Exploration on construction of remote medical model for the diagnosis and treatment of dento-maxillofacial deformities

doi:10.19438/j.cjoms.2025.03.001

Abstract

Abstract: The orthodontic-orthognathic treatment is presently the predominant approach to rectifying dentomaxillofacial deformities. Nevertheless, the extended duration of the treatment cycle and the intricacy of the surgical procedures pose significant challenges for patients situated in various locations and restrict the accessibility of superior medical resources. To mitigate these limitations, this study introduced a remote medicine model for dentomaxillofacial deformities, predicated on the "internet + medicine" paradigm, and delineated its standardized procedures and quality control framework. This model adhered to the "1+1+N" paradigm, where a remote medical center served as the nucleus, and a dentomaxillofacial deformity consultation e-cloud platform functioned as the interconnecting nexus. This arrangement facilitated the effective amalgamation of superior medical resources, thereby augmenting treatment efficacy and enhancing patient experience. Additionally, this study focused on the detailed construction of a multifunctional dentomaxillofacial deformity consultation e-cloud platform and comprehensive quality control framework. This approach provided a scientific and effective solution for strengthening remote medical quality supervision, promoting the rational allocation of medical resources, and improving the service level of primary hospitals.

Key words: Dentomaxillofacial deformities, Remote medicine, Remote quality control, Combined orthodontic-orthognathic treatment

CLC Number:

R782.2

Hu Lingling, Sun Yingjia, Jiang Peiling, Xie Zhijian. Exploration on construction of remote medical model for the diagnosis and treatment of dento-maxillofacial deformities[J]. China Journal of Oral and Maxillofacial Surgery, 2025, 23(3): 209-214.

References

[1] 胡静, 沈国芳, 刘彦普, 等. 牙颌面畸形诊断与治疗指南[J]. 中国口腔颌面外科杂志, 2011, 9(5): 415-419.
Hu J, Shen GF, Liu YP, et al.Guidelines for diagnosis and treatment of dentofacial deformities[J]. China Journal of Oral and Maxillofacial Surgery, 2011, 9(5): 415-419.
[2] 杨振泽, 林军. 人工智能在正畸正颌联合治疗的应用及展望[J]. 口腔医学, 2023, 43(8): 747-751.
Yang ZZ, Lin J.Application and prospects of artificial intelligence in orthodontic-orthognathic combined treatment[J]. Stomatology, 2023, 43(8): 747-751.
[3] 王涛. 外科优先序列治疗——正颌外科的发展热点之一及其误区[J]. 国际口腔医学杂志, 2020, 47(5): 497-505.
Wang T.Surgery first approach: one of the hotspots in orthognathic surgery and common problems[J]. International Journal of Stomatology, 2020, 47(5): 497-505.
[4] 秦绍容, 梁家耀, 叶军等. “互联网+医疗”在超声科与临床科室关系中的应用研究[J]. 影像研究与医学应用, 2018, 2(23): 194-195.
Qin SR, Liang JY, Ye J, et al.Application research of "Internet + healthcare" in the relationship between ultrasound department and clinical departments[J]. Journal of Imaging Research and Medical Applications, 2018, 2(23): 194-195.
[5] 邱艳, 裘云庆, 任文, 等. “互联网+”全科医疗门诊就诊情况研究[J]. 中国全科医学, 2018, 21(13): 1560-1563.
Qiu Y, Qiu YQ, Ren W, et al.Online consultation in the department of general practice under "Internet+"[J]. Chinese General Practice, 2018, 21(13): 1560-1563.
[6] 束雅春, 宁丽琴, 陈列红, 等. 公立中医院建设互联网医院实践与思考[J]. 中国医院, 2021, 25(4): 28-30.
Shu YC, Ning LQ, Chen LH, et al.Practice and thought on the establishment of Internet hospitals by public Chinese medicine hospitals[J]. Chinese Hospitals, 2021, 25(4): 28-30.
[7] 卢长伟. 基于医疗数据中心的区域医疗协同模式研究[D]. 上海: 第二军医大学, 2017.
Lu CW.Research on regional medical collaboration model based on medical data center[D]. Shanghai: Second Military Medical University, 2017.
[8] Singh A, Zhou H, Berretti S.Guest editorial: medical data security solution for healthcare industries[J]. IEEE Trans Industr Inform, 2022, 18(8): 5558-5560.
[9] 师晓强, 高雅, 崔振宇, 等. 实习医师主导的临床病例讨论模式的应用体会[J]. 中国继续医学教育, 2021, 13(15): 83-86.
Shi XQ, Gao Y, Cui ZY, et al.Experience in the application of clinical case discussion mode led by interns physician[J]. China Continuing Medical Education, 2021, 13(15): 83-86.
[10] 周炯, 范靖, 林洪义, 等. “互联网+医疗”质量控制体系和管理指标初探[J]. 中华医院管理杂志, 2020, 36(9): 739-741.
Zhou J, Fan J, Lin HY, et al.Quality control system and management index of Internet plus medical care[J]. Chinese Journal of Hospital Administration, 2020, 36(9): 739-741.
[11] 田雪晴, 廖子锐, 汤昊宬, 等. 基于变革理论的远程医疗服务体系建设研究[J]. 卫生经济研究, 2021, 38(2): 41-43.
Tian XQ, Liao ZR, Tang HC, et al.Research on the construction of telemedicine service system based on theory of change[J]. Health Economics Research, 2021, 38(2): 41-43.
[12] 杨旭丽, 伍姗姗, 董蓬玉, 等. 互联网医疗质控体系构建与实践[J]. 中国医院, 2022, 26(1): 17-19.
Yang XL, Wu SS, Dong PY, et al.Construction and practice of Internet medical quality control system[J]. Chinese Hospitals, 2022, 26(1): 17-19.
[13] 寇静恬, 潘宇, 王亮, 等. 基于病历四级质量监控体系的病历质量分析[J]. 中国医院管理, 2022, 42(8): 64-66.
Kou JT, Pan Y, Wang L, et al.Quality analysis of medical records based on four-level quality monitoring system of medical records[J]. Chinese Hospital Management, 2022, 42(8): 64-66.
[14] 沈国芳. 数字化外科技术在牙颌面畸形矫治中的应用[J]. 中华口腔医学杂志, 2012, 47(8): 466-469.
Shen GF.Application of digital surgical technology in the treatment of dentofacial deformities[J]. Chinese Journal of Stomatology, 2012, 47(8): 466-469.
[15] 宋大立, 侯敏. 数字化技术在正颌外科中的应用[J]. 中华医学美学美容杂志, 2017, 23(2): 139-141.
Song DL, Hou M.Application of digital technology in orthognathic surgery[J]. Chinese Journal of Medical Aesthetics and Cosmetology, 2017, 23(2): 139-141.
[16] 周彦恒. 数字化技术在我国口腔正畸学领域的应用现状及展望[J]. 中华口腔医学杂志, 2016, 51(6): 321-325.
Zhou YH.Application and prospect of digital technology in the field of orthodontics[J]. Chinese Journal of Stomatology, 2016, 51(6): 321-325.
[17] 谢小燕, 罗胜, 杨洪涛, 等. 充分发挥专家对病历内涵质量的监控作用[J]. 中国医药指南, 2013, 11(12): 772-773.
Xie XY, Luo S, Yang HT, et al.Fully leveraging the role of experts in monitoring the connotation quality of medical records[J]. Guide of China Medicine, 2013, 11(12): 772-773.
[18] 李永昌, 方钱, 王小峰, 等. 医院病历质控体系构建的创新思路与实践[J]. 中国医院管理, 2017, 37(11): 40-42.
Li YC, Fang Q, Wang XF, et al.Innovation and practice of medical record quality control system[J]. Chinese Hospital Management, 2017, 37(11): 40-42.
[19] Khoie MR, Sattari T, Khorasani ES, et al.A hospital recommendation system based on patient satisfaction survey[J]. Appl Sci, 2017, 7(10): 966.
[20] Kasoju N, Remya NS, Sasi R, et al.Digital health: trends, opportunities and challenges in medical devices, pharma and bio-technology[J]. CSI Trans Actions on ICT, 2023, 11: 11-30.
[21] 顾海, 刘曦言. 多元主体视角下远程医疗协同监管体系构建[J]. 卫生经济研究, 2019, 36(11): 25-28.
Gu H, Liu XY.Construction of remote medical collaborative supervision system from the perspective of multi-agent[J]. Health Economics Research, 2019, 36(11): 25-28.