用两种不同的方法为COVID-19后鼻眶上颌骨粘液瘤患者制作眼眶假体:病例系列。

National journal of maxillofacial surgery Pub Date : 2024-01-01 Epub Date: 2024-03-19 DOI:10.4103/njms.njms_183_22
Bappaditya Bhattacharjee, Roopal Srivastava, Rajesh Bansal, Naresh K Sharma
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引用次数: 0

摘要

肿瘤、先天性疾病、真菌感染和外伤是造成眼眶缺损的主要原因。颌面部假体一般采用各种固位机制,如应用粘合剂、利用机械下切和种植体支撑固位。在眼眶区域,磁固位附着体的效果优于其他机制。磁性固位义齿的不同优点是在植入或取出时不需要太多的手工操作,而且能更好地保持卫生。颌面部的皮肤-种植体界面和厚组织是规划和植入种植体时应重视的关键点。理想情况下,眼眶假体的植入部位是眼眶区域的外侧、眶下和眶上缘。下面的病例系列介绍了两种不同的方法,分别用于因粘液瘤病导致眼球外翻的患者的康复,一种是采用磁性连接的个性化设计的植入体,另一种是机械性切口下固位的眼眶假体。
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Fabrication of orbital prosthesis by two different methods in patients with post-COVID-19 rhino-orbital maxillary mucormycosis: A case series.

Neoplasms, congenital disorders, fungal infections, and traumatic injuries are the predominant causes of orbital defects. Various retentive mechanisms such as application of adhesive, utilization of mechanical undercuts, and implant-supported attachments are generally used in the maxillofacial prosthesis. In the orbital region, the result of magnet-retained attachments is favorable compared with other mechanisms. Different advantages of the magnet-retained prosthesis are less manual dexterity needed during insertion or removal and better maintenance of hygiene. The skin-implant interface and thick tissues in the maxillofacial region are the critically important points that should be given importance during the planning and placement of implants. Ideally, implant sites for orbital prosthesis are the lateral, infra-, and supraorbital rims of the orbital region. The following case series describes two different methods to rehabilitate patients with an exenterated eye due to mucormycosis by individually designed implant with magnetic attachment and mechanical undercut-retained orbital prosthesis.

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