研究动态
Articles below are published ahead of final publication in an issue. Please cite articles in the following format: authors, (year), title, journal, DOI.

[使用“生长”内置假体对患有切除后下颌缺损的儿童进行复杂的治疗]。

[The use of «growing» endoprostheses in the complex treatment of children with post-resection mandibular defects].

发表日期:2024
作者: E K Gorokhova, N V Babaskina, N S Grachev, I N Vorozhtsov, N M Markov, A S Krasnov
来源: Bone & Joint Journal

摘要:

开发和实施使用钛“生长”内假体部分切除下颌骨后患者康复的综合算法。该研究包括 16 名年龄 2 至 7 岁的患者,其中良性(6 例)和恶性(10 例)肿瘤下颌骨的。根据内置假体的固定时间,将患者分为 2 组。第 1 组包括同时安装假肢的患者(7 人)。第 2 组包括延迟安装内置假体的患者(9 人)。为了重建下颌骨,使用了由各种设计的 Ti6Al4V 合金制成的“生长”钛内假体。牙科治疗过程中使用了机械型和功能型动作的可摘式正畸装置、标准弹性护齿套。根据假体固定的时间,为下颌骨部分切除后儿童的康复开发了综合算法以及手术干预的数量。在术前和术后阶段使用“生长”内置假体和牙科支撑的复杂康复算法可以减少面部结构和牙列的二次变形量。
To develop and implement a comprehensive algorithm for the rehabilitation of patients after partial resection of the mandible using a titanium «growing» endoprosthesis.The study included 16 patients aged 2 to 7 years, with benign (6 cases) and malignant (10 cases) tumors of the mandible. The patients were divided into 2 groups depending on the time of fixation of the endoprosthesis. Group 1 included patients with simultaneous installation of a prosthesis (7 people). Group 2 included patients with delayed installation of an endoprosthesis (9 people). For the reconstruction of the mandible, «growing» titanium endoprostheses made of Ti6Al4V alloy of various designs were used. Removable orthodontic devices of mechanical and functional type of action, standard elastic mouthguards were used in the process of dental treatment.A comprehensive algorithm has been developed for the rehabilitation of children after partial resection of the mandible, depending on the time of fixation of the prosthesis and the volume of surgical intervention.The developed algorithm of complex rehabilitation using a «growing» endoprosthesis and dental support at the pre and postoperative stages allows to reduce the volume of secondary deformation of facial structures and dentition.