CN101637414B - Integral repair stent of eye sockets, cheekbones and maxillary bone and manufacturing method thereof - Google Patents

Integral repair stent of eye sockets, cheekbones and maxillary bone and manufacturing method thereof Download PDF

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Publication number
CN101637414B
CN101637414B CN200910091846XA CN200910091846A CN101637414B CN 101637414 B CN101637414 B CN 101637414B CN 200910091846X A CN200910091846X A CN 200910091846XA CN 200910091846 A CN200910091846 A CN 200910091846A CN 101637414 B CN101637414 B CN 101637414B
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China
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cheekbone
eye socket
upper jaw
jaw bone
repair stent
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CN101637414A (en
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归来
李晓峰
姜谦
刘灿
武星
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BEIJING GIMMAFEI TECHNOLOGY DEVELOPMENT Co Ltd
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BEIJING GIMMAFEI TECHNOLOGY DEVELOPMENT Co Ltd
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Abstract

The invention relates to an integral repair stent of eye sockets, cheekbones and a maxillary bone and a manufacturing method thereof, and the integral repair stent can meet the repair needs when the eye sockets, the cheekbones and the maxillary bone all have defects. The integral repair stent is characterized in that the integral repair stent comprises a stent body which combines the shapes of the eye sockets, the shapes of the cheekbones and the shape of the maxillary bone, the stent body comprises a cheekbone repair area, a temporal arcade repair area of the cheekbones is extended from the left side of the cheekbone repair area, the right side of the cheekbone repair area is a piriform aperture shape repair area and is extended for forming a piriform aperture connecting area, a planting trough is distributed at the bottom of the cheekbone repair area, a piriform aperture bottom fixing area is extended from the right side of the planting trough, an eye socket outer edge repair area is upward extended from an eye socket shape repair area arranged at the upper edge of the cheekbone repair area; and the eye socket outer edge repair area, the piriform aperture bottom fixing area, the piriform aperture connecting area and the temporal arcade repair area of the cheekbones all have sunk hole array structures.

Description

The integral repair stent of eye socket, cheekbone and upper jaw bone and manufacture method
Technical field
The present invention relates to the implant infrastructure body object that uses in the damaged prosthesis of cranio-maxillofacial, the integral repair stent and the manufacture method of particularly a kind of eye socket, cheekbone and upper jaw bone.Described integral repair stent can satisfy eye socket, cheekbone and upper jaw bone part all reparation demand when damaged.
Background technology
The reparation means that at present cranio-maxillofacial is damaged in the world mainly contain with titanium net, blade plate or from the body bone etc.And blade plate on the market can only play the effect of repairing Fracture Simple, can not repair the damaged of the complicated form of large tracts of land; Though it is damaged that the titanium net can be repaired larger area, also can only hang back for the damaged of complex shape; The means that utilization is repaired from the body bone also can only apply to the damaged of simple form and small size, and must must have suitable fixing just passable from the position of body bone.
All have when damaged when running into eye socket, cheekbone and upper jaw bone part, more than three kinds of methods all can not satisfy clinically demand, and the related personalized recovery support of this patent can satisfy above clinical demand simultaneously.
Summary of the invention
The present invention is directed to the defective or the deficiency that exist in the prior art, the integral repair stent and the manufacture method of a kind of eye socket, cheekbone and upper jaw bone is provided.Described integral repair stent can satisfy eye socket, cheekbone and upper jaw bone part all reparation demand when damaged.Described integral repair stent has the defect form of recovery and two kinds of effects of function, thereby satisfies patient's individual demand.
Technical scheme of the present invention is as follows:
Eye socket, the integral repair stent of cheekbone and upper jaw bone, it is characterized in that, comprise that combination has eye socket shape, the rack body of cheekbone shape and upper jaw bone shape, described rack body has cheekbone reparation district, the left side in described cheekbone reparation district is extended the temporo bow of cheekbone and is repaired the district, the right side in described cheekbone reparation district is apertura piriformis form reparation district and extends the apertura piriformis bonding pad, the bottom in the described cheekbone reparation district planting groove that distributing, apertura piriformis bottom fixed area is extended on the right side of described planting groove, and the upper edge in described cheekbone reparation district is eye socket form reparation district and extends upward eye socket outer rim reparation district; The temporo bow of described eye socket outer rim reparation district, apertura piriformis bottom fixed area, apertura piriformis bonding pad and cheekbone is repaired the district and is all had the counterbore array structure.
Described planting groove has along the bottom in described cheekbone reparation district and extends back the U type structure that is used to fill spongy bone or powdery bone.
Described planting groove has the angular structure that extends back in the top position, bottom in described cheekbone reparation district, and described angular structure is used for the block bone of two-sided fixedly implantation.
Described rack body has the via-hole array structure.
Counter bore hole diameters scope in the described counterbore array structure is 1.0mm~5.0mm, and the counterbore in the described counterbore array structure and the centre-to-centre spacing scope of counterbore are 1.0mm~5.0mm.
Through-hole diameter scope in the described via-hole array structure is 1.0mm~5.0mm, and the through hole in the described via-hole array structure and the centre-to-centre spacing scope of through hole are 1.0mm~5.0mm.
Metal or nonmetallic materials that described rack body adopts permanent implanted cranio-maxillofacial to repair.
Described rack body adopts the surgical implant that satisfies 13810 standards with pure titanium or titanium alloy material, perhaps adopts six aluminum, the seven niobium titanium alloy materials that satisfy ISO or ASTM standard.
The manufacture method of the integral repair stent of described eye socket, cheekbone and upper jaw bone is characterized in that may further comprise the steps:
A. gather CT or MRI image that the patient comprises eye socket, cheekbone and upper jaw bone zone, obtain the view data of DICOM form;
B. utilize the view data of described DICOM form to carry out three-dimensional reconstruction, on the basis of reconstructed image, carry out the design of the integral repair stent of eye socket, cheekbone and upper jaw bone then in conjunction with three-dimensional reconstruction software;
The designing requirement inner surface of the integral repair stent of C. described eye socket, cheekbone and upper jaw bone is wanted and the eclipsed surface of bone of institute is fitted, and outer surface will meet repairs required form;
D. but the data that the design of the integral repair stent of described eye socket, cheekbone and upper jaw bone is finished are converted to process data, adopt numer centre or CNC milling machine to carry out digitized processing then, process the blank of the integral repair stent of eye socket, cheekbone and upper jaw bone;
E. the integral repair stent to eye socket, cheekbone and upper jaw bone carries out the post-production processing, comprising punching, and the polishing operation.
CT full name in the medical science: computed tomography, CT are a kind of multiple functional state of an illness detection instruments, and it is that electronic computer x-ray tomography technology is called for short.
MRI is the abbreviation of Magnetic Resnane Iamging, and Chinese is nuclear magnetic resonance.The abbreviation of cad-ComputerAided Design, i.e. computer-aided design.
DICOM is the english abbreviation of Digital Imaging and Communications in Medicine, i.e. digital imaging and communications in medicine.In dicom standard specific definition the composition form and the switching method of image and relevant information thereof, utilize this standard, people can set up the I/O work that an interface is finished image data on image documentation equipment.
Technique effect of the present invention is as follows:
The integral repair stent of eye socket of the present invention, cheekbone and upper jaw bone can satisfy eye socket, cheekbone and upper jaw bone part all reparation demand when damaged, has the defect form of recovery and two kinds of effects of function, thereby satisfies patient's individual demand.
Description of drawings
Fig. 1 is the structural representation of the integral repair stent of eye socket of the present invention, cheekbone and upper jaw bone.
Fig. 2 is the user mode figure of the integral repair stent of eye socket of the present invention, cheekbone and upper jaw bone.
Reference numeral lists as follows:
1-eye socket outer rim reparation district, the temporo bow of 2-cheekbone is repaired the district, 3-cheekbone reparation district, 4-fibula planting groove, 5-apertura piriformis bottom fixed area, 6-apertura piriformis bonding pad, 7-eye socket form reparation district, 8-apertura piriformis form reparation district.
The specific embodiment
(Fig. 1-Fig. 2) the present invention will be described below in conjunction with accompanying drawing.
Fig. 1 is the structural representation of the integral repair stent of eye socket of the present invention, cheekbone and upper jaw bone.As shown in Figure 1, eye socket, the integral repair stent of cheekbone and upper jaw bone, comprise that combination has eye socket shape, the rack body of cheekbone shape and upper jaw bone shape, described rack body has cheekbone reparation district 3, the left side in described cheekbone reparation district 3 is extended the temporo bow of cheekbone and is repaired district 2, the right side in described cheekbone reparation district 3 is apertura piriformis form reparation district 8 and extends apertura piriformis bonding pad 6, the bottom in the described cheekbone reparation district 3 fibula planting groove 4 that distributing, apertura piriformis bottom fixed area 5 is extended on the right side of described fibula planting groove 4, and the upper edge in described cheekbone reparation district 3 is eye socket form reparation districts 7 and extends upward eye socket outer rim reparation district 1; The temporo bow of described eye socket outer rim reparation district 1, apertura piriformis bottom fixed area 5, apertura piriformis bonding pad 6 and cheekbone is repaired district 2 and is all had the counterbore array structure.
Described rack body has the via-hole array structure.Counter bore hole diameters scope in the described counterbore array structure is 1.0mm~5.0mm, and the counterbore in the described counterbore array structure and the centre-to-centre spacing scope of counterbore are 1.0mm~5.0mm.Through-hole diameter scope in the described via-hole array structure is 1.0mm~5.0mm, and the through hole in the described via-hole array structure and the centre-to-centre spacing scope of through hole are 1.0mm~5.0mm.Metal or nonmetallic materials that described rack body adopts permanent implanted cranio-maxillofacial to repair.
Described rack body adopts the surgical implant that satisfies 13810 standards with pure titanium or titanium alloy material, perhaps adopts six aluminum, the seven niobium titanium alloy materials that satisfy ISO or ASTM standard.
The manufacture method of the integral repair stent of described eye socket, cheekbone and upper jaw bone may further comprise the steps:
A. gather CT or MRI image that the patient comprises eye socket, cheekbone and upper jaw bone zone, obtain the view data of DICOM form;
B. utilize the view data of described DICOM form to carry out three-dimensional reconstruction, on the basis of reconstructed image, carry out the design of the integral repair stent of eye socket, cheekbone and upper jaw bone then in conjunction with three-dimensional reconstruction software;
The designing requirement inner surface of the integral repair stent of C. described eye socket, cheekbone and upper jaw bone is wanted and the eclipsed surface of bone of institute is fitted, and outer surface will meet repairs required form;
D. after going out blank according to the Design and Machining of the integral repair stent of described eye socket, cheekbone and upper jaw bone, blank is carried out post-production handle, comprise punching, the polishing operation.
Perhaps, but the data that the design of the integral repair stent of described eye socket, cheekbone and upper jaw bone is finished are converted to process data, adopt numer centre or CNC milling machine to carry out digitized processing then, process the blank of the integral repair stent of eye socket, cheekbone and upper jaw bone; Integral repair stent to eye socket, cheekbone and upper jaw bone carries out the post-production processing then, comprising punching, and the polishing operation.
Fig. 2 is the user mode figure of the integral repair stent of eye socket of the present invention, cheekbone and upper jaw bone.This shows that the integral repair stent of eye socket, cheekbone and upper jaw bone is installed in the situation of patient's defect.
The effect of each several part is as follows in the integral repair stent of eye socket, cheekbone and upper jaw bone:
1, eye socket outer rim reparation district---the marginal portion has counter bore structure, is connected with the residual fraction margo orbitalis.
2, the temporo of cheekbone bow is repaired and is distinguished---and the marginal portion has counter bore structure, is connected with the zygomatic arch of temporal bone.
The cheekbone part facial shape of 3, cheekbone reparation district---repair deficiency.
4, fibula planting groove---be used for bone grafting, claim planting groove or bone grafting groove again, be used for the Dental Implant of second phase.Its form can be " L " type structure or angular structure as shown in the figure, also can be " positive U " type structure, and " L " type structure generally is used for fixing the monoblock fibula of implantation, and " positive U " type structure generally is used to fill powdery bones such as spongy bone or artificial bone.
5, apertura piriformis bottom fixed area---have counter bore structure, be used to connect the apertura piriformis bottom, play the effect of certain fixed restoration.
6, apertura piriformis bonding pad---have counter bore structure, be used for dummy is fixed to the residual bone at apertura piriformis edge.
7, eye socket form reparation district---divide suitablely with the residual orbital part of patient, be used for the eye socket form of repair deficiency.
8, apertura piriformis form reparation district---suitable with the residual apertura piriformis part of patient, be used to repair the apertura piriformis form.
Be evenly equipped with the through hole or the counterbore of certain rule on the personalized recovery support, wherein recovery support is counterbore with the position that damaged edge is connected, and is used to place the titanium nail and fixes recovery support.The diameter scope of through hole and counterbore is 1mm~5mm.Pitch of holes is 1mm~5mm.
Personalized maxillary bone repair stent can be processed with following material:
1, the surgical implant that satisfies 13810 standards is with pure titanium or titanium alloy material.
2, satisfy six aluminum, the seven niobium titanium alloy materials of ISO or ASTM standard.
3, individual event titanium alloy T LM and TLE etc. (Xibei Inst. of Non-Ferrous Metals is being applied for adding surgical implant and processed the material national standard with titanium or titanium alloy at present).
4, other can be used for metal or nonmetallic materials that permanent implanted cranio-maxillofacial is repaired.
The work flow of the integral repair stent of personalized eye socket, cheekbone and upper jaw bone:
1, gathers patient CT or MRI image, obtain the view data of DICOM form.
2, utilize relevant three-dimensional reconstruction software to carry out three-dimensional reconstruction, on the basis of reconstructed image, carry out the design of recovery support then.
3, design feature comprises that inner surface is wanted and eclipsed surface of bone is fitted closely, and outer surface will meet repairs required form.
4, after Design and Machining goes out blank, recovery support is carried out post-production handle, comprising punching, operations such as polishing.
Personalized recovery support involved in the present invention (integral repair stent of eye socket, cheekbone and upper jaw bone) has the defect form of recovery and two kinds of effects of function simultaneously.
At first can help the patient from the external form normal morphology that regains one's integrity, support Design is with reference to strong side form, and configuration and defect are accurately fitted, and be accurately similar to the former unsoundness form of patient;
Secondly, support is repaired at the bottom of being divided into eye socket and socket of the eye, cheekbone is repaired and upper jaw bone is repaired three parts, recovery support can hold up content in the socket of the eye at the bottom of eye socket and the socket of the eye, recover patient's eye form, the cheekbone recovery support can hold up the facial soft tissue of patient, recover patient's facial shape, and the upper jaw bone reparation has the effect that recovers facial shape and oral cavity function concurrently, this part is provided with the bone grafting support, the doctor can be with being fixed on the support from body bone (for example fibula) of being planted, later stage then can be carried out a series of operations such as Dental Implant and be helped the patient and recover the oral cavity gradually and function such as chew, if there is not this support, the doctor then can't plant from the body bone because of no fixed position, thereby function such as is chewed in the oral cavity that also can't recover the patient.
Should be pointed out that the above specific embodiment can make those skilled in the art more fully understand the invention, but do not limit the present invention in any way creation.Therefore, although this description has been described in detail the invention with reference to drawings and Examples,, it will be appreciated by those skilled in the art that still and can make amendment or be equal to replacement the invention; And all do not break away from the technical scheme and the improvement thereof of the spirit and scope of the invention, and it all is encompassed in the middle of the protection domain of the invention patent.

Claims (9)

1. eye socket, the integral repair stent of cheekbone and upper jaw bone, it is characterized in that, comprise that combination has eye socket shape, the rack body of cheekbone shape and upper jaw bone shape, described rack body has cheekbone reparation district, the left side in described cheekbone reparation district is extended the temporo bow of cheekbone and is repaired the district, the right side in described cheekbone reparation district is apertura piriformis form reparation district and extends the apertura piriformis bonding pad, the bottom in the described cheekbone reparation district fibula planting groove that distributing, apertura piriformis bottom fixed area is extended on the right side of described fibula planting groove, and the upper edge in described cheekbone reparation district is eye socket form reparation district and extends upward eye socket outer rim reparation district; The temporo bow of described eye socket outer rim reparation district, apertura piriformis bottom fixed area, apertura piriformis bonding pad and cheekbone is repaired the district and is all had the counterbore array structure.
2. the integral repair stent of eye socket according to claim 1, cheekbone and upper jaw bone is characterized in that, described planting groove has along the bottom in described cheekbone reparation district and extends back the U type structure that is used to fill spongy bone or powdery bone.
3. the integral repair stent of eye socket according to claim 1, cheekbone and upper jaw bone, it is characterized in that, described planting groove has the angular structure that extends back in the top position, bottom in described cheekbone reparation district, and described angular structure is used for the block bone of two-sided fixedly implantation.
4. the integral repair stent of eye socket according to claim 1, cheekbone and upper jaw bone is characterized in that described rack body has the via-hole array structure.
5. the integral repair stent of eye socket according to claim 1, cheekbone and upper jaw bone, it is characterized in that, counter bore hole diameters scope in the described counterbore array structure is 1.0mm~5.0mm, and the counterbore in the described counterbore array structure and the centre-to-centre spacing scope of counterbore are 1.0mm~5.0mm.
6. the integral repair stent of eye socket according to claim 4, cheekbone and upper jaw bone, it is characterized in that, through-hole diameter scope in the described via-hole array structure is 1.0mm~5.0mm, and the through hole in the described via-hole array structure and the centre-to-centre spacing scope of through hole are 1.0mm~5.0mm.
7. the integral repair stent of eye socket according to claim 1, cheekbone and upper jaw bone is characterized in that, metal or nonmetallic materials that described rack body adopts permanent implanted cranio-maxillofacial to repair.
8. the integral repair stent of eye socket according to claim 1, cheekbone and upper jaw bone, it is characterized in that, described rack body adopts the surgical implant that satisfies 13810 standards with pure titanium or titanium alloy material, perhaps adopts six aluminum, the seven niobium titanium alloy materials that satisfy ISO or ASTM standard.
9. as the manufacture method of the integral repair stent of eye socket, cheekbone and upper jaw bone as described in one of claim 1-8, it is characterized in that may further comprise the steps:
A. gather CT or MRI image that the patient comprises eye socket, cheekbone and upper jaw bone zone, obtain the view data of DICOM form;
B. utilize the view data of described DICOM form to carry out three-dimensional reconstruction, on the basis of reconstructed image, carry out the design of the integral repair stent of eye socket, cheekbone and upper jaw bone then in conjunction with three-dimensional reconstruction software;
The designing requirement inner surface of the integral repair stent of C. described eye socket, cheekbone and upper jaw bone is wanted and the eclipsed surface of bone of institute is fitted, and outer surface will meet repairs required form;
D. but the data that the design of the integral repair stent of described eye socket, cheekbone and upper jaw bone is finished are converted to process data, adopt numer centre or CNC milling machine to carry out digitized processing then, process the blank of the integral repair stent of eye socket, cheekbone and upper jaw bone;
E. the integral repair stent to eye socket, cheekbone and upper jaw bone carries out the post-production processing, comprising punching, and the polishing operation.
CN200910091846XA 2009-08-27 2009-08-27 Integral repair stent of eye sockets, cheekbones and maxillary bone and manufacturing method thereof Active CN101637414B (en)

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Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101912298A (en) * 2010-07-28 2010-12-15 太原市绿波医疗器械有限公司 Manufacturing technological method of personalized bone fracture plate
FR2999071A1 (en) 2012-12-12 2014-06-13 Obl METHOD FOR REPOSITIONING BONE FRAGMENTS FOR BONE SURGERY BASED ON THE USE OF IMPLANTS AND CUSTOM GUIDES
CN103300946A (en) * 2013-06-27 2013-09-18 中国人民解放军总医院 Manufacturing method for personalized bracket for repairing of center plane across mandibular defect
EP2954863B1 (en) 2014-06-11 2017-05-17 Karl Leibinger Medizintechnik Gmbh & Co. Kg Method for producing a patient-specific eye socket cover mesh and patient-specific eye socket cover mesh
CN108542481A (en) * 2018-05-11 2018-09-18 山东大学齐鲁医院 Fixed healing mask and fixed healing system outside a kind of fracture of zygomatic bone
CN110075360B (en) * 2019-05-21 2021-12-07 福建吉特瑞生物科技有限公司 Chitosan/HA-based personalized cranio-maxillofacial and spinal bone repair material and preparation method thereof

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