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基于 3D 打印模型的眶底重建 - 病例报告。

Orbital floor reconstruction based on 3d printed model - case report.

机构信息

DEPARTMENT OF CRANIO-MAXILLO-FACIAL SURGERY, PROVINCIAL SPECIALIST HOSPITAL NO. 5 IN SOSNOWIEC, SOSNOWIEC, POLAND.

PRIVATE DENTAL PRACTICE - AGNIESZKA ROLEK, WROCLAW, POLAND.

出版信息

Wiad Lek. 2024;77(8):1623-1626. doi: 10.36740/WLek202408113.

Abstract

Orbital fractures, constituting 10-25% of facial traumas, result from diverse mechanisms such as traffic accidents and assaults. These fractures present with characteristic symptoms like edema, diplopia, and infraorbital paraesthesia. Timely diagnosis and surgical intervention are paramount to mitigate long-term complications. Recent advancements in materials science and surgical methodologies have ushered in innovative approaches including 3D printing and computer-aided design implants. This article details a case study of successful reconstructive orbital surgery in a patient following a traumatic incident where a car accident caused extensive facial fractures. Leveraging 3D printing technology, a precisely tailored titanium mesh aided in the meticulous restoration of the orbital floor. During surgery, entrapped soft tissues were released, and the zygomatic-maxillary complex was carefully repositioned. Postoperative evaluation revealed promising outcomes, affirming the efficacy of contemporary surgical strategies. This case highlights the evolving role of 3D printing in enhancing the accuracy, cost-effectiveness, and accessibility of orbital reconstruction procedures, demonstrating its potential for broader clinical applications.

摘要

眼眶骨折占面部创伤的 10-25%,由交通事故和袭击等多种机制引起。这些骨折表现出特征性症状,如水肿、复视和眶下感觉异常。及时诊断和手术干预对于减轻长期并发症至关重要。材料科学和手术方法的最新进展带来了创新方法,包括 3D 打印和计算机辅助设计植入物。本文详细介绍了一例创伤性事件后成功进行重建性眼眶手术的病例研究,该事件是由车祸导致广泛的面部骨折。利用 3D 打印技术,精确定制的钛网有助于精细地修复眶底。在手术中,释放了被困的软组织,并小心地重新定位了颧骨-上颌复合体。术后评估显示出有希望的结果,证实了当代手术策略的疗效。该病例突出了 3D 打印在提高眼眶重建手术的准确性、成本效益和可及性方面的作用,展示了其在更广泛的临床应用中的潜力。

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