计算机辅助设计制作个性化硅胶假体在面部整形中的应用  

Application of Computer Aided Design and Manufacture of Personalized Silicone Prosthesis in Facial Plastic Surgery

作　　者：屈兴明 刘姝 赵作钧 QU Xingming;LIU Shu;ZHAO Zuojun(Korla Ao Rui Si Medical Cosmetic Clinic,Korla 841000,Xinjiang,China)

机构地区：[1]新疆库尔勒奥蕊斯医疗美容门诊部,新疆库尔勒841000

出　　处：《中国美容医学》2025年第3期34-37,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:介绍个性化面部假体的设计、制作及在面部整形中的应用。方法:采用64排螺旋CT(美国GELight speed VCT)对头面部实行连续薄层CT容积扫描,应用Mimics8.1对螺旋CT获得的头面部外形的基本数据进行三维重建,用3-Matic设计假体三维图像、制作金属模具、生产个性化多孔硅胶假体。在窥镜或光导拉勾引导下置入假体。术后给予抗炎、止血药物治疗,3~5 d拔除引流管,7 d拆线。结果:共40例就医者接受面部个性化硅胶假体置入,设计的假体大小12 cm×2 cm~33 cm×20 cm,厚度0.3~1.8 cm,所有就医者切口愈合良好,无积液、面神经、眶上神经损伤、假体偏斜发生,随访6~24个月,外形满意。结论:计算机辅助制作的个性化硅胶假体可与就医者原有轮廓完全贴合,满足就医者的个性化需求,是对现有面部硅胶假体的必要补充。Objective In this article,we report the methods of designing en block personal porous silicone prosthesis aided by computer and application in facial plastic.Methods A thin-slice CT volume scan was performed on the patient's head with 64-slice spiral CT to obtain DICOM data.The DICOM data was imported in the software Mimics20 to construct 3D models of skin,skull and muscle.The files of 3D models were import to the software 3-Matic12 to creat the prosthesis model,the metal mold and manufacture the personal porous prosthesis.The implantation of prosthesis was under the guidance of endoscope or optical retractor.Antibiotic and hemostatics were given through vein for 48 hour.The drainage tubes were removed 3-5 day after the operation.The sutures were removed 7 days after the operation.Results Forty patients underwent facial augmentation with personal silicone prostheses the size of the prosthesis ranged from 12 cm×2 cm to 33 cm×20 cm,and the thickness ranged from 0.3 cm to 1.8 cm.All wounds healed well,and no infection,effusion,nerve injury,prosthesis movement occurred.We have a 6-24 months follow-up,and all patients are satisfied.Conclusion The computer-aided manufacture of personalized silicone prosthesis can completely fit the original contour of the patients and meet the personalized needs of the patients.It is a necessary supplement to the existing facial silicone prosthesis.

关 键 词：面部整形 硅胶假体 个性化设计 计算机辅助 

分 类 号：R622[医药卫生—整形外科]