CN103784218B - Craniocerebral three-dimensional forming restoration with muscle base window and preparation method thereof - Google Patents
Craniocerebral three-dimensional forming restoration with muscle base window and preparation method thereof Download PDFInfo
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- CN103784218B CN103784218B CN201410039304.9A CN201410039304A CN103784218B CN 103784218 B CN103784218 B CN 103784218B CN 201410039304 A CN201410039304 A CN 201410039304A CN 103784218 B CN103784218 B CN 103784218B
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Abstract
The invention discloses a craniocerebral three-dimensional forming restoration with a muscle base window. According to the craniocerebral three-dimensional forming restoration with the muscle base window, a medical three-dimensional forming material serves as a substrate, multiple mesh holes are formed in the substrate, the craniocerebral three-dimensional forming restoration with the muscle base window is provided with a smooth outline edge, a suitable individualized muscle base window three-dimensional structure is reserved for the skull defect zone muscular tissue of a patient at the edge, close to the base of skull, of an outline, the tissue combinations such as the muscles, the meninx and the brain which are attached to a skull defect zone are located at the inner side of the craniocerebral three-dimensional forming restoration with the muscle base window, the outline radian of the craniocerebral three-dimensional forming restoration with the muscle base window are formed with the consideration of the distribution condition of the tissue combinations such as the muscles, the meninx and the brain in the skull defect zone, so that it is guaranteed that the skull and the brain are repaired and protected together, and symmetry and beauty of the skull and the brain at the two sides are considered. Compared with the prior art, the craniocerebral three-dimensional forming restoration with the muscle base window has the following advantages that the internal environments such as brain blood supply and intracranial pressure maintenance are improved and recovery of the brain functions is facilitated.
Description
Technical field
The present invention relates to a kind of cranium brain three-dimensional dummy and preparation method thereof, more particularly to a kind of cranium with flesh base of a fruit window
Three-dimensional dummy of brain individuation and preparation method thereof.
Background technology
Go bone flap decompression that the life of a large amount of patients has been saved in clinic, but long-term bulk defect of skull can be tolerant to intracranial
Cause damage, be unfavorable for physical recovery, and safety and appearance are severely impacted.Therefore, defect of skull surgical repair is
Extremely common medical operating, the two methods clinically generally rebuild using autologous Bone Defect Repari and artificial material both at home and abroad.When
When restoring area is larger, multiplex artificial material is rebuild, conventionally employed lucite and this kind of material of silicone rubber, and advantage is that molding is held
Easily, but have the disadvantage to be highly prone to the corrosion of body fluid, must change after several years.In recent years titanium alloy material is as patching material
One big trend, the features such as there is good biocompatibility, nontoxic and high intensity due to pure titanium, titanium alloy etc materials and
Have in the reparation of the defect of skull caused by making it in craniocerebral injury, operation of intracranial tumor or opening cranial decompression it is more universal should
With.
With the development of computer technology, the three-dimensionally shaped repairing cranial defectses of digitized titanium net have high rigidity and moulding full
The characteristics of meaning, good result is obtained in clinical practice.As Chinese patent CN101953726B provides a kind of personalized skull
Dummy, just can be directly used for skull defect repair surgery without the need for further cutting out, it is to avoid cut out rear skull repairing body edge
Excessively coarse problem.Although this method solving the problem that Prosthetic margin is fitted with defect edge, the method
Simply gather and be designed using defect of skull partial information, abandoned the information of all soft tissues around it, and surrounding is soft
Being organized in cranium brain reparation has important impact and effect.The Personalized skull dummy need to be by scalp, temporalis in operation
Deng muscle, dura mater, or even the structure that arachnoidea, pia mater encephali have been melted as a complex is separated again, and local has formed new ecology
Environment wrecks, and then relocates fixed three-dimensional titanium net, though can clinically reach the anatomical suture of skull, meets head
The characteristics of cranium anatomical requirements, but as a large amount of clinical observation follow-ups find, the method exists following not enough：1. operate in art tired
Difficulty, operating time is long, and tissue injury is big, and intraoperative hemorrhage is more, and the secondary damage and dura mater breakage for being primarily due to the muscle such as temporalis is asked
Topic, due to muscle, dura maters such as first time destruction of the operation to anatomical layer, postoperative scalp, temporalis, or even arachnoidea, pia mater encephali
Combine together, it is difficult to completely strip the muscle such as temporalis, cause the muscle secondary damage such as temporalis, rapid wear when separating the muscle such as temporalis
Hinder dura mater even cerebral tissue；2. postoperative intracranial hematoma, hypohydropses showed increased, due to peeling off the muscle such as temporalis, blood oozing from the wound surface
Many, so easily there is epidural hematocele and hydrops in dead space between increase titanium net and dura mater；3. local brain tissue can be caused to lack
Blood, if operation for the first time does not make the muscle such as dura mater repairing, postoperative temporalis by the contact of direct and part cerebral tissue, due to postoperative
The muscle such as the foundation of Doppler flow mapping, temporalis directly participate in the blood supply of part lack of skull cerebral tissue, and peeling off the muscle such as temporalis will affect
The region cerebral tissue blood supply, or even because local brain tissue hypoxic-ischemic causes postoperative nerve functional impairment or epilepsy etc.；4. temporo
The muscle functions such as flesh go down, and because the muscle such as temporalis and hard membrane layer fusion are fine and close, in order to not damage dura mater when peeling off muscle, retain thin
Layer muscle, so weakens temporalis gmatjpdumamicss, that is, enable and completely separate the muscle such as temporalis, and it is also due to lacking effective attachment point
And severe atrophy is engendered, and it is easily caused after operation in patients and bad order occurs, limitation of mouth opening etc.；5. there is stepped bag postoperative local
Block, affects attractive in appearance, is progressively thickening because the muscle such as temporalis extend at the attachment of temporo top toward temporal fossa, complies with into arcuation, for the first time
The muscle insertions such as surgical disruption temporalis, but also retain muscle, the dura maters such as progressively thickening compliance, postoperative temporalis, or even spider web
Film, pia mater encephali combine together, and temporo top attachment point keeps in situ substantially；Progressively thickening compliance changes temporalis after stripping,
Often bounce back agglomerating, and the temporalis after stripping is covered in titanium net, form postoperative local enclosed mass or stepped, particularly temporalis etc.
The thicker patient of muscle, local enclosed mass becomes apparent from.
In addition, to avoid the outer skull forming kposthesiss of muscle such as the above-mentioned not enough clinical temporalis carried out, current more report
It has following deficiency：1. postoperative titanium net card compressor meat causes limitation of activity and local pain；2. muscle rubs repeatedly with titanium net, office
Portion's stress is larger, titanium nail loosening is fixed herein and is upspring, and causes titanium net degree of fixation not good；3. simultaneously because muscle is under titanium net, outward appearance
Upper local plumpness not enough, affects attractive in appearance, and part forms intracranial mass lesion, local brain tissue is formed and is extruded, or causes intracranial pressure
Rise high.
The content of the invention
It is an object of the invention to overcome defect present in prior art, there is provided a kind of cranium brain dummy with flesh base of a fruit window
And preparation method thereof, the cranium brain three-dimensional dummy with flesh base of a fruit window is with medical three dimension moulding material as substrate, in substrate
Upper to arrange some mesh, the cranium brain three-dimensional dummy with flesh base of a fruit window has smooth contour edge, the nearly basis cranii edge of profile
Suitable individuation flesh base of a fruit window stereochemical structure is reserved with for patient's skull defective region muscular tissue, is attached in part lack of skull
The tissue complex such as muscle, meninges, brain be located at the inner side of the cranium brain three-dimensional dummy with flesh base of a fruit window, the cranium with flesh base of a fruit window
The profile radian of brain three-dimensional dummy is by the distribution situation of the tissue complex such as muscle, meninges, brain in part lack of skull
Take into account, to ensure the common reparation and protection of skull and brain, and take into account patient's bilateral cranium brain it is symmetrical with it is attractive in appearance.The band flesh
The cranium brain three-dimensional dummy of base of a fruit window can be directly used for skull defect repair surgery, operation is not needed muscle, cerebral dura mater, very
Environment is built again in the structure and the ecology set up for melting as complex to arachnoidea, pia mater encephali, cerebral tissue etc., performs the operation only along skin
Galea aponeurotica gap separates and appears the flesh base of a fruit under lobe, easy to operate, damages little, goes out insufficiency of blood；Operation, anesthesia duration are short, patient's reaction
Slightly, post-operative recovery is fast；Recover the integrity of cranial cavity, protect intracranial tolerant and outward appearance natural beauty, be conducive to improving brain blood
For and maintain stablizing for environment in intracranial pressure etc., promote the recovery of brain function and the raising of patients ' life quality；Solve traditional flesh
The titanium net card compressor meat produced after the outer repair of bone of cranium of meat fascia causes to chew limited and local pain, in appearance local plumpness
Not enough, the new interior environment that intracranial has been set up affected and destroyed, material for repairing skull deformation, loosen a series of problems, such as.
For achieving the above object, the present invention is employed the following technical solutions：
A kind of cranium brain three-dimensional dummy with flesh base of a fruit window, the cranium brain three-dimensional dummy with flesh base of a fruit window be with
Medical three dimension moulding material is substrate, and some mesh, the cranium brain three-dimensional dummy with flesh base of a fruit window are arranged on substrate
With smooth contour edge, the contour edge is reserved with flesh base of a fruit space for patient's skull defect window muscular tissue, attachment
The inner side of the cranium brain three-dimensional dummy with flesh base of a fruit space is located in the muscular tissue of defect of skull window inner tissue；The profile
Edge is reserved with suitable individuation flesh base of a fruit window stereochemical structure for patient's skull defective region muscular tissue, is attached to defect of skull
The tissue complex such as muscle, meninges, brain in area are located at the inner side of the cranium brain three-dimensional dummy with flesh base of a fruit window, band flesh base of a fruit window
The profile radian of cranium brain three-dimensional dummy be by the distribution of the tissue complex such as muscle, meninges, brain in part lack of skull
What situation was taken into account, with ensure the stable and bilateral cranium brain of patient's intracranial environment after repairing it is symmetrical with it is attractive in appearance.
The features such as there is good biocompatibility, nontoxic and high intensity due to pure titanium, titanium alloy etc materials, the doctor
It is good synthetic material of pure titanium, titanium alloy, rustless steel and other histocompatibilitys etc. with three-dimensional material.
The generally circular in shape, oval of the mesh, polygon and irregular shape etc., so as in the cranium brain three with flesh base of a fruit window
Attachment point is formed on dimension shaping dummy, is conducive to it to fix.
A kind of preparation method of the cranium brain dummy with flesh base of a fruit window：Comprise the following steps：（1）Obtain patient's head picture number
According to, head defect profile is obtained,（2）The view data of acquisition is stored in into computer-readable medium, then by these picture numbers
Image real time transfer is carried out according to computer is transferred to；（3）Data, segmentation, extraction skull and its week are read with image processing software
The data message of soft tissue is enclosed, the threedimensional model of skull and its surrounding soft tissue is rebuild；（4）Use image processing software read step
（3）After the skull of reconstruction and its threedimensional model of surrounding soft tissue, the blank of cranium brain three-dimensional dummy is formed；（5）According to skull
And its distribution situation of surrounding soft tissue, it is that cranium brain flesh base of a fruit tissue arranges flesh base of a fruit window in the lower limb of cranium brain three-dimensional dummy, it is right
Cranium brain dummy with flesh base of a fruit window is further corrected；（6）Application image processes software read step（5）In corrected cranium brain
Three-dimensional repairs body Model, and is input in laser fast forming machine and makes cranium brain with flesh base of a fruit window and repair body three-dimensional models；（7）According to
Step（6）The obtained cranium brain with flesh base of a fruit window repairs body three-dimensional models, is processed into the cranium brain three-dimensional dummy with flesh base of a fruit window.
The step（1）Middle acquisition patient's skull image and data are by computerized tomography technology scanning imagery, core
The imaging techniques such as magnetic resonance, color ultrasound are imaged, and clearly can accurately obtain patient's skull defect profile.
The present invention is read out data, segmentation, extraction skull using Digital Three-Dimensional medical image interactive process software
And its data message of surrounding soft tissue, entered with Mimics, 3D-doctor, Amira, 3D-Med or 3D Slicer softwares
Row skull and its reconstructing three-dimensional model of surrounding soft tissue；Cranium brain is extracted with Mimics, Surfacer or 3-Matic software
Repair body three-dimensional models.
Compared with prior art, the invention has the advantages that：1. operation technique is easy, and tissue injury is little；2. operating time
Short, intraoperative hemorrhage is few；3. be conducive to improving stablizing for the interior environment such as brain blood supply and maintenance intracranial pressure；4. the extensive of brain function is promoted
The raising of multiple and patients ' life quality；5. recover the integrity of cranial cavity, protect intracranial tolerant and outward appearance shaping；6. solve traditional
The postoperative titanium net card compressor meat produced in the outer repair of bone of cranium of muscular fascia causes to chew limited and local pain, in appearance local
The problems such as plumpness is inadequate；7. according to the distribution situation of surrounding soft tissue, the cranium brain reparation with flesh base of a fruit window that the present invention is formed
Body blank is further corrected, and is included in dummy lower edge for flesh base of a fruit tissue and is arranged suitable space, to solve muscular movement
Chew limited caused by the dummy card pressure of Shi Zaocheng, dummy loosens etc., while according to defect muscle distribution situation, fitting
When amendment cranium brain dummy radian, so as to reach and original suitable plumpness.
Description of the drawings
Fig. 1 is the schematic process flow diagram of preparation method of the present invention.
Fig. 2 is the cranium brain dummy with flesh base of a fruit window.
Fig. 3 is the schematic diagram that the cranium brain dummy with flesh base of a fruit window is fitted with defect of skull model.
Specific embodiment
Embodiment 1
Cranium brain three-dimensional dummy of the present embodiment with flesh base of a fruit window, the cranium brain three-dimensional dummy with flesh base of a fruit window
It is that, with titanium alloy as substrate, some squared mesh, the cranium brain three-dimensional dummy with flesh base of a fruit window are set on substrate
With smooth contour edge, contour edge is reserved with flesh base of a fruit space for patient's skull defect window muscular tissue, is attached to cranium
The muscular tissue of Cranial defect window inner tissue is located at the inner side of the cranium brain three-dimensional dummy with flesh base of a fruit window.
The contour edge is reserved with the three-dimensional knot of suitable individuation flesh base of a fruit window for patient's skull defective region muscular tissue
The tissue complex such as structure, muscle, meninges, the brain being attached in part lack of skull are located at the cranium brain three-dimensional reparation with flesh base of a fruit window
The inner side of body, the profile radian of the cranium brain three-dimensional dummy with flesh base of a fruit window is by muscle, meninges, brain etc. in part lack of skull
What the distribution situation of tissue complex was taken into account, to ensure the symmetrical of the stable and bilateral cranium brain of patient's intracranial environment after repairing
With it is attractive in appearance.
As shown in figure 1, the preparation method of the above-mentioned cranium brain three-dimensional dummy with flesh base of a fruit window is comprised the following steps：（1）
Patient's head is scanned by computerized tomography technology, sweep span is 0.75mm, obtains patient's skull picture number
According to, defect of skull profile is obtained,（2）The view data of acquisition is stored in into computer-readable medium, then by these picture numbers
Image real time transfer is carried out according to computer is transferred to；（3）Data, segmentation, extraction skull and its week are read with image processing software
The data message of soft tissue is enclosed, the threedimensional model of skull and its surrounding soft tissue is rebuild；（4）When side skull is intact：With figure
The threedimensional model of the skull and its surrounding soft tissue for rebuilding is read as processing software, according to the mirror image switch work(of image processing software
Can, using intact side skull and its information of surrounding soft tissue, rebuild the mirror image of defect side skull and its surrounding soft tissue
Image, this mirror image produces the blank of defects with skull repair materials by carrying out after Boolean calculation with the image of defect side,
Make edge of model profile consistent with the profile at defect of skull position, and edge exceeds defect edge about 1cm；（5）According to cranium
Bone and its distribution situation of surrounding soft tissue, are that cranium brain flesh base of a fruit tissue arranges flesh base of a fruit space in the lower limb of cranium brain dummy, right
Cranium brain dummy with flesh base of a fruit window is further corrected, and the dummy lower edge that is partly comprised in of amendment is that flesh base of a fruit tissue is reserved suitable
Flesh base of a fruit space, rubbed repeatedly with titanium net with reducing titanium net card pressure is caused during muscular movement limitation of activity and muscle, local
Stress is larger, causes titanium nail loosening to upspring, so as to the problem for causing titanium net degree of fixation not good, while according to defect muscle point
Cloth situation, the radian of appropriate amendment cranium brain dummy was not only practical but also attractive in appearance so as to reach and original suitable plumpness；（6）
Application image processes software read step（5）In corrected cranium brain repair body Model, and be input in laser fast forming machine and make
Make the cranium brain with flesh base of a fruit window and repair body three-dimensional models；（7）According to step（6）The obtained three-dimensional of the cranium brain dummy with flesh base of a fruit window mould
Type, is processed into the cranium brain dummy 1 with flesh base of a fruit window 2 as shown in Figure 2.
Embodiment 2
Cranium brain three-dimensional dummy of the present embodiment with flesh base of a fruit window, the cranium brain three-dimensional dummy with flesh base of a fruit window
It is that, with titanium alloy as substrate, some squared mesh, the cranium brain three-dimensional dummy with flesh base of a fruit window are set on substrate
With smooth contour edge, contour edge is reserved with flesh base of a fruit space for patient's skull defect window muscular tissue, is attached to cranium
The muscular tissue of Cranial defect window inner tissue is located at the inner side of the cranium brain three-dimensional dummy with flesh base of a fruit window.
The contour edge is reserved with the three-dimensional knot of suitable individuation flesh base of a fruit window for patient's skull defective region muscular tissue
The tissue complex such as structure, muscle, meninges, the brain being attached in part lack of skull are located at the cranium brain three-dimensional reparation with flesh base of a fruit window
The inner side of body, the profile radian of the cranium brain three-dimensional dummy with flesh base of a fruit window is by muscle, meninges, brain etc. in part lack of skull
What the distribution situation of tissue complex was taken into account, to ensure the symmetrical of the stable and bilateral cranium brain of patient's intracranial environment after repairing
With it is attractive in appearance.
As shown in figure 1, the preparation method of the above-mentioned cranium brain three-dimensional dummy with flesh base of a fruit window is comprised the following steps：（1）
Patient's head is scanned by computerized tomography technology, sweep span is 1.0mm, obtains patient's skull view data,
Defect of skull profile is obtained,（2）The view data of acquisition is stored in into computer-readable medium, then turns these view data
Moving on to computer carries out image real time transfer；（3）Data are read with image processing software, segmentation, extraction skull and its surrounding are soft
The data message of tissue, rebuilds the threedimensional model of skull and its surrounding soft tissue；（4）When both sides skull is damaged：Use image
The threedimensional model that software reads the skull and its surrounding soft tissue for rebuilding is processed, it is compared with multiple normal calvarials, choose it
In similar cranium shape person for control, the two carries out Boolean calculation, you can produce defects with skull repair materials blank, make edge of model
Profile is consistent with the profile at defect of skull position, and edge exceeds defect edge about 1cm；（5）According to skull and its surrounding
The distribution situation of soft tissue, is that cranium brain flesh base of a fruit tissue arranges flesh base of a fruit space in the lower limb of cranium brain dummy, to flesh base of a fruit window
Cranium brain dummy further correct, amendment be partly comprised in dummy lower edge for the reserved suitable flesh base of a fruit of flesh base of a fruit tissue it is empty
Between, being rubbed repeatedly with titanium net with reducing titanium net card pressure is caused during muscular movement limitation of activity and muscle, local stress is larger,
Titanium nail loosening is caused to upspring, so as to the problem for causing titanium net degree of fixation not good, while according to defect muscle distribution situation, fitting
It is not only practical but also attractive in appearance so as to reach and original suitable plumpness when the radian of amendment cranium brain dummy；（6）Application image
Process software read step（5）In corrected cranium brain repair body Model, and be input in laser fast forming machine and make the band flesh base of a fruit
The cranium brain of window repairs body three-dimensional models；（7）According to step（6）The obtained cranium brain with flesh base of a fruit window repairs body three-dimensional models, processing
Into the cranium brain dummy with flesh base of a fruit window.
Embodiment 3
Cranium brain three-dimensional dummy of the present embodiment with flesh base of a fruit window, the cranium brain three-dimensional dummy with flesh base of a fruit window
It is that, with pure titanium as substrate, some circular mesh are set on substrate, the cranium brain three-dimensional dummy with flesh base of a fruit window has
Smooth contour edge, contour edge is reserved with flesh base of a fruit space for patient's skull defect window muscular tissue, is attached to skull and lacks
The muscular tissue of Sun Chuan inner tissues is located at the inner side of the cranium brain three-dimensional dummy with flesh base of a fruit window.
The contour edge is reserved with the three-dimensional knot of suitable individuation flesh base of a fruit window for patient's skull defective region muscular tissue
The tissue complex such as structure, muscle, meninges, the brain being attached in part lack of skull are located at the cranium brain three-dimensional reparation with flesh base of a fruit window
The inner side of body, the profile radian of the cranium brain three-dimensional dummy with flesh base of a fruit window is by muscle, meninges, brain etc. in part lack of skull
What the distribution situation of tissue complex was taken into account, to ensure the symmetrical of the stable and bilateral cranium brain of patient's intracranial environment after repairing
With it is attractive in appearance.
As shown in figure 1, the preparation method of the above-mentioned cranium brain three-dimensional dummy with flesh base of a fruit window is comprised the following steps：（1）
Patient's head is scanned by nuclear magnetic resonance technique, sweep span is 1.5mm, obtains patient's skull view data, obtained
Defect of skull profile,（2）The view data of acquisition is stored in into computer-readable medium, is then transferred to these view data
Computer carries out image real time transfer；（3）Data, segmentation, extraction skull and its surrounding soft tissue are read with image processing software
Data message, rebuild the threedimensional model of skull and its surrounding soft tissue；（4）When side skull is intact：It is soft with image procossing
Part reads the threedimensional model of the skull and its surrounding soft tissue for rebuilding, and according to the mirror image switch function of image processing software, utilizes
Intact side skull and its information of surrounding soft tissue, rebuild the mirror image of defect side skull and its surrounding soft tissue, this
Mirror image produces the blank of defects with skull repair materials by carrying out after Boolean calculation with the image of defect side, make model side
Edge profile is consistent with the profile at defect of skull position, and edge exceeds defect edge about 1cm；When both sides, skull is damaged
When：The threedimensional model of the skull and its surrounding soft tissue for rebuilding is read with image processing software, by itself and multiple normal calvarial ratios
It is right, wherein similar cranium shape person is chosen to compare, the two carries out Boolean calculation, you can produce the blank of defects with skull repair materials,
Make edge of model profile consistent with the profile at defect of skull position, and edge exceeds defect edge about 1cm；（5）According to cranium
Bone and its distribution situation of surrounding soft tissue, are that cranium brain flesh base of a fruit tissue arranges flesh base of a fruit space in the lower limb of cranium brain dummy, right
Cranium brain dummy with flesh base of a fruit window is further corrected, and the dummy lower edge that is partly comprised in of amendment is that flesh base of a fruit tissue is reserved suitable
Flesh base of a fruit space, rubbed repeatedly with titanium net with reducing titanium net card pressure is caused during muscular movement limitation of activity and muscle, local
Stress is larger, causes titanium nail loosening to upspring, so as to the problem for causing titanium net degree of fixation not good, while according to defect muscle point
Cloth situation, the radian of appropriate amendment cranium brain dummy was not only practical but also attractive in appearance so as to reach and original suitable plumpness；（6）
Application image processes software read step（5）In corrected cranium brain repair body Model, and be input in laser fast forming machine and make
Make the cranium brain with flesh base of a fruit window and repair body three-dimensional models；（7）According to step（6）The obtained three-dimensional of the cranium brain dummy with flesh base of a fruit window mould
Type, is processed into the cranium brain dummy with flesh base of a fruit window.
The clinical practice of the present invention：
Only need to appear except the extrapedicular defect of skull bone window edge of flesh, by scalp and flesh under galea aponeurotica along former otch during operation
Layer separates to the flesh base of a fruit, and placement is fixed to prepare the cranium brain three-dimensional dummy with flesh base of a fruit window for disinfecting, solid with suture suspention
Muscular fasciae is determined to dummy, as shown in figure 3, being the cranium brain dummy 1 with flesh base of a fruit window 2 and showing that defect of skull model 3 is fitted
It is intended to, sutures scalp surgeon's knot beam.
Claims (4)
1. a kind of cranium brain three-dimensional dummy with flesh base of a fruit window, the cranium brain three-dimensional dummy with flesh base of a fruit window is to cure
It is substrate with three-dimensional material, some mesh is set on substrate, it is characterised in that:The cranium brain with flesh base of a fruit window it is three-dimensional into
Shape dummy has smooth contour edge, and it is empty that the contour edge is reserved with the flesh base of a fruit for patient's skull defect window muscular tissue
Between, the muscular tissue for being attached to defect of skull window inner tissue is located at the inner side of the cranium brain three-dimensional dummy with flesh base of a fruit space；
The contour edge is reserved with suitable individuation flesh base of a fruit window stereochemical structure for patient's skull defective region muscular tissue, is attached to
Muscle, meninges, cerebral tissue complex in part lack of skull is located at the inner side of the cranium brain three-dimensional dummy with flesh base of a fruit window, band
The profile radian of the cranium brain three-dimensional dummy of flesh base of a fruit window is by muscle, meninges, cerebral tissue complex in part lack of skull
What distribution situation was taken into account, with ensure the stable and bilateral cranium brain of patient's intracranial environment after repairing it is symmetrical with it is attractive in appearance；It is described
Medical three dimension moulding material is pure titanium, titanium alloy or rustless steel.
2. the cranium brain three-dimensional dummy with flesh base of a fruit window according to claim 1, it is characterised in that:The shape of the mesh
Shape is circular, oval or polygon.
3. the preparation method of the arbitrary described cranium brain three-dimensional dummy with flesh base of a fruit window of a kind of claim 1-2:Its feature
It is to comprise the following steps:(1) patient's head view data is obtained, obtains head defect profile, the view data that (2) will obtain
Computer-readable medium is stored in, then these view data are transferred to into computer carries out image real time transfer；(3) image is used
Process software and read data, the data message of segmentation, extraction skull and its surrounding soft tissue rebuilds skull and its surrounding soft tissue
Threedimensional model；(4) after the skull rebuild with image processing software read step (3) and its threedimensional model of surrounding soft tissue,
Form the blank of cranium brain three-dimensional dummy；(5) according to skull and its distribution situation of surrounding soft tissue, in cranium brain three-dimensional dummy
Lower limb be that cranium brain flesh base of a fruit tissue arranges flesh base of a fruit window, to further correcting with the cranium brain dummy of flesh base of a fruit window；(6) application drawing
Corrected cranium brain is three-dimensional in as processing software read step (5) repairs body Model, and is input into making in laser fast forming machine
Cranium brain with flesh base of a fruit window repairs body three-dimensional models；(7) three-dimensional of the cranium brain dummy with the flesh base of a fruit window mould according to obtained in step (6)
Type, is processed into the cranium brain three-dimensional dummy with flesh base of a fruit window.
4. the preparation method of the cranium brain three-dimensional dummy with flesh base of a fruit window according to claim 3:It is characterized in that:Institute
It is by computed tomography, nuclear magnetic resonance, NMR, color ultrasound imaging technique reality to state and obtain in step (1) patient's head image and data
Existing.
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| CN201410039304.9A CN103784218B (en) | 2014-01-27 | 2014-01-27 | Craniocerebral three-dimensional forming restoration with muscle base window and preparation method thereof |
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| WO2022260609A1 (en) * | 2021-06-08 | 2022-12-15 | Meticuly Company Limited | Craniomaxillofacial implant and method of designing thereof |
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| CN105147416A (en) * | 2015-09-23 | 2015-12-16 | 深圳市艾科赛龙科技有限公司 | Construction method and construction system of tissue and organ defect portion bridging object |
| CN114404112B (en) * | 2022-01-26 | 2024-03-05 | 四川大学华西医院 | Integrally formed skull and temporo-muscular filling prosthesis and preparation method thereof |
Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5383931A (en) * | 1992-01-03 | 1995-01-24 | Synthes (U.S.A.) | Resorbable implantable device for the reconstruction of the orbit of the human skull |
| WO1997041791A1 (en) * | 1996-05-03 | 1997-11-13 | Sofamor Danek Properties, Inc. | Cranioplasty plates and method of installation |
| CN101019785A (en) * | 2007-03-06 | 2007-08-22 | 赵亚群 | Skull patch and its prepn process |
| CN101229084A (en) * | 2008-02-20 | 2008-07-30 | 北京吉马飞科技发展有限公司 | Individual titanium alloy cranio-maxillofacial restorator and method for preparing numerical control ultra thin type thereof |
| CN101528158A (en) * | 2006-08-21 | 2009-09-09 | 21世纪国际新技术株式会社 | Bone model, bone filler and process for producing bone filler |
| CN101953726A (en) * | 2010-09-20 | 2011-01-26 | 李长安 | Personalized skull dummy and preparation method thereof |
| CN102096942A (en) * | 2010-12-28 | 2011-06-15 | 嘉兴市第一医院 | Digitalized artificial skull forming method |
| CN102274091A (en) * | 2011-06-24 | 2011-12-14 | 中国人民解放军第四军医大学唐都医院 | Double-layer titanium mesh for cranioplasty |
| CN103002831A (en) * | 2010-06-11 | 2013-03-27 | 新宁医院 | Method of forming patient-specific implant |
| CN203291071U (en) * | 2013-06-05 | 2013-11-20 | 天津市宇诺恒通医疗器械有限公司 | Craniomaxillofacial bone defect customizing body |
-
2014
- 2014-01-27 CN CN201410039304.9A patent/CN103784218B/en not_active Expired - Fee Related
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5383931A (en) * | 1992-01-03 | 1995-01-24 | Synthes (U.S.A.) | Resorbable implantable device for the reconstruction of the orbit of the human skull |
| WO1997041791A1 (en) * | 1996-05-03 | 1997-11-13 | Sofamor Danek Properties, Inc. | Cranioplasty plates and method of installation |
| CN101528158A (en) * | 2006-08-21 | 2009-09-09 | 21世纪国际新技术株式会社 | Bone model, bone filler and process for producing bone filler |
| CN101019785A (en) * | 2007-03-06 | 2007-08-22 | 赵亚群 | Skull patch and its prepn process |
| CN101229084A (en) * | 2008-02-20 | 2008-07-30 | 北京吉马飞科技发展有限公司 | Individual titanium alloy cranio-maxillofacial restorator and method for preparing numerical control ultra thin type thereof |
| CN103002831A (en) * | 2010-06-11 | 2013-03-27 | 新宁医院 | Method of forming patient-specific implant |
| CN101953726A (en) * | 2010-09-20 | 2011-01-26 | 李长安 | Personalized skull dummy and preparation method thereof |
| CN102096942A (en) * | 2010-12-28 | 2011-06-15 | 嘉兴市第一医院 | Digitalized artificial skull forming method |
| CN102274091A (en) * | 2011-06-24 | 2011-12-14 | 中国人民解放军第四军医大学唐都医院 | Double-layer titanium mesh for cranioplasty |
| CN203291071U (en) * | 2013-06-05 | 2013-11-20 | 天津市宇诺恒通医疗器械有限公司 | Craniomaxillofacial bone defect customizing body |
Non-Patent Citations (2)
| Title |
|---|
| 计算机辅助技术个性化塑形钛网用于颅骨修补;朱庆华等;《中国组织工程研究与临床康复》;20071231;第11卷(第44期);第8951-8953页 * |
| 颅骨成形术中的计算机个性化辅助设计6例报道;周敬安等;《中国康复理论与实践》;20041231;第10卷(第5期);第318-319页 * |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2022260609A1 (en) * | 2021-06-08 | 2022-12-15 | Meticuly Company Limited | Craniomaxillofacial implant and method of designing thereof |
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