使用计算机辅助设计/计算机辅助制造技术从软组织中去除异物:一个案例报告
Teruhide Hoshino1,2, Shuji Yoshida3, Chihiro Kurihara4
1Department of Dentistry and Oral Surgery, National Hospital Organization Tokyo Medical Center, Tokyo, Japan. htoesrhui@gmail.com.
Maxillofacial plastic and reconstructive surgery
|September 30, 2025
概括
计算机辅助设计和制造 (CAD/CAM) 技术精确地定位和移除深层软组织外体. 这种创新方法促进了准确的本地化和快速提取,展示了CAD/CAM.
科学领域:
- 口腔和牙面部外科手术
- 医疗技术 医疗技术 医学技术
- 手术创新 在外科创新.
背景情况:
- 深层外体的去除带来了重大的外科手术挑战.
- 计算机辅助手术 (CAS) 越来越多地用于外体去除.
- 计算机辅助设计/计算机辅助制造 (CAD/CAM) 已在硬组织方面建立,但在软组织方面报告较少.
研究的目的:
- 报告CAD/CAM技术的新型应用,用于从软组织中去除异物.
- 为了证明CAD/CAM在精确定位和提取深层碎片的有效性.
主要方法:
- 一名在口腔软组织中保留金属碎片的患者接受了CT成像.
- 术前CT数据使用Mimics®软件进行碎片本地化处理.
- 一个定制的手术指南是用Magics®软件设计和3D打印的.
- 手术指南有助于精确确定异物位置.
主要成果:
- 通过CAD/CAM技术,可以准确地定位1.5×1.3×2.5毫米的金属碎片.
- 手术指南确保了精确的垂直和水平定位.
- 外体的去除在1小时5分钟内完成,出血最小.
- 手术后的康复没有任何事件,没有感染或神经损伤.
结论:
- CAD/CAM技术为识别和从软组织中去除异物提供了一种成功的方法.
- 这一案例凸显了CAD/CAM在克服软组织外体提取方面的挑战方面的潜力.
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