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Diagnostic and Therapeutic Approach to Rare Tongue Lipoma.
IF 1 4区 医学 Q3 SURGERY Pub Date : 2025-01-01 Epub Date: 2024-10-17 DOI: 10.1097/SCS.0000000000010795
Xin-Ran Guo, Zi-Xiu Liu, Jun Jia, Zi-Li Yu

Lipomas are benign soft tissue tumors composed of mature adipocytes, commonly found in subcutaneous tissues. Despite their prevalence in various body regions, they are relatively rare in the oral and maxillofacial regions. This study retrospectively analyzed the clinical and imaging characteristics, as well as the treatment outcomes of 57 patients diagnosed with lipoma. Among these, 42 cases (73.7%) were located in the oral-maxillofacial and head-neck regions, predominantly in areas with relatively abundant adipose tissue, including the facial/cheek area, parotid region, submental/submandibular area, and neck. In addition, this study presents a rare case of tongue lipoma in a 57-year-old male, highlighting the clinical features, diagnostic challenges, and treatment approach. The patient presented with a painless mass on the left side of the tongue that had gradually increased in size over 5 months. Physical examination revealed a firm, well-defined, moderately mobile mass measuring ~3.0×1.5 m. Imaging, including enhanced magnetic resonance imaging, suggested a diagnosis of lipoma, leading to surgical excision. The excised mass was yellowish, encapsulated, and soft. Intraoperative frozen section biopsy confirmed it as a fat-derived tumor consistent with a lipoma, and postoperative pathological examination further identified it as a spindle cell/pleomorphic lipoma. The patient experienced a smooth recovery without complications, with normal tongue function restored. This case underscores the significance of including lipoma in the differential diagnosis of tongue masses and demonstrates the efficacy of surgical excision in managing such rare tumor.

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引用次数: 0
Inferior Rectus Muscle Thermal Injury Following Transconjunctival Blepharoplasty Using Carbon Dioxide Laser. 使用二氧化碳激光进行经结膜眼睑成形术后的下直肌热损伤。
IF 1 4区 医学 Q3 SURGERY Pub Date : 2025-01-01 Epub Date: 2024-10-03 DOI: 10.1097/SCS.0000000000010734
Hee Young Choi, Seung Ahn Yang, Jung Hyo Ahn

A 56-year-old woman was referred to the authors' hospital after the removal of the lower eyelid fat through a transconjunctival approach using a carbon dioxide laser. The patient was noted to have vertical diplopia in the primary position, with worsening diplopia on downgaze. Detachment of the right inferior rectus (IR) muscle from its insertion point was observed during exploratory surgery. The thermally damaged IR muscle fibers were attached to a location posterior to the original insertion point. At 6 months postoperatively, 8 prism diopters of right hypertropia in the primary position and a -3 degrees limitation on downgaze were still present. The patient underwent the vertical transposition of the lateral and medial rectus muscles to the IR muscle. After strabismus surgery, orthotropia was observed with no vertical diplopia in the primary gaze, but ocular motility limitation on the downgaze has permanently remained.

一名 56 岁的妇女在使用二氧化碳激光通过经结膜方法去除下眼睑脂肪后,被转诊到作者所在的医院。患者主要表现为垂直复视,下视时复视加重。在探查手术中观察到右侧下直肌 (IR) 从其插入点脱落。热损伤的 IR 肌纤维附着在原插入点的后方。术后 6 个月时,患者的右眼主视位仍有 8 个棱镜度数的高度近视,下视时仍有 -3 度的限制。患者接受了将外侧和内侧直肌垂直转位到红外肌的手术。斜视手术后,主视位没有垂直复视,但下视时眼球运动仍然受限。
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引用次数: 0
Treatment of Posttraumatic Zygomatic Coronoid Ankylosis. Systematic Review. 创伤后颧骨冠状突强直的治疗。系统综述。
IF 1 4区 医学 Q3 SURGERY Pub Date : 2025-01-01 Epub Date: 2024-10-28 DOI: 10.1097/SCS.0000000000010747
Stefania Requejo, Henry García Guevara, Maria Daniela Viamonte, Marcos Cicciu, Maria Dianella Jensen, Sergio Olate, Salvatore Crimi

Facial trauma is mostly associated with traffic accidents, fights, and sports accidents. The mandible, midface, and temporomandibular joint are usually the region's most frequently affected. Coronoid process fractures are rare, representing ∼2% of facial fractures in the literature, usually being the result of direct trauma to the zygomatic region. Due to the anatomical relationship of the coronoid process, it may be associated with other facial fractures, such as fractures of the zygomatic bone. Zygomatic-coronoid ankylosis is a rare clinical entity with variable etiology. It is most commonly associated with trauma (13%-100%), local or systemic infection (0%-53%), or systemic diseases, such as ankylosing spondylitis, rheumatoid arthritis, or psoriasis. The aim of this research is to evaluate the different treatments for ankylosis from the coronoid process to the zygoma after trauma, allowing to determine the treatment to obtain the best results. A systematic review was carried out following PRISMA "preferred reports for systematic reviews and meta-analyses" search matrix, based on a PICO question; was used PubMed, Embase, Sciencedirect, Cochrane, Google Scholar, and manual search in high-impact journals between 1946 and 2023 publications in English or Spanish, including randomized and nonrandomized clinical trials, prospective and retrospective cohort studies, case-control studies, series, and case reports. A total of 1993 articles were obtained from the 4 databases. After corroborating duplicate articles, 847 articles were excluded. Another 1112 articles were excluded in the title evaluation, and an additional 1093 after the abstract review; a total of 19 articles eligible for full-text evaluation were established and 1 article was added as a result of the manual search. After the full-text review, it was decided to include 16 articles in the study that met the objectives of the systematic review. After evaluating the different treatments described in the literature, the authors can determine that coronoidectomy through an intraoral approach is the most appropriate treatment for zygomatic coronoid ankylosis, accompanied by postoperative physiotherapy to achieve greater oral opening without recurrences.

面部创伤大多与交通事故、打架斗殴和运动事故有关。下颌骨、面中部和颞下颌关节通常是最常受影响的区域。冠状突骨折很少见,在文献中只占面部骨折的 2%,通常是颧骨部位直接外伤所致。由于冠状突的解剖关系,它可能与其他面部骨折(如颧骨骨折)相关。颧骨-冠状突强直是一种病因多变的罕见临床症状。最常见的病因是外伤(13%-100%)、局部或全身感染(0%-53%)或全身性疾病,如强直性脊柱炎、类风湿性关节炎或银屑病。本研究的目的是评估外伤后冠状突至颧骨强直的不同治疗方法,从而确定获得最佳效果的治疗方法。根据PICO问题,按照PRISMA "系统综述和荟萃分析的首选报告 "搜索矩阵进行了系统综述;使用了PubMed、Embase、Sciencedirect、Cochrane、Google Scholar,并在1946年至2023年间用英语或西班牙语发表的高影响力期刊中进行了人工搜索,包括随机和非随机临床试验、前瞻性和回顾性队列研究、病例对照研究、系列研究和病例报告。从 4 个数据库中共获得 1993 篇文章。在核实重复文章后,847 篇文章被排除在外。在标题评估中又排除了 1112 篇文章,在摘要审查后又排除了 1093 篇文章;符合全文评估条件的文章共有 19 篇,人工检索后又增加了 1 篇文章。全文审阅后,决定将符合系统综述目标的 16 篇文章纳入研究。在对文献中描述的不同治疗方法进行评估后,作者可以确定通过口腔内方法进行冠状突切除术是治疗颧骨冠状突强直最合适的方法,同时配合术后物理治疗,以实现更大的口腔开放,且不会复发。
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引用次数: 0
Influence of Bone Defects After Endoscope-Assisted Suturectomy on Monobloc Advancement in Syndromic Bilateral Coronal Craniosynostosis Patients. 内窥镜辅助缝合切除术后骨缺损对综合征双侧冠状颅畸形患者单体前移的影响
IF 1 4区 医学 Q3 SURGERY Pub Date : 2025-01-01 Epub Date: 2024-11-20 DOI: 10.1097/SCS.0000000000010803
Masafumi Kamata, Makoto Hikosaka, Tsuyoshi Kaneko, Hideki Ogiwara, Kenichi Usami

Surgery is performed for craniosynostosis to enlarge intracranial volume and improve cranial morphology. Endoscope-assisted suturectomy is one of the effective treatments. Compared with other techniques, it is reported to be low invasive and enables improvement of cranial volume and morphology at an early age. At the National Center for Child Health and Development (Tokyo, Japan), endoscope-assisted suturectomy is performed for all patients with craniosynostosis under the age of 3 months. Bone defects are sometimes observed several years after endoscope-assisted suturectomy. In syndromic bilateral coronal craniosynostosis patients in whom fused coronal sutures are removed, bone defects often remain in the temporal region. These may cause difficulty in setting the osteotomy line and placing distraction device for later monobloc advancement. In the present study, syndromic bilateral coronal craniosynostosis patients who underwent endoscope-assisted suturectomy between 2017 and 2022 at our hospital were retrospectively reviewed to investigate residual bone defects after the operation. As monobloc advancement, tongue-in-groove technique and placing internal distractors were assumed, and cranial bone defects between the ages of 3 and 5 years were evaluated in 3D by using image processing software. Five patients were included, and in 2 patients, the bone defects in the temporal regions were deemed large enough to interfere with making the bandeau or restrict the use of internal distractors for monobloc advancement. When performing suturectomy for syndromic craniosynostosis patients with midfacial concavity, careful surgical strategies that take into account future monobloc advancement should be considered.

手术治疗颅骨发育不良可扩大颅内容积,改善颅骨形态。内窥镜辅助缝合切除术是有效的治疗方法之一。据报道,与其他技术相比,内窥镜辅助缝合切除术创伤小,能在早期改善颅骨体积和形态。在国立儿童健康与发展中心(日本东京),内窥镜辅助缝合切除术适用于所有 3 个月以下的颅骨发育不良患者。有时在内窥镜辅助缝合术后数年仍可观察到骨缺损。综合征双侧冠状颅畸形患者在去除融合的冠状缝合后,颞部往往会残留骨缺损。这可能会给截骨线的设置和日后单体推进时牵引装置的放置带来困难。本研究对2017年至2022年间在我院接受内窥镜辅助缝合切除术的综合征双侧冠状颅畸形患者进行了回顾性研究,以调查术后残留的骨缺损情况。假定采用单体推进、舌入槽技术和放置内牵引器,利用图像处理软件对3至5岁的颅骨缺损进行三维评估。共纳入了五名患者,其中两名患者的颞部骨质缺损被认为大到足以影响制作绷带或限制使用内牵引器进行单体推进。在对中面部凹陷的综合征颅骨发育不良患者进行缝合切除术时,应考虑到未来的单体推进,采取谨慎的手术策略。
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引用次数: 0
Two Patients With Ipsilateral Cerebellar Hemorrhage After Superficial Temporal Artery-Middle Cerebral Artery Bypass Grafting. 两名颞浅动脉-大脑中动脉旁路移植术后出现同侧小脑出血的患者。
IF 1 4区 医学 Q3 SURGERY Pub Date : 2025-01-01 Epub Date: 2024-09-16 DOI: 10.1097/SCS.0000000000010585
Fengjuan Yan, Chunxiao Pang

Objective: To summarize the clinical experience of ipsilateral cerebellar hemorrhage after superficial temporal artery-middle cerebral artery bypass surgery.

Methods: The clinical data of 2 patients with cerebellar hemorrhage after superficial temporal artery-middle cerebral artery bypass grafting were retrospectively collected, including 1 case with left cerebellar hemorrhage after left cerebral artery bypass grafting and 1 case with right cerebellar hemorrhage after right cerebral artery bypass grafting. The perioperative blood pressure, laboratory, and imaging data were analyzed.

Results: All patients had a history of hypertension, and their perioperative blood pressure was stable. Low-density lipoprotein cholesterol and high-density lipoprotein cholesterol were normal before the operation. Cerebral magnetic resonance imaging showed cerebral atherosclerosis and multiple ischemic cerebral infarcts. At 24 hours after surgery, the patients' continuous epidural low drainage was 260 mL and 160 mL, respectively. The amount of cerebellar bleeding was small, and no new sequelae were left after conservative treatment with drugs.

Conclusion: Cerebellar hemorrhage after superficial temporal artery-middle cerebral artery bypass grafting is related to perioperative blood pressure fluctuation, hemodynamic changes, hemorrhagic transformation of ischemic lesions, and excessive cerebrospinal fluid drainage. Maintaining stable blood pressure during the perioperative period and avoiding excessive and rapid loss of cerebrospinal fluid after operation can reduce the occurrence of this complication.

目的:总结颞浅动脉-大脑中动脉搭桥术后同侧小脑出血的临床经验:总结颞浅动脉-大脑中动脉搭桥术后同侧小脑出血的临床经验:方法:回顾性收集 2 例颞浅动脉-大脑中动脉搭桥术后小脑出血患者的临床资料,其中 1 例为左侧大脑动脉搭桥术后左侧小脑出血,1 例为右侧大脑动脉搭桥术后右侧小脑出血。对围手术期的血压、实验室和影像学数据进行了分析:结果:所有患者均有高血压病史,围手术期血压稳定。术前低密度脂蛋白胆固醇和高密度脂蛋白胆固醇均正常。脑磁共振成像显示脑动脉粥样硬化和多发性缺血性脑梗塞。术后 24 小时,患者连续硬膜外低位引流量分别为 260 mL 和 160 mL。小脑出血量较小,经药物保守治疗后未留下新的后遗症:结论:颞浅动脉-大脑中动脉旁路移植术后小脑出血与围手术期血压波动、血流动力学改变、缺血性病变出血转化、脑脊液引流过多有关。在围手术期保持血压稳定,避免术后脑脊液过多、过快流失,可减少该并发症的发生。
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引用次数: 0
Aesthetic Approaches to Zygomatic Fracture Management: Achieving Optimal Outcomes With Minimal Scarring. 颧骨骨折治疗的美学方法:以最小的瘢痕获得最佳效果。
IF 1 4区 医学 Q3 SURGERY Pub Date : 2025-01-01 Epub Date: 2024-09-27 DOI: 10.1097/SCS.0000000000010694
Gianmarco Saponaro, Alessandro Moro, Mattia Todaro, Giulio Gasparini, Federico Perquoti, Giuliano Ascani, Giuseppe D'Amato

The zygomaticomaxillary complex is integral to facial aesthetics and is frequently involved in facial fractures. These injuries often necessitate surgical intervention, with open reduction and internal fixation being the standard treatment. This article presents a novel philosophy for managing zygomatic fractures, emphasizing the "Scarless Surgery" technique. The authors' approach prioritizes minimal osteosynthesis material and fixation points while utilizing the least visible surgical access. For isolated zygomatic arch fractures, an intraoral technique is preferred, whereas the frontozygomatic suture is approached through an upper eyelid crease for optimal aesthetic outcomes. The zygomaticomaxillary buttress is accessed through a vestibular mucosal incision and the infraorbital rim benefits from a transconjunctival approach. The findings suggest that fewer fixation points can still yield satisfactory stability and cosmetic results, aligning with literature supporting the efficacy of 1 and 2-point fixations. This modern technique not only minimizes visible scarring but also conforms to the contemporary push for minimally invasive surgical methods. The authors' experience and the existing literature support the efficacy of this approach, reinforcing its viability as a standard practice in the surgical management of facial trauma.

颧颌面复合体是面部美学不可或缺的组成部分,也是面部骨折的常见部位。这些损伤通常需要手术干预,标准治疗方法是切开复位和内固定。本文介绍了处理颧骨骨折的新理念,强调 "无疤痕手术 "技术。作者的方法优先考虑使用最少的骨合成材料和固定点,同时利用最不显眼的手术入路。对于孤立的颧弓骨折,首选口内技术,而前颧骨缝合则通过上眼睑皱襞入路,以达到最佳的美学效果。颧颌托可通过前庭粘膜切口进入,眶下缘则可通过经结膜方法进入。研究结果表明,较少的固定点仍能产生令人满意的稳定性和美容效果,这与支持 1 点和 2 点固定效果的文献一致。这种现代技术不仅能最大限度地减少可见瘢痕,而且符合当代微创手术方法的发展趋势。作者的经验和现有文献都支持这种方法的有效性,从而加强了其作为面部创伤手术治疗标准方法的可行性。
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引用次数: 0
Multiple Primary Cavernous Hemangiomas of the Skull. 头颅多发性原发性海绵状血管瘤
IF 1 4区 医学 Q3 SURGERY Pub Date : 2025-01-01 Epub Date: 2024-09-30 DOI: 10.1097/SCS.0000000000010708
Yuchen Sun, Xiaoqing Wang, Huijuan Wang

Multiple primary cavernous hemangiomas of the skull are exceedingly rare, with surgery often being the treatment of choice. The complexity of radiologic diagnosis means that the identification of these hemangiomas still largely depends on pathologic analysis. This article outlines the diagnostic and therapeutic journey of a 52-year-old female patient afflicted with multiple primary cavernous hemangiomas of the skull. Although the occurrence of multiple cavernous hemangiomas in this patient may seem fortuitous, the authors aim to contribute to understanding the pathogenesis of such conditions through this case report.

颅内多发性原发性海绵状血管瘤极为罕见,通常选择手术治疗。放射学诊断的复杂性意味着这些血管瘤的鉴别在很大程度上仍依赖于病理分析。本文概述了一名 52 岁女性颅内多发性原发性海绵状血管瘤患者的诊断和治疗过程。虽然该患者出现多发性海绵状血管瘤看似偶然,但作者希望通过本病例报告帮助人们了解此类疾病的发病机制。
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引用次数: 0
Simultaneous Coronoid Bone Grafting in Ballistic Facial Trauma Patients Undergoing Coronoidectomy. 为接受蝶骨切除术的弹道面部创伤患者同时进行蝶骨移植手术
IF 1 4区 医学 Q3 SURGERY Pub Date : 2025-01-01 Epub Date: 2024-10-07 DOI: 10.1097/SCS.0000000000010719
Rachita Sood, Jill R Froimson, Russell R Reid

Ballistic facial trauma can cause complex fractures and overlying soft tissue damage, with a zone of injury that extends beyond the bullet tract. Early skeletal fixation is indicated, and previous large case series describe the use of debrided bone fragments as 'spare part' grafts. This series presents the indications and techniques for simultaneous coronoid bone grafting in 2 patients who sustained a gunshot wound to the right midface and required coronoidectomy. The coronoid process was used as (1) an interposition graft in the lateral buttress of the right maxilla for stability, and (2) an onlay graft on the right inferior orbital rim for contour. Both patients did not have graft infection, extrusion, or malposition at the 1-month clinic follow-up. The coronoid process of the mandible is a viable, safe spare-part option, despite the possible location of the coronoid process within the zone of injury in the reconstruction of complex ballistic facial trauma.

弹道造成的面部创伤可导致复杂的骨折和上覆软组织损伤,其损伤区域可延伸至弹道之外。应尽早进行骨骼固定,之前的大型病例系列介绍了使用去骨碎片作为 "备件 "移植的方法。本系列病例介绍了同时为两名右侧中面部受枪伤并需要进行冠状突切除术的患者进行冠状突骨移植的适应症和技术。冠状突被用作:(1) 右侧上颌骨外侧托的间位移植,以获得稳定性;(2) 右侧眶下缘的镶嵌移植,以获得轮廓。两名患者在 1 个月的门诊随访中均未出现移植物感染、挤压或错位。尽管在重建复杂弹道面部创伤时,下颌骨冠状突可能位于损伤区内,但冠状突仍是一种可行、安全的备用部件选择。
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引用次数: 0
Current Situation of Non-cleft Craniofacial Anomalies in Thailand: A Multicenter Study. 泰国非裂颅畸形现状:一项多中心研究。
IF 1 4区 医学 Q3 SURGERY Pub Date : 2025-01-01 Epub Date: 2024-10-18 DOI: 10.1097/SCS.0000000000010754
Nond Rojvachiranonda, Bussara Chaithat, Nantaga Sawasdipanich, Artiteeya Dangsomboon, Krit Khwanngern, Watcharaporn Sitthikamtiub, Kamolchanok Kammabut, Pattama Punyavong, Suteera Pradabwong, Vichai Chichareon, Orawan Chansanti, Niti Tawaranurak

Non-cleft craniofacial anomalies significantly impact patients' lives and health care systems. This study addresses the gap in the literature concerning these anomalies. Conducted at 4 major hospitals across Thailand, the research aims to provide an overview and understand the experiences of caregivers. The authors conducted a cross-sectional descriptive study in a 3-year period involving 224 primary caregivers of young patients with non-cleft craniofacial anomalies (demographics, medical history, psychosocial aspects). The authors found the highest prevalence of anomalies in the Northern (26.8%) region and the lowest in the Western (3.1%) region. Craniosynostosis and clefts were the predominant anomalies (67.0%), with a surprising lack of family history (7%). Diagnoses were frequently established at regional hospitals (42.0%). Notably, the average outpatient visit was 18.22. A substantial portion of patients required multiple hospital stays: 65.6% with 1 to 5 stays and 9.8% with more than 5 stays. Despite frequent visits, 29% had not received necessary surgery. Of caregivers, 78% had a family income in the middle range (5000-50,000 Thai baht/mo), yet a significant proportion (59.4%) perceived their income as adequate. Their education was bachelor's and higher in only 27.2%. Although stress was common (62.1%), most caregivers (79.0%) did not consider it a burden. The study highlights the challenges faced by both patients and caregivers. It reveals a need for improved access to specialized care, more specialists, dedicated centers, and support networks. A more robust classification system is also essential. To optimize care, a comprehensive and region-specific health care approach is crucial.

非左侧颅面畸形对患者的生活和医疗系统都有重大影响。本研究填补了有关此类畸形的文献空白。研究在泰国的 4 家大型医院进行,旨在概述和了解护理人员的经验。作者进行了一项为期 3 年的横断面描述性研究,涉及 224 名非左侧颅面畸形年轻患者的主要照顾者(人口统计学、病史、社会心理方面)。作者发现,北部地区畸形发病率最高(26.8%),西部地区最低(3.1%)。颅畸形和颅裂是主要的畸形(67.0%),令人惊讶的是缺乏家族史(7%)。诊断通常在地区医院进行(42.0%)。值得注意的是,平均门诊时间为 18.22 天。相当一部分患者需要多次住院:65.6%的患者需要住院 1 至 5 次,9.8%的患者需要住院 5 次以上。尽管频繁就诊,但仍有 29% 的患者没有接受必要的手术。在护理人员中,78% 的家庭收入处于中等水平(5000-50000 泰铢/月),但有相当大的比例(59.4%)认为他们的收入足够。只有 27.2% 的照顾者受过本科及以上教育。虽然压力普遍存在(62.1%),但大多数护理人员(79.0%)并不认为这是一种负担。这项研究强调了患者和护理人员共同面临的挑战。它揭示了改善获得专业护理、更多专家、专门中心和支持网络的必要性。更健全的分类系统也至关重要。为了优化护理,必须采取综合的、针对特定地区的医疗保健方法。
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引用次数: 0
Application of Mirror Image 3D-Printing Technology Bone Cement in Treatment of Stage IIIb Necrosis of the Lunate Bone. 镜像三维打印技术骨水泥在月骨 IIIb 期坏死治疗中的应用
IF 1 4区 医学 Q3 SURGERY Pub Date : 2025-01-01 Epub Date: 2024-10-22 DOI: 10.1097/SCS.0000000000010779
Aikebaier Wumanerjiang, Tayierjiang Julaiti, Li Wang, Yan-Long Han

Background: At present, conventional operations are weak for pain relief and restoring the carpal joint function in the treatment of avascular necrosis of the lunate bone.

Case report: Mirror image 3-dimensional (3D)-printing technology has rarely been reported for the treatment of lunate bone necrosis, The use of mirror 3D-printed lunar bone replacement and bone cement technology in the treatment of stage IIIb lunar bone necrosis has been rarely reported in previous literature. Personalized customized 3D-printed prostheses have become an effective solution for solving many complex cases, and the flexible application of bone cement technology can also achieve satisfactory clinical results. The authors report 3 patients who underwent mirror printing of lunar bone prostheses based on healthy side lunar bone computed tomography data, 3D printing of lunar bone prostheses replacement through small incisions, and intraoperative selection of alternative bone cement technology based on actual conditions.

Conclusion: Mirror image 3D printing relieved the pain and resulted in satisfactory functional recovery for stage IIIb lunate bone necrosis.

背景:目前,在治疗月骨无血管坏死时,常规手术在缓解疼痛和恢复腕关节功能方面作用较弱:镜像三维(3D)打印技术治疗月骨坏死鲜有报道,镜像3D打印月骨替代物和骨水泥技术用于治疗IIIb期月骨坏死在以往文献中鲜有报道。个性化定制的3D打印假体已成为解决许多复杂病例的有效方案,骨水泥技术的灵活应用也能取得满意的临床效果。作者报告了3例患者根据健侧月骨计算机断层扫描数据进行镜像打印月骨假体、通过小切口进行3D打印月骨假体置换、术中根据实际情况选择替代骨水泥技术的情况:结论:镜像三维打印技术缓解了Ⅲb期月牙骨坏死患者的疼痛,并使其功能得到了满意的恢复。
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引用次数: 0
期刊
Journal of Craniofacial Surgery
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