钛髁突假体修复造釉细胞瘤切除术后颌骨缺损的临床初步研究  

A clinical preliminary syudy of mandible defects caused by resection of ameloblastoma and repaired with titanium condylar prosthesis

作　　者：张新凤[1] 董智伟[2] 鲍海宏[2] 张力[2] 

机构地区：[1]辽宁医学院沈阳军区总医院校外培养基地,辽宁锦州121001 [2]沈阳军区总医院,辽宁沈阳110016

出　　处：《临床口腔医学杂志》2015年第9期561-563,共3页Journal of Clinical Stomatology

摘　　要：目的:观察应用带髁突假体的钛板即刻修复下颌骨造釉细胞瘤术后颌骨缺损的治疗效果。方法:12例下颌骨造釉细胞瘤患者,行髁突切除术后,即刻植入带髁突的假体。记录面部外形、开口度、创口愈合情况、咬合关系及钛板固位情况。结果:11例患者对面部外形恢复满意,1例对面型恢复不满意,术前术后开口度无显著差异(P>0.05),上下颌牙咬合关系恢复良好,1例钛板术后1年发生断裂。结论:钛髁突假体行造釉细胞瘤术后颌骨缺损的修复是一种安全有效的方法。Objective： to investigate the clinical effect of the titanium condylar prosthesis in repairing mandibular defects caused by resection of ameloblastoma. Method： 12 patients with mandibular defect caused by resection of ameloblastoma and condylar.The defects Were repaired with a titanium condylar prosthesis mandibular. The appearance of face, maximal incisal opening, wound healing process, occluding relation and titanium plate retention was recorded. Result： the appearance of face was satisfactory 11 patients and slight deformity of face was observed in 1 patients. In maximal incisal opening （MIO）, no significant difference was found between preoperative and postoperative. All of these patients healed by first intention. The occluding relation was recovered well, and one plate fractured was delayed for one year. Conclusion： titanium condylar prosthesis can be used as a safe and effective method in repairing mandibular defects caused by resection of ameloblastoma.

关 键 词：钛髁突假体 下颌骨缺损 修复 

分 类 号：R782.2[医药卫生—口腔医学]