| 数字化耠板在儿童颞下颌关节强直合并颌骨畸形同期治疗中的应用：附2例报告 |
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| 引用本文： | 何冬梅,黄栋,陆川,杨驰,袁建兵.数字化耠板在儿童颞下颌关节强直合并颌骨畸形同期治疗中的应用：附2例报告[J].中国口腔颌面外科杂志,2013,11(1):34-38. |
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| 作者姓名： | 何冬梅 黄栋 陆川 杨驰 袁建兵 |
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| 作者单位： | 1. 上海交通大学医学院附属第九人民医院·口腔医学院口腔外科,上海市口腔医学重点实验室,上海200011
2. 上海交通大学机械与动力工程学院生物医学制造与生命质量工程研究所,上海,200240 |
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| 基金项目： | 上海市科学技术委员会资助项目(08DZ2271100);上海高校创新团队发展计划;教育部留学回国人员科研启动基金~~ |
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| 摘 要： | 目的：探讨数字化验板在儿童颞下颌关节强直合并颌骨畸形同期治疗中的应用效果。方法：2例儿童单侧颞下颌关节强直合并颌骨畸形患者，术前采用SurgiCaseCMF5．0软件进行颌骨畸形的三维测量．模拟骨球截除后摆正下颌骨，制作数字化袷板，术中应用，行肋骨一软骨移植关节重建。术后进行CT扫描二三维测量，评价应用效果。结果：2例患者术中袷板戴入顺利，术后CT三维测量与术前设计吻合度高。结论：数字化袷板在儿童颞下颌关节强直合并颌骨畸形的同期治疗中节省了手术时间，提高了手术的准确性，具有较好的临床应用前景。
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| 关 键 词： | 数字化袷板 颞下颌关节强直 颌骨畸形 |
Application of digital occlusal splint in the simultaneous treatment of children temporomandibular joint ankylosis with jaw bone deformities: Report of 2 cases |
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| Institution: | HE Dong-mei1,HUANG Dong1,LU Chuan1,YANG Chi1,YUAN Jian-bin2.(1.Department of Oral Surgery,Ninth People’s Hospital,College of Stomatology,Shanghai Jiao Tong University School of Medicine,Shanghai Key Laboratory of Stomatology.Shanghai 200011;2.Department of Biomedical Manufacturing and Life Quality Engineering,Research Institute of Shanghai Jiao Tong University School of Mechanical Engineering.Shanghai 200240,China) |
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| Abstract: | PURPOSE： To evaluate the effect of using digital ocelusal splint in the simultaneous treatment of children temporomandibular joint （TMJ） ankylosis with jaw bone deformities. METHODS： Two children with unilateral TMJ ankylosis combined with jaw bone deformities were measured three-dimensionally before surgery by Sm＇giCase CMF 5.0 software of their CT data. After simulation of bony fusion removal and chin midline correction, digital occlusal splint was made for further costochondral graft which lengthened the affected ramus height. Postoperative CT scan was taken and 3D measurement was made to evaluate the resuks. RESULTS： Digital occlusal splint was placed smoothly for the two patients. Postoperative CT showed high fitness with presurgical design. CONCLUSION： Digital occlusal splint can save the operation time and improve the accuracy in the simultaneous treatment of children temporomandibular joint ankylosis with jaw bone deformities. It has good prospects for clinical application. Supported by Research Fund of Science and Technology Commission of Shanghai Municipality （08DZ2271100）, Program for Innovative Research Team of Shanghai Municipal Education Commission, Scientific Research Foundation of Ministry of Education for Returned Overseas Scholars. |
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| Keywords: | Digital occlusal splint Temporomandibular joint ankylosis Jaw bone deformities |
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