Contemporary mandibular reconstruction

Contemporary mandibular reconstruction
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现代下颌骨重建

DOI:
10.1097/moo.0000000000000284
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发表时间:
2016
影响因子:
1.6
通讯作者:
Davud B. Sirjani
Davud B. Sirjani
中科院分区:
医学3区
文献类型:
--
作者:
V. Divi;David W. Schoppy;Ryan A. Williams;Davud B. Sirjani

文献摘要

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综述的目的多种疾病过程,包括肿瘤、创伤和药物副作用,需要分段切除和随后的下颌骨重建。随着外科技术的进步,一些技术已经被开发出来,有可能显著改变外科医生恢复下颌连续性的方法。本综述的目的是强调这些相对较新的工具中的许多,并讨论它们在下颌骨重建中的演变作用。最近的发现几项当代研究记录了不同的方法和改进在下颌骨重建中的应用-包括计算机辅助设计或计算机辅助建模、当代钢板系统、骨集成种植体,以及对现有的骨皮肤游离组织移植方案的各种修改-并报道了相对较高的成功率。在讨论这些报告时,我们对下颌骨重建领域的当前和发展中的技术进行了综述,旨在为这些技术的逐步应用提供足够的背景。
Purpose of reviewMultiple disease processes, including neoplasia, trauma, and medication side-effects, necessitate segmental resection and subsequent reconstruction of the mandible. As surgical techniques have advanced, several technologies have been developed with the potential to significantly transform a surgeon's approach to the restoration of mandibular continuity. The purpose of this review is to highlight many of these relatively newer tools and discuss their evolving role in mandibular reconstruction. Recent findingsSeveral contemporary studies have documented the application of different approaches and modifications to mandibular reconstruction – including computer-aided design or computer-aided modeling, contemporary plating systems, osseointegrated implants, and various modifications to existing osseocutaneous free tissue transfer options – and have reported relatively high success rates. SummaryIn discussing these reports, we present a survey of current and developing technologies in the field of mandibular reconstruction and aim to provide sufficient context for the gradual integration of these techniques into practice.