3D模拟骨间干扰的三角形模拟在骨分裂骨骨切除术中,用于下不对称的下骨
Santhiya Iswarya Vinothini Udayakumar1, Dohyoung Kim1, So-Young Choi1
1Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University, 2177 Dalgubeol-Daero, Jung-Gu, Daegu, 41940, Republic of Korea.
Maxillofacial plastic and reconstructive surgery
|September 17, 2023
概括
计算机辅助的3D外科模拟可以预测骨分裂骨骨切除术 (SSRO) 中的骨干干扰. 这种分析有助于通过在手术前识别潜在的骨碰撞来改善手术结果.
科学领域:
- 口腔和牙面部外科手术
- 整形手术 整形手术 整形手术
- 手术模拟器手术模拟器
背景情况:
- 骨前生症往往需要松裂骨架骨切除术 (SSRO).
- 骨间干扰可能会使SSRO结果复杂化.
- 预测和管理骨干干扰对于成功的手术至关重要.
研究的目的:
- 评估SSRO中预测的骨内干扰模式.
- 确定影响骨干干扰体积的因素.
- 评估计算机辅助3D模拟在SSRO规划中的实用性.
主要方法:
- 对116名接受SSRO.患者的回顾性分析.
- 根据子 (Me) 偏差,将患者分为三组.
- 使用形束计算断层扫描 (CBCT) 数据进行3D模拟,以预测干扰.
- 在手术前和后进行骨倾斜和骨测量的分析.
主要成果:
- 骨间干扰在下巴偏差的相反侧面更频繁.
- 第三组的干扰体积在长侧显著增加 (186mm3对54.4mm3).
- 双边干扰体积与Me偏差和拉马倾斜相关;Me偏差预测干扰体积.
结论:
- 3D手术模拟有效地可视化并有助于减少潜在的骨碰撞.
- 骨干干扰可以单边或双边发生.
- 术前的3D模拟对于预测骨干扰和优化SSRO中的骨倾斜是必不可少的.
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