发生率较低且功能结局可接受。
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Challenges in the reconstruction of bilateral maxillectomy defects.双侧上颌骨切除术缺损重建中的挑战。
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Total maxillary reconstruction using a double-barreled and double skin paddle fibular flap after total maxillectomy.全上颌骨切除术后使用双筒双皮瓣腓骨瓣进行全上颌骨重建。
Arch Plast Surg. 2013 Nov;40(6):779-82. doi: 10.5999/aps.2013.40.6.779. Epub 2013 Nov 8.
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A comprehensive algorithm for oncologic maxillary reconstruction.一种用于肿瘤上颌骨重建的综合算法。
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A 15-year review of midface reconstruction after total and subtotal maxillectomy: part II. Technical modifications to maximize aesthetic and functional outcomes.全上颌骨切除术和次全上颌骨切除术后面中部重建的 15 年回顾：第二部分。为实现最佳美学和功能效果的技术改进。
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为虚拟手术规划提供依据：上颌骨切除术的双侧序贯腓骨瓣和即刻牙种植体。

Making the Case for Virtual Surgical Planning: Bilateral Sequential Fibula Flaps with Immediate Dental Implants for Maxillectomy.

机构信息

From the Division of Plastic and Reconstructive Surgery, Brigham and Women's Hospital.

Division of Plastic and Reconstructive Surgery, McGill University.

出版信息

Plast Reconstr Surg. 2023 Oct 1;152(4):707e-711e. doi: 10.1097/PRS.0000000000010289. Epub 2023 Feb 14.

DOI:10.1097/PRS.0000000000010289
PMID:36780347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11305406/
Abstract

Oncologic maxillectomy defects requiring bony reconstruction are among the most challenging head and neck cases because of the complex three-dimensional geometry of the midface. Virtual surgical planning technology is advantageous in these cases because it provides superior positional precision and accuracy compared with traditional techniques and facilitates prosthodontic rehabilitation. Maxillary cancer recurrence after an initial fibula flap reconstruction presents a unique challenge. The authors report the first two cases of sequential fibula flaps after second or recurrent cancer of the maxilla. Virtual surgical planning facilitated resection with adequate tumor margins, optimized anatomic positioning of the fibula construct with three-dimensional printed plates, and enabled immediate functional dental implant placement.

摘要

需要进行骨重建的肿瘤上颌骨缺损是头颈部最具挑战性的病例之一，因为中面部的三维几何形状非常复杂。虚拟手术规划技术在这些情况下具有优势，因为与传统技术相比，它提供了更高的位置精度和准确性，并促进了修复体的康复。初次腓骨瓣重建后上颌骨癌症复发是一个独特的挑战。作者报告了首例上颌骨第二次或复发性癌症后连续使用腓骨瓣的两例病例。虚拟手术规划有助于进行足够的肿瘤边缘切除，优化了三维打印板的腓骨结构的解剖定位，并能够立即进行功能性牙种植体植入。