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Total joint reconstruction using computer-assisted surgery with stock prostheses for a patient with bilateral TMJ ankylosis

机译:双侧颞下颌关节强直患者使用计算机辅助手术及股骨假体进行全关节重建

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Abstract BackgroundsThe purpose of this study is to discuss the total joint reconstruction surgery for a patient with recurrent ankylosis in bilateral temporomandibular joints (TMJs) using three-dimensional (3D) virtual surgical planning, computer-aided manufacturing (CAD/CAM)-fabricated surgical guides, and stock TMJ prostheses.Case presentationA 66-year-old female patient, who had a history of multiple TMJ surgeries, complained of severe difficulty in eating and trismus. The 3D virtual surgery was performed with a virtual surgery software (FACEGIDE, MegaGen implant, Daegu, South Korea). After confirmation of the location of the upper margin for resection of the root of the zygoma and the lower margin for resection of the ankylosed condyle, and the position of the fossa and condyle components of stock TMJ prosthesis (Biomet, Jacksonville, FL, USA), the surgical guides were fabricated with CAD/CAM technology. Under general anesthesia, osteotomy and placement of the stock TMJ prosthesis (Biomet) were carried out according to the surgical planning. At 2 months after the operation, the patient was able to open her mouth up to 30 mm without complication.ConclusionFor a patient who has recurrent ankylosis in bilateral TMJs, total joint reconstruction surgery using 3D virtual surgical planning, CAD/CAM-fabricated surgical guides, and stock TMJ prostheses may be an effective surgical treatment option.
机译:摘要背景本研究的目的是利用三维(3D)虚拟外科手术计划,计算机辅助制造(CAD / CAM)制造的外科手术来讨论双侧颞下颌关节(TMJ)复发性强直患者的全关节重建手术案例介绍一位66岁的女性患者,曾多次进行过TMJ手术,抱怨进食和三头肌严重困难。使用虚拟手术软件(FACEGIDE,MegaGen植入物,大邱,韩国)进行了3D虚拟手术。在确认zy骨瘤根部切除的上缘切除位置和强直性re突的切除下缘切除位置以及储备的TMJ假体的窝和con突成分的位置之后(Biomet,杰克逊维尔,佛罗里达州,美国) ,外科手术指南是用CAD / CAM技术制作的。在全身麻醉下,根据手术计划进行截骨术和TMJ假体(Biomet)的放置。术后2个月,患者能够张开长达30毫米而无并发症。结论对于双侧TMJ关节强直复发的患者,使用3D虚拟手术计划,CAD / CAM制作的手术指南进行全关节重建手术,而TMJ假体则可能是一种有效的外科治疗选择。

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