计算机辅助下单侧腓骨修复双侧下颌骨放射性骨坏死1例报告及文献复习

doi:10.19438/j.cjoms.2018.06.015

中国口腔颌面外科杂志 ›› 2018, Vol. 16 ›› Issue (6): 568-571.doi: 10.19438/j.cjoms.2018.06.015

计算机辅助下单侧腓骨修复双侧下颌骨放射性骨坏死1例报告及文献复习

金婷婷, 李世豪, 张汉卿, 黄子贤, 汪延, 黄志权

中山大学孙逸仙纪念医院口腔颌面外科,广东广州 510120

收稿日期:2018-06-28 出版日期:2018-11-20 发布日期:2019-01-11
通讯作者: 黄志权,E-mail: zhiquanhuang1978@126.com
作者简介:金婷婷（1994-）,女,在读硕士研究生,E-mail：jintt1994@126.com

Computer-assisted resection and reconstruction of bilateral osteoradionecrosis of the mandible

JIN Ting-ting, LI Shi-hao, ZHANG Han-qin, HUANG Zi-xian, WANG Yan, HUANG Zhi-quan

Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University. Guangzhou 510120, Guangdong Province, China

Received:2018-06-28 Online:2018-11-20 Published:2019-01-11

摘要/Abstract

摘要： 下颌骨放射性骨坏死是放疗晚期出现的一种常见并发症,严重影响头颈部肿瘤患者的生活质量。本文报告1例鼻咽癌放疗后双侧下颌支广泛坏死的病例,术前行虚拟手术计划,运用获取的数据为患者定制手术切除导板和复位导板,然后创造性地用一侧腓骨制作成2个独立的游离腓骨肌皮瓣,成功修复双侧下颌骨缺损,获得良好的美观和功能效果。

关键词: 计算机辅助设计, 腓骨肌皮瓣, 放射性骨坏死

Abstract: Osteoradionecrosis of the mandible is a late radiation-induced complication that becomes a major concern of head and neck cancer survivors. In this study, we presented a patient with nasopharyngeal carcinoma (NPC) who developed extensive bilateral osteoradionecrosis of the ascending ramus of the mandible. Preoperative virtual surgical planning was performed, the obtained data were then utilized to fabricate patient-specific cutting templates. The bilateral mandibular defects were reconstructed using 2 separate flaps based on a single fibula. Both of the defects were successfully reconstructed, and aesthetic and functional results were satisfactory.

Key words: Computer aided design, Fibular myocutaneous flap, Osteoradionecrosis

中图分类号:

R782.3.2

金婷婷, 李世豪, 张汉卿, 黄子贤, 汪延, 黄志权. 计算机辅助下单侧腓骨修复双侧下颌骨放射性骨坏死1例报告及文献复习[J]. 中国口腔颌面外科杂志, 2018, 16(6): 568-571.

JIN Ting-ting, LI Shi-hao, ZHANG Han-qin, HUANG Zi-xian, WANG Yan, HUANG Zhi-quan. Computer-assisted resection and reconstruction of bilateral osteoradionecrosis of the mandible[J]. China J Oral Maxillofac Surg, 2018, 16(6): 568-571.

参考文献

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计算机辅助下单侧腓骨修复双侧下颌骨放射性骨坏死1例报告及文献复习

Computer-assisted resection and reconstruction of bilateral osteoradionecrosis of the mandible

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