良性和恶性病变患者的一期修复驱动下颌重建:一项 7 至 11 年的队列研究。
One-stage prosthodontically driven jaw reconstruction in patients with benign and malignant pathologies: A 7- to 11-year cohort study.
发表日期:2024 Jul 02
作者:
Vinay V Kumar, Supriya Ebenezer, Sreelakshmi Viswanath, Andreas Thor
来源:
CLINICAL ORAL IMPLANTS RESEARCH
摘要:
一阶段功能性颌骨重建被定义为在一次外科手术中切除和重建节段缺损,同时将牙种植体放置在理想的假体位置并装载临时修复体。该研究的目的是描述接受一期功能性颌骨重建的患者的临床结果。2013 年 1 月至 2016 年 3 月接受一期功能性颌骨重建的患者于 2022 年和 2023 年被召回。重建的规划和执行模拟或数字技术。记录的结果参数包括患者层面的治疗相关结果、种植体相关结果和患者报告的结果测量。18 名患者接受了一期颌骨重建,总共 57 个种植体。 4 名患者进行了上颌骨重建,14 名患者进行了下颌骨重建。十名患者接受了术后放疗。十名患者采用模拟规划,八名患者采用数字规划。 3例患者出现皮瓣部分坏死,3例患者出现钢板断裂,1例患者出现种植体丢失,4例患者在此期间死亡。 18 名患者中,有 16 名患者安装了功能性假体。一期功能性颌骨重建是一种可预测的方法,可在 7-11 岁时提供康复治疗并取得成功的结果。然而,对接受过放射治疗的恶性病变患者进行治疗时应谨慎。© 2024 作者。约翰·威利 (John Wiley) 发表的临床口腔种植研究
One stage functional jaw reconstruction is defined as the resection and reconstruction of segmental defects in conjunction with the placement of dental implants in an ideal prosthetic position and loaded with a provisional restoration, during one surgical procedure. The aim of the study is to describe clinical outcomes of patients who underwent one stage functional jaw reconstruction.Patients who underwent one-stage functional jaw reconstruction, from January 2013 to March 2016 were recalled in 2022 and 2023. Planning and execution for the reconstruction utilized either analogue or digital techniques. Outcome parameters recorded were treatment-related outcomes at patient level, implant-related outcomes and patient-reported outcome measures.Eighteen patients underwent one-stage jaw reconstruction with a total of 57 implants. Four patients had maxillary and 14 had mandibular reconstructions. Ten patients underwent postoperative radiotherapy. Ten patients were planned using analogue and eight by digital planning. Three patients had partial flap necrosis, three patients had plate fractures, implant loss was seen in one patient and four patients died during the period. A functional prosthesis was provided in 16 out of the 18 patients.One-stage functional jaw reconstruction is a predictable method for providing rehabilitation with successful outcomes at 7-11 years. However, caution should be exercised when the treatment modality is carried out in patients with malignant pathologies who have undergone radiotherapy.© 2024 The Author(s). Clinical Oral Implants Research published by John Wiley & Sons Ltd.