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相关实验视频

Updated: Jan 13, 2026

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
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重建细分缺陷:一个单一的中心,21年的经验,有413个骨自由.

Robert J Allen1, Kevin K Zhang1, Zack Cohen1

  • 1The Plastic and Reconstructive Surgery Service, Memorial Sloan Kettering Cancer Center, New York, NY.

Plastic and reconstructive surgery
|October 29, 2025
PubMed
概括

骨自由 (FFF) 对下缺陷的重建已经随着新技术的发展而发展. 虽然改善了工作流程和牙科康复,但FFF下重建仍然是一个高风险的程序,具有显著的发病率.

关键词:
在CAD/CAM中使用.口切除术 (Mandibulectomy) 是一个切除术.长腿骨免费翻盖,可以自由翻盖.下巴重建 下巴重建下巴的固定方式骨性皮肤性自由

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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.
  • 在瘤学瘤学.

背景情况:

  • 长肢自由 (FFF) 是下下切除后下重建的标准.
  • 技术和手术的进步改变了FFF的工作流程和结果.

研究的目的:

  • 分析机构在下重建方面使用不断发展的FFF技术的经验.
  • 评估这些变化对患者结果和程序效率的影响.

主要方法:

  • 一个21年的回顾对患者进行细分下切除术与FFF重建.
  • 分析手术规划,固定方法,并发症率和康复结果.

主要成果:

  • 在401名21岁以上的患者中进行了413次FFF;平均手术时间为675.6分钟.
  • 越来越多地使用计算机辅助设计和制造 (CAD/CAM) 和立即植入牙 (IDIP) 与更高的牙科康复率相关.
  • 片成功率为97.8%,但54.7%的人出现并发症,全因死亡率为43.6%.

结论:

  • 现代FFF技术和技术在下重建中提高了手术工作流程和患者的结果.
  • 尽管取得了进展,但基于FFF的下重建仍然是一个与显著发病率相关的程序.