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骨皮肤发育不良患者的正颌外科跨学科数字化规划:病例报告

Orthognathic Surgery with Interdisciplinary Digital Planning in Patients with Geroderma Osteodysplasticum: A Case Report.

作者信息

Tolksdorf Konrad, Schultze-Mosgau Stefan, Jacobs Collin, Tietz Stephanie, Hennig Christoph-Ludwig

机构信息

Department of Oral and Maxillofacial Surgery/Plastic Surgery, University Hospital Jena, Am Klinikum 1, 07747 Jena, Germany.

Department of Orthodontics, Center of Dental Medicine, Jena University Hospital, An der Alten Post 4, 07743 Jena, Germany.

出版信息

J Pers Med. 2023 Nov 4;13(11):1578. doi: 10.3390/jpm13111578.

Abstract

Patients with geroderma osteodysplasticum (GO) often times have dentofacial deformities and benefit from orthognathic surgery. Because of generalized osteopenia, operations must be prepared even more meticulously than usual, and the higher risk of unfortunate fractures (bad splits) should be explained to the patients in detail. This case report is intended to portray a digital, interdisciplinary and patient-individualized planning of orthognathic surgery. It points out the individual steps that must be considered and how they can be advantageously used in patients with underlying diseases or syndromes such as GO. Through a careful digital representation of the surgical options, production of the digitally modeled splints, 3D printing and good manual surgical implementation, the quality of life of patients with GO can be increased through orthognathic surgery. Both the functions in the oral, maxillofacial region and the patient's appearance in the case presented here benefited from the interdisciplinary, individualized and digital treatment approach.

摘要

骨发育异常性皮肤老化症(GO)患者常伴有牙颌面畸形,正颌手术对其有益。由于存在全身性骨质减少,手术必须比平常更加精心地准备,并且必须向患者详细解释不幸骨折(不良劈开)的较高风险。本病例报告旨在描述正颌手术的数字化、多学科及个体化规划。它指出了必须考虑的各个步骤,以及如何在患有诸如GO等基础疾病或综合征的患者中有效地运用这些步骤。通过仔细地以数字方式呈现手术方案、制作数字化模型夹板、3D打印以及良好的手动手术实施,正颌手术可提高GO患者的生活质量。在此病例中,口腔、颌面区域的功能以及患者的外貌均得益于这种多学科、个体化及数字化的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae15/10672396/949a0c66c4d2/jpm-13-01578-g001.jpg

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