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1. 第三军医大学西南医院整形外科
2. 重庆市菲尔玛仕医疗美容诊所
3. 重庆市激光快速原型及模具制造中心
纸质出版日期:2009,
网络出版日期:2009-02-15,
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曹川, 徐铎, 李世荣, 等. 结合快速原型技术进行下颌角肥大矫正[J]. 陆军军医大学学报, 2009,31(3):248-250.
CAO CHUAN, XU DUO, LI SHI-RONG, et al. Correction of prominent mandibular angle with aid of rapid prototyping technique. [J]. Journal of army medical university, 2009, 31(3): 248-250.
目的 探讨计算机三维重建及快速原型技术辅助下颌角肥大(prominent mandibular angle
PMA)矫正术的临床应用。 方法 15例PMA方脸型患者,行下颌骨电子束CT扫描及三维重建,应用快速原型技术制作下颌骨实体模型,根据模型设计手术方案。手术方法包括下颌角部分截除、外板矢状劈开切除及自体下颌骨移植隆颏等,其中下颌角部分截除5例,外板矢状劈开切除6例,下颌角部分截除+外板切除4例,另3例颏部短小者行自体下颌骨移植隆颏,均按照模型上确定的截骨部位及范围进行操作。 结果 所有患者快速成型制作的下颌骨模型外形完整,真实反映患者的下颌骨形态。手术过程顺利,所有患者术后下面部外形得到不同程度的改善,面部宽度明显减小,双侧对称,达到术前设计的预期效果。其中12例随访3个月至1年,面部外形良好,手术效果满意。 结论 快速原型技术能真实再现下颌骨的形态,为准确评估PMA程度、设计手术方案与指导手术操作提供理想的外科模型,是面部轮廓整形手术良好的辅助手段。
Objective To investigate the application of computer-aided 3D reconstruction and rapid prototyping (RP) technique in the correction of prominent mandibular angle. Methods Computer tomography scanning and 3D reconstruction were performed on 15 square face patients with prominent mandibular angles
then their actual mandible models were made by RP techniques. Surgical programs were made according to the model
including partial mandibular angle osteotomy
outer mandible table sagittal splitting osteotomy
chin augmentation with autogenous mandibule bones
and so on. In 15 cases
mandibular angle partial cutting was performed in 5 cases
sagittal splitting osteotomy in 6 cases
and mandibular angle partial cutting combined with splitting osteotomy in 4 cases. The autogenous mandibule bones were transplanted for chin augmentation in 3 chin microsomia patients. All the cases were treated according to the position and range set by the RP model. Results All the mandibular models produced by RP techniques were real and complete
which could directly and precisely show the state of the mandible. The operations completed smoothly and accomplished with the expected outcomes designed before operation. In all cases
the width of lower face was efficiently reduced and the face was symmetrical after operation. The follow-up period ranged from 3 months to 1 year in 12 patients
during which their facial appearances were in good condition and the results were satisfactory. Conclusion RP techniques is helpful in precise representation of the state of mandible
which providing ideal surgical models for accurate evaluation of prominent mandibular angle
design of surgical procedures as well as surgery instruction. It can provide good assistance to facial contour plastic surgery.
快速原型技术模型外科下颌角肥大截骨术
rapid prototypingmodeling surgeryprominent mandibular angleosteotomy
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