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论文摘要

上颌骨三维重建术后患者咀嚼功能的评价

Evaluation of Mastication Function after Three-dimensional Maxillary Reconstruction

作者:马宏涛,孙坚,李军,史俊

Author:MAHong-tao1,SUN Jian2,LI Jun2,SHIJun2

收稿日期:2005-02-25          年卷(期)页码:2005,23(01):29-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:上颌骨重建,力,咀嚼功能,个体化,

Key words:maxillary reconstruction,occlusal force,mastication function,individual,

基金项目:上海市高等学校科学技术发展基金资助项目(5020203)

中文摘要

目的 评价三维重建上颌骨大型缺损术后患者咀嚼功能的恢复程度。方法 选择2001年3月~2002年 6月经上海第二医科大学附属第九人民医院口腔颌面外科治疗的大型上颌骨缺损患者10例为研究对象。运用个 体化钛网支架结合前臂皮瓣或串联腓骨肌瓣的新术式行大型上颌骨缺损即刻重建,术后3~6个月常规可摘局部 义齿修复。采用美国Tekscan公司生产的T-ScanⅡ诊断系统行患者术前、术后的力与咬合测定分析。结果 患 者术前、术后力不对称指数与接触面积不对称指数均存在显著差异(P

英文摘要

Objective To evaluate the mastication function of the patientwhose maxilla was reconstructed with individual tita- nium mesh and Chinese flap or combinedwith fibularflap. The superiority of thismethod onmaxillary functional reconstructionwas testified.Methods Since March of 2001, 10 cases of maxillary defectwere reconstructed with individual titaniummesh and Chi- nese flap or combinedwith fibular flap, and routine removal partial dentureswere fixed after 3~6 months postoperatively. Assess- ment of occlusal force was proceeded byT-Scan II system (Tekscan company, USA).Results The occlusal force analysis results indicated the asymmetry index of bite force and asymmetry index of occlusal contact area differed significantly between preoperation and postopertion (P

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