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下颌骨缺损修复中的引导装置:一种新分类的建议

Guide devices in the rehabilitation of interrupting mandibular bone defects: a proposal for a new classification.

作者信息

El Hawari Wijdane, Habib I Abdoul Majid, Bentahar Oussama

机构信息

Department of Prosthodontics, Faculty of Dental Medicine, Mohammed V University in Rabat, Morocco.

出版信息

Ann Med Surg (Lond). 2023 Mar 9;85(3):378-382. doi: 10.1097/MS9.0000000000000094. eCollection 2023 Mar.

Abstract

Interrupting mandibular surgical resections may lead to mandibular deviation toward the resected side. This further complicates future surgical and prosthodontics reconstructions. The rehabilitation of this mandibular deviation by the specialist in maxillofacial prosthodontics is often done by guide devices. This helps to prevent or reduce postsurgical mandibular deviation. The current literature lacks data on a standard classification of these devices despite the various clinical situations that require different rehabilitation techniques. After a deep appraisal of the current literature on this topic and many years of experience, the authors propose an overview of the indications, the types, and an original classification of these prosthetic devices. We believe this new classification will facilitate communication among practitioners, the development of treatment plans, and the comparison of outcomes among different expert centers.

摘要

中断下颌骨手术切除可能会导致下颌骨向切除侧偏斜。这会使未来的手术和修复重建进一步复杂化。颌面修复专家对这种下颌骨偏斜的修复通常通过引导装置来完成。这有助于预防或减少术后下颌骨偏斜。尽管存在各种需要不同修复技术的临床情况,但目前的文献中缺乏关于这些装置的标准分类数据。在对该主题的当前文献进行深入评估并积累多年经验后,作者提出了这些修复装置的适应证、类型及一种原创分类的概述。我们相信这种新分类将促进从业者之间的交流、治疗计划的制定以及不同专家中心之间结果的比较。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb1/10010795/638a4a3bf9d7/ms9-85-387-g001.jpg

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