| 三维手术模拟辅助自体喙突移植再造髁突关节成形术 |
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| 引用本文： | 白云,胡静,杨孝勤,尹国柱,张朝良,罗恩. 三维手术模拟辅助自体喙突移植再造髁突关节成形术[J]. 现代口腔医学杂志, 2011, 0(3): 161-164 |
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| 作者姓名： | 白云 胡静 杨孝勤 尹国柱 张朝良 罗恩 |
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| 作者单位： | 四川大学华西口腔医学院口腔疾病研究国家重点实验室; |
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| 基金项目： | 卫生部临床学科重点项目(颞下颌关节强直及其继发畸形的综合矫治与功能重建); 国家自然科学基金资助项目(30700950,30973346) |
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| 摘 要： | 目的研究计算机三维手术模拟系统在利用自体喙突移植再造双侧颞下颌关节强直患者髁突关节成形术中的应用及其临床效果。方法对2007~2009年我院收治的8位双侧颞下颌关节骨性强直患者,利用Surgicase CMF软件行术前设计和三维手术模拟并行相关测量。在相关数据的指导下行双侧强直块切除术、自体喙突游离移植再造髁突。术后行临床检查,放射检查等对骨瓣愈合情况和颞下颌关节功能进行评价。结果术后患者获得良好的开口度与咬合关系。曲面体层X线片示,所有患者的移植喙突位于关节窝内,愈合良好;喙突有一定吸收,但未引起咬合的明显改变。随访期间未有复发患者,无其它明显并发症。结论在自体喙突移植再造双侧颞下颌关节强直患者髁突成形术中应用计算机辅助三维手术模拟系统可以使得手术更加精确和方便,提高了患者的满意度。
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| 关 键 词： | 颞下颌关节 强直 喙突 重建 计算机辅助外科设计 |
Computer-assisted condylar reconstruction in bilateral temporomandibular joint ankylosis using autogenous coronoid process |
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| BAI Yun,YIN Guozhu,YANG Xiaoqin,et al.. Computer-assisted condylar reconstruction in bilateral temporomandibular joint ankylosis using autogenous coronoid process[J]. Journal of Modern Stomatology, 2011, 0(3): 161-164 |
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| Authors: | BAI Yun YIN Guozhu YANG Xiaoqin et al. |
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| Affiliation: | BAI Yun,YIN Guozhu,YANG Xiaoqin,et al.State Key Laboratory of Oral Diseases,West China College of Stomatology,Sichuan University,Chengdu 610041 |
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| Abstract: | Objective To describe the use of computer-assisted three-dimensional surgical planning in condylar reconstruction in patients with bilateral temporomandibular joint ankylosis using autogenous coronoid process and to explore its clinical effects.Methods Eight patients with bilateral temporomandibular joint bony ankylosis who visited our hospital from 2007 to 2009 were treated by bilateral ankylosed blocks resection and condylar reconstruction by free grafting of autogenous coronoid process with three-dimensi... |
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| Keywords: | Temporomandibular joint Ankylosis Coronoid process Reconstruction Computer-assisted three-dimensional surgical planning |
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