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condylar reconstruction
相关语句
  髁突重建
     Clinical Application of Simultaneous Condylar Reconstruction with Costochondral Graft and Orthognathic Surgery
     髁突重建同期正颌手术的临床应用
  “condylar reconstruction”译为未确定词的双语例句
     Long-term results of condylar reconstruction using pedicled-patella in the treatment of giant cell tumor of bone of lower femur
     带肌蒂自体髌骨移植治疗股骨下端骨巨细胞瘤的长期随访结果
短句来源
     Therefore, a goat model of autogenous coronoid process grafts for condylar reconstruction was established in this experiment, by which we tried toinvestigate the morphological and histological changes of the grafted coronoid process, and to evaluate the feasibility and effectiveness of this method.
     本课题通过建立以自体喙突移植重建下颌髁状突的动物模型,观察喙突在移植后的形态学和组织学变化,初步阐明自体喙突移植重建下颌髁状突后的改建规律和生物学转归,为临床正确选用和实施这种技术提供理论和科学依据。
短句来源
     METHODS:A retrospective study of 4 patients with diagnosis of Idiopathic Condylar Resorption and treatment with condylar reconstruction with costoehondral graft after condylectomy is performed。
     方法回顾性研究我科行髁突重建的4例(8侧)下颌髁突特异性吸收患者的临床资料,并回顾相关文献报道。 4例患者手术前后均请正畸医师会诊;
     Objective The purpose of this report is to introduce the indication and the treatment procedures of simultaneous condylar reconstruction with costochondral graft and orthognathic surgery for treatment of temporomandibular diseases coexisting dental-maxillofacial demormities.
     目的探讨肋骨-软骨重建髁突同期难颌手术治疗颞下颌关节疾患伴发牙颌面畸形的可行性,报道其诊疗程序、手术方法,并评价其短期疗效。
     Methods 5 patients are treated with simultaneous condylar reconstruction with costochondral graft and orthognathic surgery(double jaw or onlymandibular surgery).
     方法我科自2003年12月至2004年11月共5例行肋骨-软骨重建髁突与同期正颌手术的患者。 术前经详细的临床检查、头颅定位正侧位片和CT、MRI 等影像学检查;
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  相似匹配句对
     ON THE RECONSTRUCTION OF GEOGRAPHY
     论地理学的重构
短句来源
     Deconstruction and reconstruction
     “解构”与“重构”:现代文学语言“陌生化”的要义
短句来源
     Clinical Application of Simultaneous Condylar Reconstruction with Costochondral Graft and Orthognathic Surgery
     髁突重建同期正颌手术的临床应用
     Clinical Application of Spiral CT and 3D Imaging Reconstruction in the Condylar Fractures.
     螺旋CT及三维重建技术在髁突骨折中的临床应用
短句来源
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Objective To study the long term results of condylar reconstruction using pedicled patella in the treatment of giant cell tumor of lower femur. Methods From August 1964 to December 1996, 6 patients with giant cell tumor in the lateral condyle of femur were treated with unicondylar resection curettage and reconstruction with pedicled patella autograft. There were 3 males and 3 females. The average age of the pateints was 30.5 years. The operative indications were as the following: tumor was located...

Objective To study the long term results of condylar reconstruction using pedicled patella in the treatment of giant cell tumor of lower femur. Methods From August 1964 to December 1996, 6 patients with giant cell tumor in the lateral condyle of femur were treated with unicondylar resection curettage and reconstruction with pedicled patella autograft. There were 3 males and 3 females. The average age of the pateints was 30.5 years. The operative indications were as the following: tumor was located in one condyle, complicated with pathological fracture or the tumor had invaded underneath cartilage which was difficult for curettage. Surgical procedure included: Lateral condyle resection according to X ray or CT image, curettage of the possible remaining tumor tissues in the medial condyle. A muscle pedicle of 2.5 cm wide from the quadriceps was raised with the patella, then the articular surface of patella was used to reconstruct the articular surface of femoral condyle, ilium graft(sometimes allograft) was used to fill the defect proximal to the patella. The grafts was fixed by screws and(or) plates. Anterior cross ligament was fixed to the patella. Results 6 patients were followed up for a mean period of 136 months. There were no infection, recurrence, metastasis and instability. All patients could walk for a long distance. The range of motion of the involved knees was between 80° and 120°. There was no varus deformity under stress test, but about 5 degrees valgus deformity under stress test could be found in some, muscle strenth was 5 grade. Conclusion Pedicled patella autograft is a good method for the treatment of giant cell tumor that invades unilateral condyle of lower femur, it is specially suitable to the patients with pathological fracture or severe destruction underneath the cartilage. Thorough resection and curretage of the tumor, preserving the blood supply of patella, refixing the cross ligament, and lower placement of patella are the key points to obtain the satisfactory results.

目的总结带肌蒂自体髌骨移植治疗股骨下端骨巨细胞瘤(giantcelltumorofboneBGCT)的远期疗效,并提出手术要点。方法1964年8月~1996年12月,采用带肌蒂自体髌骨移植治疗股骨外髁BGCT6例。手术指征为肿瘤位于一侧髁,伴病理性骨折或肿瘤已侵犯到软骨下,而采用刮除植骨困难者。按术前X线片及CT显示从两髁之间截断股骨,切除外髁,直视下刮除内髁残存的肿瘤。保留2.5cm宽的股四头肌肌蒂,并将髌骨与股四头肌肌腱及髌韧带剥离,髌骨关节面翻转向下代替股骨外髁,螺钉或钢板与内髁固定,重建前十字韧带,取大块自体髂骨及异体骨充填髌骨近侧的缺损。结果6例患者随访45~433个月,平均136个月中位80个月。无复发转移,无自觉膝关节不稳,无或极轻微疼痛,均可长距离行走。随访时查体膝关节活动范围80°~120°,大部分患者侧扳试验向内稳定,股四头肌肌力5级。结论带肌蒂自体髌骨移植是治疗股骨下端单髁BGCT的一种良好方法。手术要点是彻底切除肿瘤,保留髌骨血运,重建十字韧带,髌骨置放时位置不宜过高。

>=Objective The purpose of this report is to introduce the indication and the treatment procedures of simultaneous condylar reconstruction with costochondral graft and orthognathic surgery for treatment of temporomandibular diseases coexisting dental-maxillofacial demormities.Methods 5 patients are treated with simultaneous condylar reconstruction with costochondral graft and orthognathic surgery(double jaw or onlymandibular surgery).Analysis of Cephalometric and PA radiography,Treatment simulatuion,and...

>=Objective The purpose of this report is to introduce the indication and the treatment procedures of simultaneous condylar reconstruction with costochondral graft and orthognathic surgery for treatment of temporomandibular diseases coexisting dental-maxillofacial demormities.Methods 5 patients are treated with simultaneous condylar reconstruction with costochondral graft and orthognathic surgery(double jaw or onlymandibular surgery).Analysis of Cephalometric and PA radiography,Treatment simulatuion,and modal surgery wcre performed before surgery.Patients aree assessed at the following intervals:before surgery,immediately after surgery,and at the longest follow-up.Maximum interincisalopening(MIO),subjective TMJ pain(visual analog scales)and imaging examination are comparatively evaluated before surgery and at the longestfollow-up.Results Simultaneous condylar reconstruction and orthognathic surgery was safely performed in all 5 patients without any severe complications.Average follow-up for the patien is 8 months(range,5 to 13 months).Subjective and objective evaluations of postsurgical temporomandibular joint,and the appearance of the patients are significantly improved.Conclusion When indicated,condylar reconstruction with costochondral graft and orthognathic surgery can be simultaneously performed with predictable results.Strong consideration should be given tooperation design and surgical manipulation.

目的探讨肋骨-软骨重建髁突同期难颌手术治疗颞下颌关节疾患伴发牙颌面畸形的可行性,报道其诊疗程序、手术方法,并评价其短期疗效。方法我科自2003年12月至2004年11月共5例行肋骨-软骨重建髁突与同期正颌手术的患者。术前经详细的临床检查、头颅定位正侧位片和CT、MRI 等影像学检查;头影测量、治疗预测和模型外科;3例患者术前制备牙合板。术中根据手术设计行髁突等关节区病变的处理、Lefort Ⅰ型截骨术、下颌支矢状骨劈开术、肋骨-软骨移植和颏成形术。术后常规处理。必要时行颌间弹性牵引,行被动张口锻炼;并进行随访。结果5例患者同期手术均顺利完成,术中术后无严重出血、神经损伤、受区感染等严重并发症发生。随访证实所有患者面容显著改善,关节功能良好,无关节区疼痛不适等主观症状。结论研究表明,选择合适的适应证、注意手术方案的设计、手术操作和术后处理,髁突重建同期正颌手术具可行性,且较分期手术有其优越性。关节重建同期正颌手术并不适于所有颞下颌关节疾患伴牙颌面畸形的患者。首先,关节区病变的性质一般为良性。对于伴有颌面畸形张口度重度受限的患者,由于模型外科和牙合板制作的困难,只有一期关节手术患者张口度改善以后,才能考虑二期正颌...

目的探讨肋骨-软骨重建髁突同期难颌手术治疗颞下颌关节疾患伴发牙颌面畸形的可行性,报道其诊疗程序、手术方法,并评价其短期疗效。方法我科自2003年12月至2004年11月共5例行肋骨-软骨重建髁突与同期正颌手术的患者。术前经详细的临床检查、头颅定位正侧位片和CT、MRI 等影像学检查;头影测量、治疗预测和模型外科;3例患者术前制备牙合板。术中根据手术设计行髁突等关节区病变的处理、Lefort Ⅰ型截骨术、下颌支矢状骨劈开术、肋骨-软骨移植和颏成形术。术后常规处理。必要时行颌间弹性牵引,行被动张口锻炼;并进行随访。结果5例患者同期手术均顺利完成,术中术后无严重出血、神经损伤、受区感染等严重并发症发生。随访证实所有患者面容显著改善,关节功能良好,无关节区疼痛不适等主观症状。结论研究表明,选择合适的适应证、注意手术方案的设计、手术操作和术后处理,髁突重建同期正颌手术具可行性,且较分期手术有其优越性。关节重建同期正颌手术并不适于所有颞下颌关节疾患伴牙颌面畸形的患者。首先,关节区病变的性质一般为良性。对于伴有颌面畸形张口度重度受限的患者,由于模型外科和牙合板制作的困难,只有一期关节手术患者张口度改善以后,才能考虑二期正颌手术。而患者对牙列咬合关系基本满意未接受术前正畸治疗、经模型外科预测术后咬合关系稳定的患者,可考虑直接关节重建与同期正颌手术;(牙合)关系欠佳、患者对(牙合)关系不满意,具有关节疾患的择期手术患者,可在正畸治疗结束后,髁突重建同期正颌手术完成治疗。而相关正畸治疗可以改善手患者存在的牙齿排列异常,以进一步改善(牙合)关系、保证治疗效果的稳定。

>=Objective:The article is to discuss the treatment protocol of Idiopathic Condylar Resorption.METHODS:A retrospective study of 4 patients with diagnosis of Idiopathic Condylar Resorption and treatment with condylar reconstruction with costoehondral graft after condylectomy is performed。All the patient and the related articles have been reviewed.Clinical examination,investigation and imaging study are performed in allthe patients average 11.5 months later(range,6 months to 18 months)to evaluate the structure...

>=Objective:The article is to discuss the treatment protocol of Idiopathic Condylar Resorption.METHODS:A retrospective study of 4 patients with diagnosis of Idiopathic Condylar Resorption and treatment with condylar reconstruction with costoehondral graft after condylectomy is performed。All the patient and the related articles have been reviewed.Clinical examination,investigation and imaging study are performed in allthe patients average 11.5 months later(range,6 months to 18 months)to evaluate the structure and function of TMJ.RESULTS Many treatmentmethods have been reported according to the reviewed articles.Our study shows all the patients have stable occlusion,and maximal mouthopening of more than 30.0 mm,and they are all satisfied with their appearance after condylar reconstruction with costochondral graft.lmaging study demonstrates mineralization of the CCGs,remoddling in the reconstructed TMJ with size and shapemorphologically similar to a normal TMJ,and no resorption in the graft.CONCLUSION Custom treatment procedures should be determined by oral and maxillofacial surgeon and orthodontist.Splint therapy,orthodontic treatment,diskectomy,or condylar reconstruction with costochondral graft after condylectomy can be used in different situation.Our study demonstrates the feasibility of condylar reconstruction withcostochondral graft after condylectomy for treatment of Idiopathic Condylar Resorption.

目的回顾和探讨髁突特异性吸收的治疗方法。方法回顾性研究我科行髁突重建的4例(8侧)下颌髁突特异性吸收患者的临床资料,并回顾相关文献报道。4例患者手术前后均请正畸医师会诊;手术方式为髁突和关节盘切除,内镜辅助下非血管化游离肋骨-软骨移植重建下颌髁突。术后进行临床随访和影像学评价,观察移植骨组织的变化并且评价颞下颌关节功能。结果文献报道,对于具有明确的局部因素的髁突吸收患者,如正颌手术后的髁突吸收,可以采用非手术治疗,如(牙合)板和正畸治疗,或者手术治疗,如非血管化游离肋骨-软骨移植和正颌手术;而髁突特异性吸收的手术治疗包括关节盘的部分切除、复位和韧带修补,髁突切除后非血管化肋骨-软骨移植或者正颌手术。本组4例(8例)髁突特异性吸收患者术后平均随访11.5月(6~18月),患者手术后均无疼痛等不适,张口度在30.0mm 以上,手术治疗满意;颞下颌关节功能和(牙合)关系良好;影像学显示术后移植骨组织骨性愈合,移植物发生不同程度的骨化,无吸收发生。结论下颌髁突特异性吸收的治疗需口腔颌面外科医师和正畸医师共同参与,确定个体化的治疗方案。根据治疗随访与文献报道,我们认为髁突吸收严重导致下颌支高度明显降低,出现咬合异常,如...

目的回顾和探讨髁突特异性吸收的治疗方法。方法回顾性研究我科行髁突重建的4例(8侧)下颌髁突特异性吸收患者的临床资料,并回顾相关文献报道。4例患者手术前后均请正畸医师会诊;手术方式为髁突和关节盘切除,内镜辅助下非血管化游离肋骨-软骨移植重建下颌髁突。术后进行临床随访和影像学评价,观察移植骨组织的变化并且评价颞下颌关节功能。结果文献报道,对于具有明确的局部因素的髁突吸收患者,如正颌手术后的髁突吸收,可以采用非手术治疗,如(牙合)板和正畸治疗,或者手术治疗,如非血管化游离肋骨-软骨移植和正颌手术;而髁突特异性吸收的手术治疗包括关节盘的部分切除、复位和韧带修补,髁突切除后非血管化肋骨-软骨移植或者正颌手术。本组4例(8例)髁突特异性吸收患者术后平均随访11.5月(6~18月),患者手术后均无疼痛等不适,张口度在30.0mm 以上,手术治疗满意;颞下颌关节功能和(牙合)关系良好;影像学显示术后移植骨组织骨性愈合,移植物发生不同程度的骨化,无吸收发生。结论下颌髁突特异性吸收的治疗需口腔颌面外科医师和正畸医师共同参与,确定个体化的治疗方案。根据治疗随访与文献报道,我们认为髁突吸收严重导致下颌支高度明显降低,出现咬合异常,如前牙开(牙合)、后牙早接触,Ⅱ类错(牙合),而影响正常进食或同时影响面部容貌美观,通过正畸治疗牙列不能代偿的患者,是手术治疗的适应征,应该积极介入。手术治疗方法应首选髁突切除后非血管化自体肋-肋软骨移植,必要时辅以手术前后的正畸治疗;关节盘在髁突特异性吸收发病中的作用尚需进一步认识,但对于伴有关节盘穿孔的患者行关节盘切除。根据文献报道,我们从为髁突吸收程度较轻,无严重的功能障碍、不影响容貌美观,经过定期随访观察治疗一定时间(2年以上,至少每半年复诊一次)无进行性吸收发生,或保守治疗后髁突吸收停止,估计通过牙列代偿后(牙合)关系能保持稳定的患者,可以采用非手术治疗,如正畸治疗;对该类患者正畸治疗结束后应定期随访观察。而对手术治疗存有顾虑或尽管症状轻、髁突吸收停止,但拒绝接受非手术治疗的患者,亦应随访观察。

 
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