数字化虚拟手术设计辅助正颌外科手术12例临床分析

上海口腔医学 ›› 2014, Vol. 23 ›› Issue (3): 322-327.

数字化虚拟手术设计辅助正颌外科手术12例临床分析

谭新颖, 胡敏, 刘昌奎, 刘华蔚, 刘三霞, 陶冶

解放军总医院口腔科,北京 100853

收稿日期:2013-10-14 出版日期:2014-06-20 发布日期:2014-09-09
通讯作者: 胡敏,Tel(Fax):010-66938117,E-mail:Humin48@vip.163.com
作者简介:谭新颖(1982-), 男, 在读博士研究生, 主治医师, E-mail:tanxy301@hotmail.com
基金资助:
北京市自然科学基金(7112124); 北京市科技计划项目(D131100003013001)

Clinical analysis of 12 cases of orthognathic surgery with digital computer-assisted technique

TAN Xin-ying, HU Min, LIU Chang-kui, LIU Hua-wei, LIU San-xia, TAO Ye

Department of Stomatology, General Hospital of Chinese PLA. Beijing 100853, China

Received:2013-10-14 Online:2014-06-20 Published:2014-09-09
Supported by:
Supported by Beijing Natural Science Foundation (7112124) and Beijing Science and Technology Project (D131100003013001).

摘要/Abstract

摘要： 目的:探索数字化技术在辅助正颌外科手术中的应用价值。方法:2008年1月—2011年12月间收治12例颌骨发育畸形患者,经CT扫描及三维重建,对12例患者进行手术治疗,并对结果进行评价。结果:经CT扫描,Mimics重建,能够清晰显示颌骨畸形的状态,通过在Mimics软件中虚拟手术,辅助术中导航,术后效果均满意。结论:数字化正颌外科手术能够提高手术操作的可预见性,便于医患沟通,缩短手术时间,减轻患者的痛苦。

关键词: 正颌外科, Mimics软件, 颌骨畸形, 导航

Abstract: PURPOSE: This study was to investigate the effect of the digital computer-assisted technique in orthognathic surgery. METHODS: Twelve patients from January 2008 to December 2011 with jaw malformation were treated in our department. With the help of CT and three-dimensional reconstruction technique, 12 patients underwent surgical treatment and the results were evaluated after surgery. RESULTS: Digital computer-assisted technique could clearly show the status of the jaw deformity and assist virtual surgery. After surgery all patients were satisfied with the results. CONCLUSIONS: Digital orthognathic surgery can improve the predictability of the surgical procedure, and to facilitate patients’ communication, shorten operative time, and reduce patients’ pain.

Key words: Orthognathic surgery, Mimics software, Jaw deformity, Navigation

中图分类号:

R782.4

谭新颖, 胡敏, 刘昌奎, 刘华蔚, 刘三霞, 陶冶. 数字化虚拟手术设计辅助正颌外科手术12例临床分析[J]. 上海口腔医学, 2014, 23(3): 322-327.

TAN Xin-ying, HU Min, LIU Chang-kui, LIU Hua-wei, LIU San-xia, TAO Ye. Clinical analysis of 12 cases of orthognathic surgery with digital computer-assisted technique[J]. Shanghai Journal of Stomatology, 2014, 23(3): 322-327.

参考文献

[1] Plooij JM, Maal TJ, Haers P, et al. Digital three-dimensional image fusion processes for planning and evaluating orthodontics and orthognathic surgery. A systematic review [J]. Int J Oral Maxillofac Surg, 2011, 40(4): 341-352.
[2] Hemmy DC, David DJ, Herman GT. Three-dimensional reconstruction of craniofacial deformity using computed tomography [J]. Neurosurgery, 1983, 13(5): 534-541.
[3] Mankovich NJ, Curtis DA, Kagawa T, et al. Comparison of computer-based fabrication of alloplastic cranial implants with conventional techniques[J]. J Prosthet Dent, 1986, 55(5): 606-609.
[4] 刘翔宇, 何黎升, 田磊. 计算机辅助外科技术在创伤性额眶畸形整复中的应用 [J]. 中华临床医师杂志(电子版), 2013, 7(4): 1557-1560.
[5] Assael LA. Orthognathic surgery in the 21st century: the dreamliner takes flight [J]. J Oral Maxillofac Surg, 2009, 67(10): 2041-2042.
[6] Robinson RC, Holm RL. Orthognathic surgery for patients with maxillofacial deformities [J]. AORN J, 2010, 92(1): 28-49, 50-52.
[7] Mavili ME, Canter HI, Saglam-Aydinatay B, et al. Use of three-dimensional medical modeling methods for precise planning of orthognathic surgery [J]. J Craniofac Surg, 2007, 18(4): 740-747.
[8] 胡敏,丁仲鹃, 田慧颖. 修复前外科与义齿和义颌修复 [M]. 北京: 科学出版社, 2006: 1-233.
[9] Levine JP, Patel A, Saadeh PB, et al. Computer-aided design and manufacturing in craniomaxillofacial surgery: the new state of the art [J]. J Craniofac Surg, 2012, 23(1): 288-293.
[10] 张文斌,沈国芳.导航手术在颅颌面外科的应用及误差控制[J]. 中国口腔颌面外科杂志, 2012, 10(2): 170-173.
[11] Hern??ndez-Alfaro F, Guijarro-Martínez R. New protocol for three-dimensional surgical planning and CAD/CAM splint generation in orthognathic surgery: an in vitro and in vivo study[J]. Int J Oral Maxillofac Surg, 2013, 42(12): 1547-1556.
[12] Hsu 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.
[13] Iannetti G, Fadda TM, Riccardi E, et al. Our experience in complications of orthognathic surgery: a retrospective study on 3236 patients[J]. Eur Rev Med Pharmacol Sci, 2013, 17(3): 379-384.