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快速原型技术在下颌骨个性化重建中的应用
引用本文:施斌,林李嵩,邱宇,朱小峰,林耿冰,黄立.快速原型技术在下颌骨个性化重建中的应用[J].福建医科大学学报,2009,43(3):252-255.
作者姓名:施斌  林李嵩  邱宇  朱小峰  林耿冰  黄立
作者单位:福建医科大学,附属第一医院口腔颌面外科,福建医科大学,面部整复与重建研究室,福州350005
摘    要:目的探讨快速原型技术在下颌骨个性化重建中的应用特点及临床效果。方法因肿瘤或外伤导致下颌骨缺损的患者23例,术前行三维螺旋CT扫描,通过快速原型技术制作实体模型及镜像模型,根据模型设计截骨线并预弯重建钛板,按设计切除肿瘤后,预弯钛板就位,取髂骨或腓骨肌瓣按钛板外形塑型并固定于钛板上重建下颌骨。结果肿瘤无复发,移植骨成活,面型对称,张口度2.8~3.6cm,下颌功能正常,黯关系良好,颞颌关节无弹响,无压痛。术后3月复查三维CT,重建下颌骨与健侧对称,髁状突位置正常。结论快速原型技术指导下颌骨个性化重建方法简单,成本较低,模型制作时间短,临床效果满意.是一种较理想的下颌骨重建方法。

关 键 词:骨移植  下颌骨  移植  自体  计算机辅助设计  腓骨  髂骨

Individualized Reconstruction of Mandible with Rapid Prototyping Techniques
SHI Bin,LIN Lisong,QIU Yu,ZHU Xiaofeng,LIN Gengbing,HUANG Li.Individualized Reconstruction of Mandible with Rapid Prototyping Techniques[J].Journal of Fujian Medical University,2009,43(3):252-255.
Authors:SHI Bin  LIN Lisong  QIU Yu  ZHU Xiaofeng  LIN Gengbing  HUANG Li
Affiliation:SHI Bin,LIN Lisong,QIU Yu,ZHU Xiaofeng,LIN Gengbing,HUANG Li Department of Oral and Maxillofacial Surgery,The First Affiliated First Hospital,Laboratory of Facial Plastic and Reconstruction,Fujian Medical University,Fuzhou 350005,China
Abstract:Objective To explore the application features and clinical effects of individualized reconstruction of mandible with rapid prototyping technology.Methods 23 patients with mandible defect,caused by tumor or trauma,were scanned with 3D-CT before operation.Solid models and mirror models were made with rapid prototyping technology.According to the models,an osteotomy line was designed and individualized reconstructed Ti-palate pre-curved.After the resection of tumor,the individualized reconstructed Ti-palate,co...
Keywords:bone transplantation  mandible  transplantation  autologous  computer-aided design  fibula  ilium  
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