下颌骨慢性弥漫性硬化性骨髓炎/腱鞘骨膜炎患者使用 3D 打印患者专用手术导板进行重塑手术的病例系列。

IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-05-01 DOI:10.4317/medoral.26410
M-M Meent, R-P Ende, S-E Pichardo, J-P Merkesteyn
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引用次数: 0

摘要

背景:下颌骨慢性弥漫性硬化性骨髓炎/腱鞘骨膜炎(DSO/TP)患者可能会抱怨下颌骨畸形导致的面部不对称,这也是下颌骨 DSO/TP 的特征之一。如果疾病完全痊愈,可以通过重塑手术治疗面部不对称。本研究报告了使用三维(3D)设计和打印的患者特异性手术导板进行重塑手术的结果。随后,使用这些手术导板在全身麻醉下进行了手术:共纳入四名患者(均为女性),年龄为 15(±2.8)岁。她们都抱怨面部不对称,并计划使用患者专用手术导板进行手术。其中三例手术已经完成,两名患者对手术效果表示满意,另一名患者因持续的美学投诉而计划再次手术。最后一名患者取消了手术,因为在心理医生的帮助下,她最终接受了自己的不对称:结论:在下颌骨重塑手术中使用患者特异性手术导板可使手术结果更可预测、更对称,从而最大限度地减少再次手术的机会,提高患者满意度。此外,它还能最大限度地减少对下牙槽神经的先天性损伤。
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Remodelling surgery with 3D printed patient specific surgical guides in patients with chronic diffuse sclerosing osteomyelitis/tendoperiostitis of the mandible, a case series.

Background: Patients with chronic diffuse sclerosing osteomyelitis/tendoperiostitis (DSO/TP) of the mandible may complain about facial asymmetry as a result of mandibular deformity, one of the characteristics of DSO/TP of the mandible. If the disease is fully extinguished, remodelling surgery could be performed to treat complaints of facial asymmetry. This study reports the results of remodelling surgery with three-dimensional (3D) designed- and -printed patient-specific surgical guides.

Material and methods: 3D printed guides were designed and manufactured by using mirroring of the contralateral non-affected mandible. Subsequently, the surgical procedure was performed under general anaesthesia using these surgical guides.

Results: Four patients (all female) aged 15 (±2.8) years were included. They all complained about facial asymmetry and were planned for surgery with patient-specific surgical guides. Three of those surgeries were performed, of which two patients were satisfied with the result and the other patient is planned for re-surgery because of persistent aesthetical complaints. The last patient cancelled her surgery, because she eventually accepted her asymmetry with the help of a psychologist.

Conclusions: The use of patient-specific surgical guides in remodelling surgery of the mandible could enable a more predictable and symmetrical outcome, which could minimise the chance for re-surgery and could increase patient satisfaction. Furthermore, it could minimise the chance of iatrogenic damage to the inferior alveolar nerve.

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来源期刊
Medicina Oral Patologia Oral Y Cirugia Bucal
Medicina Oral Patologia Oral Y Cirugia Bucal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.60
自引率
0.00%
发文量
52
审稿时长
3-8 weeks
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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