口腔疾病防治2018，Vol.26Issue(1)：2-9,8.DOI:10.12016/j.issn.2096-1456.2018.01.002
虚拟手术计划辅助颌骨肿瘤切除及缺损精确重建
Using virtual surgical planning for resection of jaw tumor and accurate reconstruction
摘要
Abstract
Objective To review the patients who underwent accurate maxillary and mandibular reconstruction with vascularized osteomyocutaneous flap using virtual surgery and evaluate the postoperative results. Methods From June of 2009 to December of 2014, ninety-four patients were treated in our department. In virtual surgical planning, maxillectomy and mandibulectomy were simulated and donor site bone was superimposed mirror image of normal maxil-la and mandible to complete accurate maxillary and mandibular reconstruction. Maxillectomy, mandibulectomy and bone reconstruction were performed using stereomodels and guided templates to replicate the virtual planning. Actual re-construction result was compared with that of virtual surgery. The patients were asked to assess their satisfaction with fa-cial appearance at 1 year postoperatively. Results Good bony unions and occlusion were observed in 94 patients. The actual results were basically in accordance with that of virtual surgery. The actual deviation between postoperative CT and preoperative virtual surgical planning was no more than 1 mm matched by computer software. All patients reported their facial appearance were excellent or good at 1 year postoperatively. Conclusion The ideal contour of neomaxilla and neomandible and good function with dental rehabilitation can be gained after accurate maxillary and mandibular re-construction with vascularized osteomyocutaneous flap using virtual surgery.关键词
虚拟手术计划/颌骨肿瘤/上颌骨重建/下颌骨重建/骨肌皮瓣Key words
Virtual surgery/Jaw tumor/Maxillary reconstruction/Mandibular reconstruction/Vascularized osteomyocutaneous flap分类
医药卫生引用本文复制引用
孙坚,沈毅..虚拟手术计划辅助颌骨肿瘤切除及缺损精确重建[J].口腔疾病防治,2018,26(1):2-9,8.基金项目
上海市科学技术委员会资助项目(124119b0102) （124119b0102）
