个体化数字导板在颧眶复合体骨折中的应用  

Application of individual digital reduction plate in the treatment of zygomatic-orbital complex fracture

作　　者：吴健有[1] 刘静明[1] 陈志远[1] 祝为桥[1] 殷卫红[1] 戚戈[1] 

机构地区：[1]首都医科大学附属北京同仁医院口腔科

出　　处：《北京口腔医学》2011年第1期31-34,共4页Beijing Journal of Stomatology

摘　　要：目的探讨个体化数字导板在单侧颧眶复合体骨折中的应用。方法 4例单侧颧眶复合体骨折患者,术前行头颅螺旋CT容积扫描,CT数据经重建软件处理,在虚拟三维头颅模型上模拟手术并设计复位导板,通过快速成型技术制做实体导板,术中引导骨折块复位。术后对手术效果进行评价。结果患者术后面部形态、功能满意。面宽及颧骨体高度双侧对称。结论个体化数字导板应用于颧眶复合体骨折的整复,可以明确骨折的复位位置,有利于骨折的精确复位,并且减少了手术的操作时间,达到更佳的手术效果。Objective To investigate the application of individual digital reduction plate in the treatment of unilateral zygomatic-orbital complex（ZOC） fracture.Methods Four patients with unilateral zygomatic orbital complex fracture received continuous volumetric scanning of their skulls by spiral CT scanner.The data was reconstructed by 3D imaging reconstruction workstation.The operation was simulated and the individual reductive plate was designed on the virtual 3D skull model according to the surgical procedure.With the rapid prototyping technology,the individual reduction plate was produced to guide the reduction of the fracture.Results The function and cosmetics effects of the midface were satisfactory.The width of the midface and the height of the zygoma prominence were symmetric.Conclusion Individual digital reduction plate is helpful in accurate reduction of ZOC fracture and can also save the operation time.

关 键 词：颧眶复合体骨折 快速成型技术 个体化数字导板 

分 类 号：R782.4[医药卫生—口腔医学]