中国口腔颌面外科杂志 ›› 2014, Vol. 12 ›› Issue (4): 378-382.

• 技术革新 • 上一篇    下一篇

数字化导板引导髁突巨大骨软骨瘤手术切除1例报告

白果, 何冬梅*, 杨驰*, 陆川, 黄栋, 陈敏洁   

  1. 上海交通大学医学院附属第九人民医院·
    口腔医学院 口腔外科,上海市口腔医学重点实验室,上海 200011
  • 收稿日期:2013-11-20 出版日期:2014-07-10 发布日期:2014-08-20
  • 通讯作者: 何冬梅,E-mail:lucyhe119@163.com;
  • 作者简介:白果(1989-),男,住院医师,E-mail:surgeonb@163.com
  • 基金资助:
    上海市科学技术委员会资助项目(08DZ2271100,13XD1402300); 上海高校创新团队发展计划; 教育部留学回国人员科研启动基金; 卫生行业公益基金(201002017)

Application of digital osteotomy template in the surgical treatment of a giant condylar osteochondroma: report of a case

BAI Guo, HE Dong-mei, YANG Chi, LU Chuan, HUANG Dong, CHEN Min-jie   

  1. Department of Oral Surgery, Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China
  • Received:2013-11-20 Online:2014-07-10 Published:2014-08-20
  • Supported by:
    Supported by Research Fund of Science and Technology Committee of Shanghai Municipality (08DZ227100,13XD1402300), Program for Innovative Research Team of Shanghai Colleges, and Charitable Fund of Health Professions (201002017)

关键词: 数字化导板, 骨软骨瘤, 手术治疗

Abstract: Summary The condylar osteochondroma of exogenous type is usually treated by surgical resection, but the scope of resection is usually based on surgeon's experience, which leads to a certain risk of recurrence and injuries of important vessels and nerves. We reported a case of a giant condylar osteochondroma of exogenous type, preoperative planning was conducted using computer-aided design (CAD) technique (Proplan 1.3) for determining the boundary between the tumor and the articular surface of condyle, and designing the virtual tumor resection plane, surgical approach and remove-out path of the tumor. Rapid prototyping (RP) technique was used to make osteotomy template based on the preoperative planning. The application of digital template could improve the accuracy of the giant condylar tumor resection and help to preserve the uninvolved condyle. The use of digital template could reduce injuries to the nerves and vessels, as well as save the operation time.

Key words: Digital osteotomy template, Osteochondroma, Surgical treatment

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