数字化动态导航引导下双颧种植体修复右侧上颌骨缺失病例报告1例及文献回顾

doi:10.3969/j.issn.1005-4979.2021.06.010

摘要/Abstract

摘要：

上颌骨切除术后修复是一项临床难题，使用双颧骨种植可以为赝复体提供良好的支撑，因而越来越广泛地被应用于上颌骨切除术后修复。本文报告1例因右上颌骨黏液表皮样癌行右侧上颌骨切除术后在数字化导航引导下行双颧种植体修复缺损患者，并就双颧种植体的适应证、风险等进行了文献回顾。

关键词: 上颌骨缺失, 颧骨种植, 动态导航, 数字化, 黏液表皮样癌

Abstract:

Post-maxillectomy restoration is a clinical challenge. The use of double zygomatic implants can provide good anchorage for prosthesis, so it has been widely used in post-maxillectomy prosthesis. In this paper, we presented a case of right maxillary restoration with dynamic navigation guided bizygomatic implant in a patient with adenoid cystic carcinoma after right maxillectomy, and discussed the indications and risks of bizygomatic implants.

Key words: maxillary defect, zygomatic implant, dynamic navigation, digitalization, adenoid cystic carcinoma

杨仁丽, 虞牧桥, 柳叶语, 满毅. 数字化动态导航引导下双颧种植体修复右侧上颌骨缺失病例报告1例及文献回顾[J]. 《口腔颌面外科杂志》, 2021, 31(6): 386-390.

YANG Renli, YU Muqiao, LIU Yeyu, MAN Yi. Dynamic navigation guided bizygomatic implants in right maxillary defect restoration: A case report and literature review[J]. 《Journal of Oral and Maxillofacial Surgery》, 2021, 31(6): 386-390.

https://journal06.magtech.org.cn/Jweb_joms/CN/Y2021/V31/I6/386

图/表 5

图1 口内检查 A. 上颌𬌗面观；B. 下颌𬌗面观；C. 颊面观。

Figure 1 Oral examination

图2 术前设计 A. 佩戴U型管拍摄CBCT；B. 导航设计方案正面观；C. 导航设计方案侧面观。

Figure 2 Preoperative design

图3 手术过程 A. 导航引导下预备种植窝洞；B. 完成种植体植入；C. 术后全景片。

Figure 3 Surgical procedure

表1 精度验证结果

Table 1 Accuracy of the zygomatic implants

牙位	植入点/mm	末端/mm	角度/°
14	2.251	1.710	2.367
15	1.397	1.732	0.811

图4 最终修复 A. 机械面弓转移颌位关系；B. 维他灵支架；C. 赝复体口内𬌗面观；D. 赝复体口内颊面观。

Figure 4 Final restoration

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