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面部骨折手术的患者特异性板:一个回顾性的案例系列

Ran-Yeong Cho¹, Soo-Hwan Byun¹, Sang-Yoon Park¹

¹Department of Oral and Maxillofacial Surgery, Hallym University Sacred Heart Hospital, Anyang 14066, Republic of Korea; Department of Artificial Intelligence and Robotics in Dentistry, Graduate School of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea; Institute of Clinical Dentistry, Hallym University, Chuncheon 24252, Republic of Korea.

Journal of dentistry

|August 6, 2023

概括

这项研究引入了一种新的数字工作流程,用于使用患者特定的指南和板进行面骨折修复. 这种方法提供了稳定的结果,可能是传统外科手术技术的更好的替代方案.

科学领域:

口腔和牙面部外科手术
生物医学工程生物医学工程
数字牙科数字牙科

背景情况:

常规治疗面骨折用现成的板进行开放缩减和内部固定 (ORIF) 提出了挑战,包括时间消耗,不精确性和不便.
切割和曲预制板块可以导致不理想的适合和结果.

研究的目的:

引入和评估一种用于面骨折的新型骨缩小方法.
这种方法利用虚拟手术规划,患者特定的手术指南和定制设计的板.

主要方法:

一个回顾性病例系列,涉及七名下骨折患者 (交叉体或下体).
程序包括圆束计算机断层扫描 (CBCT) 或面部CT扫描,使用3D立体立体图像 (FaceGide软件) 的虚拟手术,以及具有患者特定指南和板的ORIF.
术后评估包括放射性,临床和闭合性评估,并比较虚拟手术计划和实际结果.

主要成果:

对比3D虚拟手术模型和术后CT扫描显示表面差异最小 (<1毫米).
图形扫描评估显示,在两周和六周的术后评估之间,闭合结局结果没有统计学上显著的差异.
在所有患者中都观察到有利的临床结果.

结论:

使用患者特定的指南和板块的新型数字工作流显示了稳定的阻塞和愈合,没有显著的并发症.
这种方法代表了一种可行的,可能优于传统方法治疗面骨折的替代方案.
数字规划和定制仪器提高了手术精度和效率,在面骨折修复.

关键词:

骨板块骨板块骨板块骨板块计算机辅助手术是计算机辅助的手术.内部骨折固定方法内部骨折固定方法骨骨折发生在下骨上针对患者的专用牌子.

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