从“经验外科”到“精准外科”——精准正颌外科体系的建立与临床应用

doi:10.7518/hxkq.2023.2023152

华西口腔医学杂志 ›› 2023, Vol. 41 ›› Issue (5): 491-501.doi: 10.7518/hxkq.2023.2023152

• 特约述评 • 下一篇

从“经验外科”到“精准外科”——精准正颌外科体系的建立与临床应用

王旭东(), 魏弘朴, 李彪

上海交通大学医学院附属第九人民医院口腔颅颌面科，上海交通大学口腔医学院，国家口腔医学中心，国家口腔疾病临床医学研究中心，上海市口腔医学重点实验室，上海市口腔医学研究所，上海 200011

收稿日期:2023-05-20 修回日期:2023-08-08 出版日期:2023-10-01 发布日期:2023-10-08
通讯作者: 王旭东 E-mail:xudongwang70@hotmail.com
作者简介:王旭东，教授，博士，E-mail：xudongwang70@hotmail.com|王旭东，教授，主任医师，博士生导师。现任上海交通大学医学院附属第九人民医院副院长，国家口腔医学中心（上海）副主任，上海市儿童颅颌面畸形筛查诊治中心主任，上海交通大学数字医学研究院副院长。中国医师协会口腔医师分会第六届委员会分会副会长，上海市口腔医学会第四届口腔医院管理专业委员会副主任委员，上海交通大学医学院第二届医院质量和安全管理专业委员会副主任委员，中华口腔医学会第二届口腔颌面创伤及正颌专业委员会主任委员，中华口腔医学会第二届口腔遗传病与罕见病专业委员会副主任委员，中国整形美容协会精准与数字医学分会第二届理事会副会长暨颅颌面科整复专业委员会主任委员。
基金资助:
国家自然科学基金项目(82071096);上海“科技创新行动”技术带头人项目(20XD1433100);上海交通大学“交大之星”计划医工交叉研究基金(YG2022ZD014)

From “Empirical Surgery” to “Precision Surgery”: establishment and clinical application of precision orthognathic surgery system

Wang Xudong(), Wei Hongpu, Li Biao.

Dept. of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine & College of Stomatology, Shanghai Jiao Tong University & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai 200011, China

Received:2023-05-20 Revised:2023-08-08 Online:2023-10-01 Published:2023-10-08
Contact: Wang Xudong E-mail:xudongwang70@hotmail.com
Supported by:
The National Natural Science Foundation of China(82071096);Program of Shanghai Academic/Techno-logy Research Leader(20XD1433100);The Interdisciplinary Program of Shanghai Jiao Tong University(YG2022ZD-014)

摘要/Abstract

摘要：

近年来，通过截骨和移动牙-颌骨复合体的正颌外科手术已成为治疗牙颌面畸形的重要方法。上、下颌骨最终的空间位置将直接影响正颌手术的治疗效果，也是治疗的关键步骤。为了精准实现理想的颌骨空间位置，在数字化外科和3D打印技术迅猛发展的推动下，正颌外科已经从过去的“经验外科”时代进入“精准外科”的新时代。本文详细阐述了多年来我们在“精准正颌外科”治疗模式方面的探索和研究，介绍其技术体系及在“Ortho+X”治疗模式中的应用，旨在为广大同行提供参考和帮助。

关键词: 精准正颌外科, 牙颌面畸形, 虚拟手术规划, 3D打印截骨导板, 3D打印个体化内植入物

Abstract:

Orthognathic surgery, which involve osteotomy and repositioning of the maxillomandibular complex, has recently emerged as a crucial method of correcting dentofacial deformities. The optimal placement of the maxillomandibular complex holds utmost significance during orthognathic surgery because it directly affects the surgical outcome. To accurately achieve the ideal position of the maxillomandibular complex, with the rapid advancements in digital surgery and 3D-printing technology, orthognathic surgery has entered an era of “Precision Surgery” from the pervious “Empirical Surgery.” This article provides comprehensive insights into our extensive research and exploration of the treatment modality known as “precision orthognathic surgery” over the years. We also present the technical system and application in“Ortho+X” treatment modality to offer valuable references and assistance to our colleagues in the field.

Key words: precision orthognathic surgery, dentofacial deformities, virtual surgical plan, 3D-printed osteotomy guide, 3D-printed patient-specific implants

中图分类号:

R 782.2

王旭东, 魏弘朴, 李彪. 从“经验外科”到“精准外科”——精准正颌外科体系的建立与临床应用[J]. 华西口腔医学杂志, 2023, 41(5): 491-501.

Wang Xudong, Wei Hongpu, Li Biao.. From “Empirical Surgery” to “Precision Surgery”: establishment and clinical application of precision orthognathic surgery system[J]. West China Journal of Stomatology, 2023, 41(5): 491-501.

图/表 7

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从“经验外科”到“精准外科”——精准正颌外科体系的建立与临床应用

From “Empirical Surgery” to “Precision Surgery”: establishment and clinical application of precision orthognathic surgery system

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