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应用快速原型技术指导腓骨平行折叠重建下颌骨的探讨
引用本文:尚德浩,王雪梅,于艳凤,徐中飞,孙长伏. 应用快速原型技术指导腓骨平行折叠重建下颌骨的探讨[J]. 中国口腔颌面外科杂志, 2011, 9(3): 230-233
作者姓名:尚德浩  王雪梅  于艳凤  徐中飞  孙长伏
作者单位:1. 中国医科大学口腔医学院,口腔颌面外科教研室,口腔颌面-头颈外科,辽宁,沈阳,110002
2. 中国医科大学口腔医学院,牙体牙髓科,辽宁,沈阳,110002
3. 中国科学院沈阳自动化研究所,辽宁,沈阳,110016
基金项目:沈阳市科学技术计划项目
摘    要:目的:研究如何将快速原型技术与腓骨平行折叠技术相结合,以更好地指导下颌骨重建.方法:下颌骨肿瘤切除术后复杂缺损重建患者6例,术前计算机辅助模拟手术,应用快速原型技术制作腓骨平行折叠后的颌骨模型并预制钛板形态,参照模型,指导术中腓骨骨段精确摆放位置.结果:所有患者创口一期愈合,结合放射核素扫描及数字全景片检查,证实移植腓...

关 键 词:下颌骨  重建  平行折叠技术  快速原型

The use of rapid prototyping in mandible reconstruction with double barrel fibular graft
SHANG De-hao,WANG Xue-mei,YU Yan-feng,XU Zhong-fei,SUN Chang-fu. The use of rapid prototyping in mandible reconstruction with double barrel fibular graft[J]. China Journal of Oral and Maxillofacial Surgery, 2011, 9(3): 230-233
Authors:SHANG De-hao  WANG Xue-mei  YU Yan-feng  XU Zhong-fei  SUN Chang-fu
Affiliation:1.Department of Oral and Maxillofacial Surgery,Department of Oromaxillofacial-Head Neck Surgery,School of Stomatology,China Medical University.Shenyang 110002;2.Department of Endodontics,School of Stomatology,China Medical University.Shenyang 110002;3.Shenyang Institute of Automation Chinese Academy of Sciences.Shenyang 110016,Liaoning Province,China)
Abstract:PURPOSE: To evaluate the usefulness of rapid prototyping technique and double barrel fibular graft technique in mandible reconstruction.METHODS: Six patients underwent reconstruction of large segmental mandibular defects with double barrel fibular osteocutaneous graft techniques.3-dimensional mandibular models were made by rapid prototyping technique to ensure that the fibular bones were placed accurately and matched with the remaining mandible segment.RESULTS: Of all patients,the fibular osteocutaneous grafts survived completely,there was no evidence of recurrence.Good appearance and occlusion were achieved in all sufferers after treatment.Panoramic radiograph and three-dimensional CT scan revealed that the locations and heights of the fibular bones met the preoperative design.CONCLUSION: The use of rapid prototyping technique can improve the accuracy of double barrel fibular location in mandible reconstruction,maintain the function of temporomandibular joint and regenerate a symmetrical facial contours.
Keywords:Mandible  Reconstruction  Double barrel graft technique  Rapid Prototyping
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