下頜骨外板修復(fù)面斜裂的基礎(chǔ)研究與臨床應(yīng)用探討.pdf

1、中國協(xié)和醫(yī)科大學(xué)中國醫(yī)學(xué)科學(xué)院碩士學(xué)位論文下頜骨外板修復(fù)面斜裂的基礎(chǔ)研究與臨床應(yīng)用探討姓名：劉偉申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：整形外科學(xué)指導(dǎo)教師：歸來20050301亟煎塞生造童工鯉盈處亟壁復(fù)畫魁銎鰒基趟受塞墨蝤鏖廛旦堡過TheExperimentalandClinicalStudyofRepairingofObliqueFacialCleftwithMandibularOuterCortexABSTRACTObliquefacialclef

2、tisaseriousdiseaseandhardtobetreatedThecauseofthepathologicconditionsremainsobscureAutogenousbonegraftisanimportantmethodofthereconstructionHowever，itislimitedintheclinicalapplicationforsomedisadvantages，justasthedonorsi

3、temorbidity，boneresorptionereThisresearchwasaimingtoexploreanewharvestregionofbonegrafts，mandibularoutercortex，beingusedtepairobliquefacialcleftIntheanimalexperimentalpart，animalmodelswereestablishedbyremovingtheoutercor

4、texofmandibularbodyinminitypepigsof3monthesoldWeobservedtheeffectofsurgerytothegrowthofmandibularboneafter24weeksIntheclinicalapplicationpart，6patientsofobliquefacialcleftwerereconstructedusingmandibularoutercortexTheres

5、ultshaddemonstratedthatthegraftedboneheNedwell，withnoobviousboneresorptionanddonorsitemorbidityHowever，intheanimalexperiment，wefoundcortexsplittingtendedtoresultinlateraldeviationocclusion(probabilityof50％)，whichneedtobe

6、researchedconsequentlyConclusion：AutogenousmandibularoutercortexisanidealdonorsiteofbonegraftsbecauseitisdensecortexbonewithlittleboneresorptionForthemore，itisharvestedcompletelythroughintraoralapproachwithlessmorbiditya