解放军医学院学报2023，Vol.44Issue(11)：1224-1229,6.DOI:10.12435/j.issn.2095-5227.2023.096
三维人工植入物联合颞部切口入路在眶底缺损合并颧骨骨折修复术中的应用效果观察
Clinical outcomes of three-dimensional artificial implant combined with temporal incision approach in repair of orbital floor defect and zygomatic fracture
摘要
Abstract
Background The orbital floor and zygomatic bones are extremely vulnerable damaged and fracture in facial trauma.Combined multiple surgical incisions are applied in traditional treatment to fully expose the operating area and implant titanium nails and plates,which cause more serious damage,longer operation time and more complications.Objective To explore the therapeutic effect of three-dimensional artificial implant combined with temporal incision in repairing orbital floor defect and zygomatic fracture.Methods A retrospective analysis was performed on 44 male patients with zygomatic fracture in the maxillofacial head and neck surgery of the Army Medical Center from January 2 019 to January 2023.All patients received temporal incision approach for repairing and fixation,and they were randomly divided into experimental group(n=16)and control group(n=28).Hydroxyapatite mixed with polyether ether ketone was applied in experimental group and titanium mesh titanium plate traditional metal in control group to make artificial bone as fracture end repair material.The patients'face fullness,mouth opening area and complications before and after operation were detected in each group.Results All patients were clinical cured after receiving temporal incision.Compared with control group,the facial fullness(0.78±0.07 vs 1.14±0.05,P＜0.001)and mouth opening area(2.82±0.04 vs 2.07±0.09,P＜0.001)of patients in the experimental group were significantly improved.There was no significant difference in the incidence of postoperative complications between the two groups(such as infection:12.5%vs 10.71%,P=0.091;facial nerve injury:18.8%vs 28.6%,P=0.717).Conclusion 3D printed artificial bone can improve bilateral facial symmetry and occlusal function of patients with orbital floor defect and zygomatic fracture.关键词
3D打印/人工植入物/骨缺损/颜面部重建/眶底缺损合并颧骨骨折Key words
three-dimensional printing/artificial implant/bone defect/facial reconstruction/orbital floor defect with zygomatic fracture分类
医药卫生引用本文复制引用
刘露,马杰,张圣福,丁琳琳,张宜澜,柴鉴深..三维人工植入物联合颞部切口入路在眶底缺损合并颧骨骨折修复术中的应用效果观察[J].解放军医学院学报,2023,44(11):1224-1229,6.基金项目
重庆市自然科学基金面上项目(cstc2021jcyj-msxmX0475) （cstc2021jcyj-msxmX0475）
