功能优先的新型下颌骨缺损分类（COM）法及临床应用

doi:10.19438/j.cjoms.2019.01.001

中国口腔颌面外科杂志 ›› 2019, Vol. 17 ›› Issue (1): 1-6.doi: 10.19438/j.cjoms.2019.01.001

功能优先的新型下颌骨缺损分类（COM）法及临床应用

张陈平^*, 阮敏^*, 刘剑楠, 杨溪, 李思毅, 曲行舟, 季彤

上海交通大学医学院附属第九人民医院·口腔医学院口腔颌面-头颈肿瘤科, 国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011

收稿日期:2018-12-18 修回日期:2019-01-02 出版日期:2019-01-20 发布日期:2019-02-21
通讯作者: 张陈平,E-mail：doc_zcp@163.com
作者简介:张陈平（1959-）,男,教授、博士研究生导师;阮敏（1978-）,男,副教授、硕士研究生导师,E-mail：doctorruanmin@126.com。^*并列第一作者
基金资助:
科技创新专项基金（ZH20182DA15）

Functionally superior new classification of mandibular defects (COM) and its clinical application

ZHANG Chen-ping, RUAN Min, LIU Jian-nan, YANG Xi, LI Si-yi, QU Xing-zhou,JI Tong

Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology. Shanghai 200011, China

Received:2018-12-18 Revised:2019-01-02 Online:2019-01-20 Published:2019-02-21

摘要/Abstract

摘要： 下颌骨缺损多由良恶性肿瘤切除、创伤和感染所致,会导致患者不同程度的颜面畸形和生理功能障碍。下颌骨缺损具有复杂性,不同部位、范围的缺损,将产生不同程度的形态和功能损害,相应的修复重建难度也不相同。因此,下颌骨缺损的精准分类对功能性重建及术后康复意义重大。本文在前期大量临床实践基础上提出了新的基于髁区（condyle region）、区（occlusion region）和肌区（muscle region）3大不同功能区域的新型下颌骨缺损分类方法,即COM法,希望有助于下颌骨的功能性修复重建指导及康复效果预测。

关键词: 下颌骨缺损, 分类, COM法

Abstract: Mandibular defects are mostly caused by resection of benign and malignant tumors, trauma and infection, which can lead to different degrees of facial deformity and physiological dysfunction. Mandibular defects are complex, and different parts and ranges of defects will produce different degrees of morphological and functional damage, and the subsequent repair and reconstruction difficulties are also different. Therefore, accurate classification of mandibular defects is of great significance for functional reconstruction and postoperative rehabilitation. Based on a large number of previous clinical practices, this paper proposed a new classification method for mandibular defects based on three different functional areas: condyle region, occlusion region and muscle region, namely COM method. It is elaborated here and hopes to help repair guidance and prediction of rehabilitation effects.

Key words: Mandibular defect, Classification, COM method

中图分类号:

R782.2.3

张陈平, 阮敏, 刘剑楠, 杨溪, 李思毅, 曲行舟, 季彤. 功能优先的新型下颌骨缺损分类（COM）法及临床应用[J]. 中国口腔颌面外科杂志, 2019, 17(1): 1-6.

ZHANG Chen-ping, RUAN Min, LIU Jian-nan, YANG Xi, LI Si-yi, QU Xing-zhou,JI Tong. Functionally superior new classification of mandibular defects (COM) and its clinical application[J]. China J Oral Maxillofac Surg, 2019, 17(1): 1-6.

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功能优先的新型下颌骨缺损分类（COM）法及临床应用

Functionally superior new classification of mandibular defects (COM) and its clinical application

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