Zhao Hanjiang, Xin Pengfei, Wu Dandan, Zhang Jianfei
Department of Oral & Cranio-maxillofacial Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai.
Department of Stomatology, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.
J Craniofac Surg. 2023;34(5):e444-e447. doi: 10.1097/SCS.0000000000009277. Epub 2023 Mar 13.
Jacob disease is the new formation of a pseudo-joint between both of enlarged coronoid process and even zygomatic arch. A 23-year-old female patient with facial asymmetry and limited mouth opening was reported. Computed tomography images showed the classic symptom of Jacob disease with a mushroom-shaped tumor mass from the coronoid process a pseudoarthrosis joint with zygomatic arch. Coronoidectomy and zygomatic arch reduction were planned to operate based on computer-aided design/computer-aided manufacturing. During the actual operation, the excision of coronoid process and reconstruction of zygomatic arch were all navigated by 3-dimensional-printed surgical templates as designed through an intraoral approach. As a result, the enlarged coronoid process was smoothly removed without sequela and mouth opening along with facial symmetry were successfully improved. The authors suggested that computer-aided design/computer-aided manufacturing should be considered as an auxiliary technique to shorten operation time and enhance surgical accuracy.
雅各布病是双侧增大的冠状突与颧弓之间形成假关节。报告了一名23岁面部不对称且张口受限的女性患者。计算机断层扫描图像显示了雅各布病的典型症状，即冠状突有蘑菇状肿瘤块以及与颧弓的假关节。计划基于计算机辅助设计/计算机辅助制造进行冠状突切除术和颧弓缩小术。在实际手术中，冠状突的切除和颧弓的重建均通过经口入路，按照设计的三维打印手术模板进行导航。结果，增大的冠状突被顺利切除且无后遗症，张口度以及面部对称性均得到成功改善。作者建议计算机辅助设计/计算机辅助制造应被视为一种辅助技术，以缩短手术时间并提高手术准确性。
