三维打印+膜诱导技术修复重建下颌骨节段性缺损1例报道  

Three dimension printing and Masquelet's induced membrane technique in mandibular segmental defect reconstruction:A case report

作　　者：肖晨亮[1] 孙丽君[2] 何晓清 徐路[1] 赵徐达 XIAO Chenliang;SUN Lijun;HE Xiaoqing;XU Lu;ZHAO Xuda(Department of Otolaryngology-Head and Neck Surgery,the 920th Hospital of Joint Logistics Support Force of PLA,Kunming 650032,China;Department of General Surgery,the 920th Hospital of Joint Logistics Support Force of PLA,Kunming 650032,China;Department of Orthopedics,the 920th Hospital of Joint Logistics Support Force of PLA,Kunming 650032,China)

机构地区：[1]中国人民解放军联勤保障部队第920医院耳鼻咽喉头颈外科,昆明650032 [2]中国人民解放军联勤保障部队第920医院普通外科,昆明650032 [3]中国人民解放军联勤保障部队第920医院骨科,昆明650032

出　　处：《口腔颌面外科杂志》2023年第6期418-423,共6页Journal of Oral and Maxillofacial Surgery

基　　金：联勤保障部队第九二〇医院院内科技计划(2019YGB03)。

摘　　要：目的:报道1例2021年2月就诊于我院的下颌骨右侧成釉细胞瘤,采用Masquelet膜诱导技术(Masquelet's induced membrane technique,MIMT)重建患者下颌骨节段性缺损。方法:依据MIMT原则,给予患者Ⅰ期下颌骨部分切除+骨水泥植入,Ⅱ期依托数字化技术三维打印模型预塑钛网,移植髂骨碎骨块,Ⅲ期拆除重建板及钛网。结果:根据影像学检查及术中所见,应用MIMT修复重建下颌骨节段性缺损效果良好。结论:三维打印与MIMT应用于下颌骨节段性缺损能取得良好的成骨效果,可进一步进行研究。Objective:To report a case of ameloblastoma of mandible in our hospital using Masquelet's induced membrane technique(MIMT)to reconstruct mandibular segment defect in February 2021.Methods:According to the principle of MIMT,partial resection and implantation of bone cement were given in the first stage;with the help of digital surgery,three dimension printing model and pre-fabricated titanium mesh were used to transplant the iliac bone in the second stage;the plate and titanium mesh were removed in the third stage.Results:According to the post-operation CT images and intraoperative findings,the bone regeneration shows a good result with MIMT.Conclusion:MIMT can be further studied in the reconstruction of mandibular segmental defect.

关 键 词：Masquelet膜诱导技术 三维打印 下颌骨节段性缺损 下颌骨重建 

分 类 号：R782[医药卫生—口腔医学]