骨髓增生异常综合征继发上颌骨坏死患者术后全数字化即刻赝复体制作  

Digital fabrication of an immediate obturator prosthesis to reconstruct a maxillectomy defect secondary to the chemotherapy/immunosuppression of myelodysplastic syndromes

作　　者：张晗之 丁梦婷 佘文珺[1] 焦婷[1,2] Zhang Hanzhi;Ding Mengting;She Wenjun;Jiao Ting(Department of Prosthodontics,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Cancer for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai Research Institute of Stomatology,Shanghai 20001l,China;Fengcheng Hospital of Fengxian District,Shanghai 201418,China)

机构地区：[1]上海交通大学医学院附属第九人民医院口腔修复科,上海交通大学口腔医学院,国家口腔医学中心,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 [2]上海市奉贤区奉城医院,上海201418

出　　处：《中华口腔医学研究杂志（电子版）》2023年第4期253-259,共7页Chinese Journal of Stomatological Research(Electronic Edition)

基　　金：上海市卫生和计划生育委员会科研课题(201840022);上海市奉贤区科委社会类科技发展基金(奉科20221210)。

摘　　要：基于多源数据融合与3D打印技术,完成骨髓增生异常综合征(MDS)继发上颌骨坏死患者的术后即刻赝复体制作。在上颌骨切除术前多学科规划手术方案,通过数字化设计并数控制作上颌即刻赝复体,使之能在术后即刻佩戴,恢复其口腔功能及面容美观。患者术后即刻佩戴口鼻瘘得到封闭,能够进行正常发音,容貌改善明显。本文中的全数字化技术可有效应用于上颌即刻赝复治疗,操作效率高,修复效果良好。An immediate maxillary obturator prosthesis was designed and fabricated by digital technologies for a patient with maxillary osteonecrosis secondary to the myelodysplastic syndrome before maxillectomy in order to reconstruct the oral function and facial appearance after the surgery.The patient's oral function and appearance were improved significantly by the prosthesis.The digital technologies to design and fabricate the prosthesis used in this case could be effectively applied to the immediate reconstruction of maxillary defects with high efficiency and satisfactory outcome.

关 键 词：骨髓增生异常综合征 颌骨缺损 即刻赝复体 数字化技术 

分 类 号：R782.4[医药卫生—口腔医学]