CAD/CAM制作个性化钛网联合髂骨移植重建单侧下颌骨大型轮廓缺损

doi:10.13591/j.cnki.kqyx.2022.02.005

口腔医学 ›› 2022, Vol. 42 ›› Issue (2): 125-129.doi: 10.13591/j.cnki.kqyx.2022.02.005

CAD/CAM制作个性化钛网联合髂骨移植重建单侧下颌骨大型轮廓缺损

毕丹丹, 何映酉, Mohammed Qasem AlWatary, 王鹏, 宋丽斌, 李继华

口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院正颌与关节外科,四川成都(610041)

修回日期:2021-08-31 出版日期:2022-02-28 发布日期:2022-02-25
通讯作者: 李继华 E-mail:leejimwa6698@sohu.com
基金资助:
四川省科技计划项目(2020YFS0079)

Reconstruction of unilateral large-sized mandibular contour defects using CAD/CAM and individualized titanium mesh combined with iliac bone graft

BI Dandan, HE Yingyou, Mohammed Qasem AlWatary, WANG Peng, SONG Libin, LI Jihua

State Key Laboratory of Oral Diseases ＆ National Clinical Research Center for Oral Diseases ＆ Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Revised:2021-08-31 Online:2022-02-28 Published:2022-02-25

摘要/Abstract

摘要： 目的探讨CAD/CAM技术联合个性化预成型钛网及游离髂骨移植修复单侧下颌骨大型轮廓缺损的可行性及有效性。方法选取四川大学华西口腔医院正颌及关节外科2015年11月—2019年12月的15例单侧下颌骨大型轮廓缺损的患者。采用基于逆向工程的计算机辅助设计/计算机辅助制作(CAD/CAM)技术,镜像重建患侧下颌骨轮廓并制作个性化预成型钛网,术中切取游离髂骨联合预制钛网经颌下植入于下颌骨缺损部位,其中2例患者同期行颏成形术矫正颏部偏斜。术后通过测量比较双侧下颌支及下颌体的长度及其三维角度评价下颌骨轮廓的对称性。结果所有患者预后良好,对手术效果满意且无不良并发症,术后三维测量结果显示下颌骨轮廓对称性良好(P>0.05)。结论利用CAD/CAM技术制作个性化预成型钛网联合髂骨移植修复单侧下颌骨大型轮廓缺损可行,效果良好。

关键词: 计算机辅助设计及制作, 预成型钛网, 髂骨移植, 下颌骨轮廓重建

Abstract: Objective To explore the feasibility and effectiveness of using CAD/CAM combined with individualized titanium mesh and iliac bone graft to repair unilateral large-sized mandibular contour defects. Methods From November 2015 to December 2019, fifteen patients with unilateral large-sized mandibular contour defects were enrolled in this study. Personalized preformed titanium mesh and mandible models were fabricated by computer-aided design/computer-aided manufacture (CAD/CAM) based on reverse engineering to reconstruct mandibular contour defect. Two patients accepted genioplasty to adjust the deflective region. Length of the bilateral mandibular ramus and mandibular body and its three-dimensionality were measured and compared to analyze symmetries of mandibular contour after surgery. Results All patients have satisfactory results and no adverse complications. Measurements showed satisfactory symmetries of mandibular contour in the 3D position after surgery (P>0.05). Conclusion The study suggests that this technique was feasible and efficient for the reconstruction of unilateral large-sized mandibular contour defects.

Key words: CAD/CAM, individualized titanium mesh, iliac bone graft, mandibular contour reconstruction

中图分类号:

R782.13

毕丹丹, 何映酉, Mohammed Qasem AlWatary, 王鹏, 宋丽斌, 李继华. CAD/CAM制作个性化钛网联合髂骨移植重建单侧下颌骨大型轮廓缺损[J]. 口腔医学, 2022, 42(2): 125-129.

BI Dandan, HE Yingyou, Mohammed Qasem AlWatary, WANG Peng, SONG Libin, LI Jihua. Reconstruction of unilateral large-sized mandibular contour defects using CAD/CAM and individualized titanium mesh combined with iliac bone graft[J]. Stomatology, 2022, 42(2): 125-129.

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CAD/CAM制作个性化钛网联合髂骨移植重建单侧下颌骨大型轮廓缺损

Reconstruction of unilateral large-sized mandibular contour defects using CAD/CAM and individualized titanium mesh combined with iliac bone graft

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