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使用颧骨种植体对腭裂患者进行牙列修复：病例报告。

Dental rehabilitation of cleft palate patients using zygomatic implants: A case report.

作者信息

Creo-Martinez Teresa, Canivell-Zabaleta Maitena, Sanjuan-Sanjuan Alba, Caro Manuel

机构信息

Oral and Maxillofacial Surgery Department, Hospital Puerta de Mar, Cadiz, Spain.

出版信息

SAGE Open Med Case Rep. 2025 Jan 23;13:2050313X241305171. doi: 10.1177/2050313X241305171. eCollection 2025.

DOI:10.1177/2050313X241305171
PMID:39866282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11758517/
Abstract

Edentulous patients with history of cleft palate and severe maxillary atrophy are challenging patients to rehabilitate through an oral approach. The difficulty of rehabilitating these patients lies in the unusual anatomy they present and the alteration of the vascular supply of local tissues caused by the previous performed surgeries, along with other causes. This report describes the successful dental rehabilitation with zygomatic implants of a patient with complete bilateral cleft palate who was edentulous and had severe maxillary atrophy.

摘要

有腭裂病史且上颌严重萎缩的无牙患者，通过口腔途径进行修复是具有挑战性的。修复这些患者的困难在于他们呈现出的异常解剖结构、既往手术导致的局部组织血供改变以及其他原因。本报告描述了一名双侧完全性腭裂的无牙且上颌严重萎缩患者通过颧骨种植体成功进行牙齿修复的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/5bc4ca3922b3/10.1177_2050313X241305171-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/e92b4ac87736/10.1177_2050313X241305171-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/aefbce61c34b/10.1177_2050313X241305171-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/67beb720e076/10.1177_2050313X241305171-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/18897380b3a9/10.1177_2050313X241305171-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/04d24f987831/10.1177_2050313X241305171-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/bdaf276b964b/10.1177_2050313X241305171-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/b05b6833acc1/10.1177_2050313X241305171-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/5bc4ca3922b3/10.1177_2050313X241305171-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/e92b4ac87736/10.1177_2050313X241305171-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/aefbce61c34b/10.1177_2050313X241305171-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/67beb720e076/10.1177_2050313X241305171-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/18897380b3a9/10.1177_2050313X241305171-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/04d24f987831/10.1177_2050313X241305171-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/bdaf276b964b/10.1177_2050313X241305171-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/b05b6833acc1/10.1177_2050313X241305171-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ac/11758517/5bc4ca3922b3/10.1177_2050313X241305171-fig8.jpg

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本文引用的文献

1
ITI consensus report on zygomatic implants: indications, evaluation of surgical techniques and long-term treatment outcomes.ITI 共识报告：颧骨种植体——适应证、手术技术评估及长期疗效。
Int J Implant Dent. 2023 Sep 12;9(1):28. doi: 10.1186/s40729-023-00489-9.
2
Indications for zygomatic implants: a systematic review.颧骨种植体的适应证：系统评价。
Int J Implant Dent. 2023 Jul 1;9(1):17. doi: 10.1186/s40729-023-00480-4.
3
Zygomatic Implant Insertion in MRONJ: A Case Report with a Follow-Up of 3 Years.颧种植体植入治疗放射性颌骨骨髓炎：一例随访3年的病例报告
J Clin Med. 2023 May 5;12(9):3300. doi: 10.3390/jcm12093300.
4
Zygomatic implant guided rehabilitation based on inverted support technique: a pilot study.基于倒向支撑技术的颧骨种植体引导式修复：一项初步研究。
Eur Rev Med Pharmacol Sci. 2023 Apr;27(3 Suppl):77-91. doi: 10.26355/eurrev_202304_31324.
5
Three-Dimensional Guided Zygomatic Implant Placement after Maxillectomy.上颌骨切除术后三维引导颧骨种植体植入
J Pers Med. 2022 Apr 6;12(4):588. doi: 10.3390/jpm12040588.
6
Oral Rehabilitation of Bilateral Cleft Lip and Palate Patient with Simultaneous LeFort I Osteotomy and Zygomatic Implants: A Case Report.双侧唇腭裂患者同期行 LeFort I 截骨术和颧骨种植体修复的口腔康复：病例报告。
Cleft Palate Craniofac J. 2022 Nov;59(11):1433-1438. doi: 10.1177/10556656211050002. Epub 2021 Oct 29.
7
The Zygoma Anatomy-Guided Approach for Placement of Zygomatic Implants.用于颧骨种植体植入的颧骨解剖引导入路
Atlas Oral Maxillofac Surg Clin North Am. 2021 Sep;29(2):203-231. doi: 10.1016/j.cxom.2021.05.004. Epub 2021 Jul 8.
8
Insertion of Zygomatic Implants with a Technical Modification of the Extrasinus Protocol: A Retrospective Case Series.颧骨种植体的插入：鼻窦外技术改良的回顾性病例系列。
Int J Oral Maxillofac Implants. 2020 Sep/Oct;35(5):974-981. doi: 10.11607/jomi.8328.
9
Oral Rehabilitation with Zygomatic Implants in a Patient with Cleft Palate.颧种植体用于腭裂患者的口腔修复
Case Rep Dent. 2019 May 6;2019:6591256. doi: 10.1155/2019/6591256. eCollection 2019.
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Computer-Guided Approach for Placement of Zygomatic Implants: Novel Protocol and Surgical Guide.计算机引导下颧骨种植体植入方法：新方案与手术导板
Compend Contin Educ Dent. 2019 Mar;40(3):e1-e4.