中国组织工程研究Issue(21)：3968-3974,7.DOI:10.3969/j.issn.2095-4344.2013.21.023
赝复体钛网同期植入修复上颌骨切除后眶面部缺损
Prosthetic titanium mesh simultaneous implantation for the treatment of orbital facial defects after maxillectomy
温立婷 1乔莉 1陈福权 1陈晓栋 1石照辉1
作者信息
- 1. 解放军第四军医大学西京医院耳鼻咽喉头颈外科，陕西省西安市 710032
- 折叠
摘要
Abstract
BACKGROUND: Facial bone defects may occur after maxil ary trauma or tumor resection, which may influence the appearance and the life quality of the patients, so the early repairing has great significance to the patients. OBJECTIVE: To investigate the long-term effect of prosthetic titanium mesh simultaneous implantation for the treatment of orbital facial defect after maxil ectomy. METHODS: Twenty-one maxil ary sinus malignancy patients received maxil ectomy, and the maxil ary sinus malignancy patients treated with titanium mesh simultaneous implantation to repair orbital floor and anterior maxil ary sinus wal bone defects in the Department of Otolaryngology and Head and Neck Surgery, Xijing Hospital, the Fourth Military Medical University of PLA from June 2009 to January 2013 were selected. Among the 21 patients, four cases received partial resection of maxil a, 11 cases received maxil ectomy, and six cases received maxil ary extended resection. The effect of titanium mesh on the repair of midface and orbital defects after maxil ectomy was observed during fol ow-up. RESULTS AND CONCLUSION: Al the patients obtained one stage healing after titanium mesh simultaneous implantation with symmetrical facial contour and normal eyebal function, and the patients were basical y satisfied with the facial appearance. Al the patients could eat soft diet and had clear language after treated with prosthetic titanium mesh implantation; two cases had partial titanium mesh implant exposure after adjuvant radiotherapy, and healed after nearby flap transplantation. The results show that titanium mesh can be used for facial repair and reconstruction in the maxil ary defect patients, and has significant effect in restoring facial appearance, preventing diplopia occurrence, repairing late function and improving life quality.关键词
生物材料/生物材料学术探讨/钛网/钛板/微型钛板/赝复体/植入物/上颌骨切除/骨重建/面部缺损/修复重建/上颌窦/鼻窦肿瘤/骨折Key words
biomaterials/biomaterial academic discussion/titanium mesh/titanium plate/mini-titanium plate/prosthesis/implants/maxil ectomy/bone reconstruction/facial defects/repair and reconstruction/maxil ary sinus/sinus tumor/fracture分类
医药卫生引用本文复制引用
温立婷,乔莉,陈福权,陈晓栋,石照辉..赝复体钛网同期植入修复上颌骨切除后眶面部缺损[J].中国组织工程研究,2013,(21):3968-3974,7.
