关键词: Head and neck reconstruction Maxillectomy Patient specific implant

来  源:   DOI:10.1016/j.jobcr.2023.07.005   PDF(Pubmed)

Abstract:
Patient specific implants (PSI) though considered the next frontier in Maxillofacial Reconstruction, the gold standard for Brown I, II maxillary defects still remains autogenous reconstruction. The authors in their previous papers have standardised the design of Patient Specific Implants for Brown I, II mandibular defects. In this paper they attempt to standardise the design of PSI for Brown I,II maxillary defects using a scientifically optimised design which has passed through a stringent set of parameters. They aim to address the complications like wound dehiscence, poor dimensional accuracy and unoptimised biomechanics due to lack of standardisation thus impeding it\'s widespread acceptance among the scientific community. This study presents an eight step checklist to be followed for designing of an ideal standardised patient specific implant and can serve as a go-to guide for the operating and designing team.
摘要:
患者特异性植入物(PSI)虽然被认为是颌面重建的下一个前沿,布朗I的黄金标准,Ⅱ上颌骨缺损仍保留自体重建。作者在以前的论文中已经标准化了BrownI的患者特异性植入物的设计,II下颌骨缺损。在本文中,他们试图标准化布朗I的PSI设计,II使用科学优化的设计,通过了一系列严格的参数。他们的目标是解决伤口裂开等并发症,由于缺乏标准化,尺寸精度差和未优化的生物力学,因此阻碍了它在科学界的广泛接受。这项研究提出了一个八步检查表,用于设计理想的标准化患者特定植入物,可以作为操作和设计团队的指南。
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