Hu Kevin G, Aral Ali, Rancu Albert, Alperovich Michael
Division of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut.
Semin Plast Surg. 2024 May 13;38(3):234-241. doi: 10.1055/s-0044-1786757. eCollection 2024 Aug.
Mandibular distraction osteogenesis is a technically challenging procedure due to complex mandibular anatomy, especially in the treatment of Pierre-Robin Sequence due to variable bone thickness in the infant mandible and the presence of tooth buds. Computerized surgical planning (CSP) simplifies the procedure by preoperatively visualizing critical structures, producing cutting guides, and planning distractor placement. This paper describes the process of using CSP to plan mandibular distraction osteogenesis, including discussion of recent advances in the use of custom distractors.
由于下颌骨解剖结构复杂,下颌骨牵张成骨术是一项技术上具有挑战性的手术,尤其是在治疗皮埃尔 - 罗宾序列征时,因为婴儿下颌骨的骨厚度变化以及牙胚的存在。计算机辅助手术规划(CSP)通过术前可视化关键结构、制作切割导板和规划牵张器放置位置,简化了手术过程。本文描述了使用CSP规划下颌骨牵张成骨术的过程,包括对定制牵张器使用方面最新进展的讨论。