在下重建中用于片骨切除的近接冗余支柱骨模板:一种新的技术
Manish Mair1, Kartic Rajaram1, Andrew Baker1
1Department of Maxillofacial Surgery, University Hospital of Leicester, Leicester, UK.
Journal of maxillofacial and oral surgery
|February 5, 2024
概括
这项研究介绍了一种具有成本效益的技巧,用于使用骨骨段作为指南的下重建. 这种方法可以确保精确的骨切除术,保持口腔功能,而不会增加手术时间或费用.
科学领域:
- 口腔和牙面部外科手术
- 重建性手术是一种重建性手术.
- 生物医学工程 生物医学工程
背景情况:
- 自由骨是细分下缺陷重建的标准.
- 计算机辅助设计 (CAD) 提高了审美和功能效果,但成本高昂.
- 需要具有成本效益的重建方法.
研究的目的:
- 提出和评估一种新的技术,使用冗余的近接骨骨段作为模板和切割指南,用于骨切割在下重建.
- 为昂贵的CAD方法提供替代方案.
主要方法:
- 在一个患有T4口腔癌的患者中,使用靠近骨骨段作为指导的手术技术被采用,该手术需要细分下切除术.
- 骨段作为精确骨切割的模板.
主要成果:
- 叶片的平均缺血时间为1小时30分钟.
- 患者在手术后保持了口腔能力.
- 重建的临床和放射性结果与3D计划的病例相似.
结论:
- 拟议的技术提供了一个准确的指南,在下重建的末端角骨切除术.
- 这种方法不需要额外的手术步骤或增加膜缺血时间.
- 这项技术为下重建提供了具有成本效益的解决方案.
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