摘要
髁突骨软骨瘤(condylar osteochondroma,OC)是一种罕见的下颌髁突良性肿瘤,常继发偏颌畸形。传统治疗先行开放性肿瘤切除,二期正颌外科矫治牙颌面畸形,面神经损伤风险高、多次手术创伤大。上海交通大学医学院附属第九人民医院通过计算机辅助外科设计、内镜、导航、个性化导板及个性化植入物等数字化技术的应用与探索,实现从术前个性化设计到术中执行的口内入路微创肿瘤切除和同期正颌手术的精准控制,标志着OC治疗从经验外科迈入数据驱动的精准外科新阶段。
Condylar osteochondroma(OC)is a rare benign tumor of the mandibular condyle,often resulting in mandibular deviation or asymmetry.Traditionally,treatment involves a two-stage procedure—open tumor resection followed by orthognathic surgery to correct the associated dentofacial deformities.This approach carries a high risk of facial nerve injury and increased trauma due to multiple surgical interventions.At Shanghai Ninth People's Hospital,digital technologies—including computer-assisted surgical design,endoscopy,navigation,personalized surgical guides,and customized implants—have been integrated to achieve precise control from preoperative planning to intraoral,minimally invasive tumor resection performed concurrently with orthognathic correction.This paradigm shift marks the transition of OC management from experience-based surgery to data-driven precision surgery.
作者
付昊杰
曹健
于洪波
张雷
余婧爽
王旭东
FU Haojie;CAO Jian;YU Hongbo;ZHANG Lei;YU Jingshuang;WANG Xudong(Department of Oral Craniomaxillofacial,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine&College of Stomatology,Shanghai Jiao Tong University&National Center of Stomatology&National Clinical Research Center for Oral Diseases&Shanghai Key Laboratory of Stomatology&Shanghai Research Institute of Stomatology&Research Unit of Oral and Maxillofacial Regenerative Medicine,Chinese Academy of Medical Sciences,Shanghai 200011,China)
出处
《口腔医学》
2026年第1期20-26,共7页
Stomatology
基金
国家重点研发计划(2023YFC2414100)
国家自然科学基金(82370905,82071096)
上海市口腔-颅颌面数字化技术研发与应用专业服务平台(21DZ2294600)
国家临床重点专科建设项目(Z155080000004)
上海市重中之重研究中心(2022ZZ01017)
上海市促进产业高质量发展专项(2024-GZL-RGZN-02033)。
关键词
髁突骨软骨瘤
数字化外科
微创外科
精准外科
个性化手术设计
condylar osteochondroma
digital surgery
minimally invasive surgery
precision surgery
personalized surgical design
