期刊文献+

数字化模型外科在牙颌面畸形治疗中的应用 被引量:5

Digital model surgery in planning, prediction and evaluation of dento-maxillofacial deformities
分享 导出
摘要 目的:探讨数字化模型外科在牙颌面畸形治疗中的应用价值.方法:选取15例牙颌面畸形患者,通过CT重建模型与激光扫描牙列模型,构建数字化颅颌面-牙列模型,在此基础上进行手术设计,并且三维打印(牙合)板及导板,指导手术.术后3个月进行面部对称性及手术精确度评价.结果:所有患者均顺利完成手术虚拟设计、(牙合)板和导板三维打印以及正颌手术.偏颌畸形患者术后对称性明显改善,术后CT模型与术前设计比较,最大差异度<2 mm.结论:利用数字化模型外科可进行手术设计,模拟,预测,并且可以三维打印(牙合)板及导板指导手术,在牙颌面畸形的治疗中具有广泛的应用价值,值得临床推广。 PURPOSE : To explore the application of digital model surgery in the treatment of dento-maxillofacial deformities. METHODS : Fifteen patients of dento-maxillofacial deformities were enrolled in this study. Digital craniomaxillofacial-dentition model was established by combined 3D CT and laser-scanned dentition model. Based on this model, surgical planning, simulation and postoperative prediction were performed. Under the guidance of 3D printed splint and guide, orthognathic surgery and asymmetry correction were carried out. Clinical examination was performed 3 months after surgery. Surgical accuracy was evaluated by comparing the postoperative CT 3D model with preoperative surgical planning. RESULTS : All patients underwent virtual surgical planning, splint and guide 3D printing and orthognathic surgery successfully. Facial symmetry was greatly improved after surgery. The mean deviation between the preoperative design and actual surgical results was less than 2 mm. CONCLUSIONS : With the ability of preoperative planning, surgical simulation and postoperative prediction, digital model surgery shows its great value in improving the accuracy of orthognathic surgery and restoring facial symmetry. It is regarded as a valuable technique in this potentially complicated procedure.
作者 王敏娇 司家文 张剑飞 王旭东 沈国芳 于洪波 WANG Min-jiao, SI Jia-wen, ZHANG Jian-fei, WANG Xu-dong, SHEN Guo-fang, YU Hong-bo, WANG Min-jiao, SI Jia-wen, ZHANG Jian-fei, WANG Xu-dong, SHEN Guo-fang, YU Hong-bo (Department of Oral and Craniomaxillofacial Science, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China)
出处 《中国口腔颌面外科杂志》 CAS 2015年第6期497-501,共5页 China Journal of Oral and Maxillofacial Surgery
基金 国家自然科学基金(81101131) 上海市科学技术委员会学科带头人项目(12XDl403200) 浦东新区卫生、计生科技项目(PW2012D-11)
关键词 数字化模型外科 牙颌面畸形 虚拟设计 正颌手术 三维打印 Digital model surgery Dento-maxillofacial deformities Virtual surgical planning Orthognathic surgery 3D printing
作者简介 王敏娇(1991-),女,硕士研究生,E-mail:wangminjiao442773955@126.com. 【通信作者】沈国芳,Tel:021—23271207,E—mail:maxillofacsurg@163.com。 [通信作者]于洪波,Tel:021—23271699—5544,E—mail:hongboyuhj@hotmail.com;
  • 相关文献

参考文献14

  • 1沈国芳.新技术在当代牙颌面畸形矫治中的开发与应用[J].口腔颌面外科杂志,2007,17(2):109-113. 被引量:5
  • 2闫晋,沈国芳,宋丽媛.三维CT对颅颌面骨性结构的测量与分析[J].口腔颌面外科杂志,2009,19(4):261-266. 被引量:14
  • 3张诗雷,张志愿,沈国芳.基于CT的三维正颌手术仿真模拟平台的建立[J].中国口腔颌面外科杂志,2004,2(2):95-98. 被引量:23
  • 4Marmulla R, Miihling J. The influence of computed tomography motion artifacts on computer-assisted surgery [J]. J Oral Maxillofac Surg, 2006, 64(3): 466-470. 被引量:1
  • 5Swennen GR, Mollemans W, Schutyser F. Three-dimensional treatment planning of orthognathic surgery in the era of virtual imaging [J]. J Oral Maxillofac Surg, 2009, 67(10): 2080-2092. 被引量:1
  • 6Schendel SA, Jacobson R. Three-dimensional imaging and computer simulation for office-based surgery [J]. J Oral Maxillofac Surg, 2009, 67(10): 2107-2114. 被引量:1
  • 7Ellis E 3rd. Accuracy of model surgery: evaluation of an old technique and introduction of a new one [J]. J Oral Maxillofac Surg, 1990, 48(11): 1161-1167. 被引量:1
  • 8Baker SB, Goldstein JA, Seruya M. Outcomes in computer- assisted surgical simulation for orthognathic surgery [J]. J Craniofac Surg, 2012, 23(2): 509-513. 被引量:1
  • 9Aboul-Hosn Centenero S, Hern6~ndez-Alfaro F. 3D planning in orthognathic surgery: CAD/CAM surgical splints and prediction of the soft and hard tissues results - our experience in 16 cases [J]. J Oral Maxillofac Surg, 2012, 40(2): 162-168. 被引量:1
  • 10Hsu SS, Gateno J, Bell RB, et al. Accuracy of a computer-aided surgical simulation protocol for orthognathic surgery: a prospective multicenter study [J]. J Oral Maxillofac Surg, 2013, 71(1): 128-142. 被引量:1

二级参考文献52

共引文献39

同被引文献32

引证文献5

二级引证文献6

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈