患者特异的聚乙烯 (PEEK) 在线肌肉整形术 (PSPOE):一种用于治疗复发性关节脱位的新方案
Mustafa Gamal Abdel Kawy1, Ragia Mounir2, Youssef El Mansi3
1El Suez Hospital, El Suez, Egypt.
Journal of maxillofacial and oral surgery
|February 6, 2026
概括
这项研究介绍了PEEK精髓造形术的新CAD-CAM协议,有效治疗慢性关节脱. 这种新的方法显著改善了患者的口腔开口,提供了一种不那么病态的外科选择.
科学领域:
- 口腔和牙面部外科手术
- 生物材料工程 生物材料工程
- 医疗器械设计 医疗器械设计
背景情况:
- 慢性复发的关节 (TMJ) 脱是一个重大的临床挑战.
- 现有的手术治疗可能与患病率有关,并且可能无法完全解决状位移位问题.
- 需要一个不那么侵入性和有效的手术方案来管理关节的不稳定性.
研究的目的:
- 引入和评估一种新的计算机辅助设计-计算机辅助制造 (CAD-CAM) 协议,用于患者特定的聚-基 (PEEK) 微塑性.
- 在慢性复发性关节脱的患者中限制下冠状腺过度的中间运动.
- 评估这种微创手术方法的疗效和结果.
主要方法:
- 五名患者接受了双边的手术植入,患者特异的PEEK在体内植入.
- 植入物实际上是使用专用软件设计的,并从医疗级PEEK块中造的.
- 在手术期间,用三个小螺丝在侧面的骨上进行了固定,随访时间从六个月到两年不等.
主要成果:
- 在术后观察到最大切口口腔开口的统计学显著改善.
- 术前平均口腔开口为48.8毫米,而术后平均为36.8毫米.
- 在CAD-CAM PEEK精髓造形手术过程中,表现出了积极的功能结果.
结论:
- 使用一种新的CAD-CAM协议的患者特异性PEEK精髓造形术是慢性复发性TMJ脱手术治疗的有效替代方案.
- 这种方法通过稳定下肌来提供一种不太病态的解决方案.
- 该研究强调了定制PEEK植入物在治疗复杂的关节疾病方面的潜力.
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