使用CAD/CAM工作流程和患者特异性植入物用于大重建:系统性审查
Diana D'Alpaos1, Giovanni Badiali1,2, Francesco Ceccariglia1
1Oral and Maxillo-Facial Surgery Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni 15, 40138 Bologna, Italy.
Journal of clinical medicine
|January 28, 2026
概括
计算机辅助设计和制造 (CAD/CAM) 与患者特异性植入物 (PSI) 提高了面重建的准确性. 虽然有效,但高成本和技术依赖性需要进一步研究以获得更广泛的临床采用.
科学领域:
- 面外科手术 面外科手术
- 生物医学工程 生物医学工程
- 医学成像医学成像
背景情况:
- 大和中脸重建带来了重大的外科手术挑战.
- 计算机辅助手术 (CAS) 和虚拟手术规划 (VSP) 改善了缺陷管理.
- 3D打印和CAD/CAM使定制植入物和手术指南成为可能.
研究的目的:
- 系统地审查大和面部中部缺陷的CAD/CAM辅助重建.
- 评估患者特异性植入物 (PSI) 的优缺点.
- 评估重建的准确性,审美结果,功能和并发症.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 包括CAD/CAM辅助重建的临床研究 (2013年4月至2022年7月).
- 分析了10项关于24名患者的研究.
主要成果:
- CAD/CAM技术改善了骨切除术的准确性,片轮和植入物适应.
- 来自24名患者的数据显示出积极的结果.
- 审查确定了符合纳入标准的10项相关研究.
结论:
- 基于CAD/CAM的方法是有效和安全的面重建.
- 限制包括高成本,技术依赖和有限的长期数据.
- 为了PSI的更广泛的临床使用,需要进一步的标准化和研究.
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