CN105943200A - Zygomatic arch temporal-mandibular joint glenoid fossa combined remediation prosthesis - Google Patents
Zygomatic arch temporal-mandibular joint glenoid fossa combined remediation prosthesis Download PDFInfo
- Publication number
- CN105943200A CN105943200A CN201610227998.8A CN201610227998A CN105943200A CN 105943200 A CN105943200 A CN 105943200A CN 201610227998 A CN201610227998 A CN 201610227998A CN 105943200 A CN105943200 A CN 105943200A
- Authority
- CN
- China
- Prior art keywords
- temporal bone
- zygomatic arch
- temporal
- bone
- prosthese
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30988—Other joints not covered by any of the groups A61F2/32 - A61F2/4425
- A61F2/3099—Other joints not covered by any of the groups A61F2/32 - A61F2/4425 for temporo-mandibular [TM, TMJ] joints
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
Abstract
The invention discloses a zygomatic arch temporal-mandibular joint glenoid fossa combined remediation prosthesis, and the prosthesis comprises a zygomatic bone fixing pterygoid lamina which contacts with a zygomatic bone and is fixed on the zygomatic bone, a temporal bone fixing pterygoid lamina which contacts with the temporal bone and is fixed on the temporal bone, a zygomatic arch connection part, and a skull base projection part which contacts with a skull base. The zygomatic bone fixing pterygoid lamina, the temporal bone fixing pterygoid lamina and the zygomatic arch connection part are respectively connected with the zygomatic arch connection part. The skull base projection part is provided with a glenoid fossa recessed part and baffle plates disposed at two ends of the glenoid fossa recessed part. The prosthesis can be used for repairing the combined loss, caused by the temporal-mandibular joint tumour and congenital malformation, of the zygomatic arch and a temporal-mandibular joint fossa, is more attached to a jaw bone, reduces unnecessary bone grinding, avoids the risks of damages to a skull base and an external auditory canal, greatly reduces the operation time, improves the fixing accuracy and stability, and can achieve the precise restoration of the combine loss of a zygomatic arch temporal-mandibular joint glenoid fossa of a Chinese.
Description
Technical field
The present invention relates to field of medical technology, be specifically related to a kind of zygomatic arch articular fossa of temporal bone combine d bioremediation
Prosthese.
Background technology
Remporomandibular joint tumor, congenital malformation (such as mandibular arch syndrome) often result in zygomatic arch and temporo
Articular fossa of mandible associating defect, needs to carry out reconstruction.Artificial prosthesis is repaired and autologous bone transplanting phase
More accurate than having, stable do not absorb, without the advantage opening up the second art district, it has also become the prosperities such as the U.S.
The conventional means of country's reconstruction.But there is no at present and design according to Chinese's defect scope and feature
Prosthesis.
Still lacking corresponding prosthesis at present in view of domestic, operation takes bone and bone grafting all exists accuracy
Deficiency, easily damage basis cranii jaw external auditory meatus, causes the risk of cerebrospinal leak and hearing disability, and blind
Mesh is without the bone grinding wanted, it would be highly desirable to a kind of zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese of invention, with
Accurately repair Chinese zygomatic arch articular fossa of temporal bone associating defect.
Summary of the invention
It is an object of the invention to provide a kind of personalized zygomatic arch articular fossa of temporal bone associating defect repair false
Body, it is possible to facilitate in art and use, reduces bone mill and changes, and increase the Stability and veracity that prosthese is installed,
To fill up the blank of home products design.
According to an aspect of the present invention, it is provided that a kind of zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese,
It is characterized in that, described prosthese includes: the cheekbone contacting with cheekbone and being fixed thereon fix wing plate,
The temporal bone contacted with temporal bone and be fixed thereon fixes wing plate, zygomatic arch connecting portion and the cranium contacted with basis cranii
End jut；Described cheekbone fixes wing plate, temporal bone fixes wing plate, basis cranii jut all with described zygomatic arch
Connecting portion is connected；Described basis cranii jut has glenoid fossa depressed part and is arranged on described glenoid fossa depression
The baffle plate at two ends, portion.
Wherein, in above-mentioned zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese, described cheekbone fixed-wing
It is provided with multiple first fixing hole on plate, is fixed on cheekbone for described cheekbone is fixed wing plate.
Wherein, in above-mentioned zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese, described first fixing hole
For screw hole.
Wherein, in above-mentioned zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese, described temporal bone fixed-wing
It is provided with multiple second fixing hole on plate, is fixed on temporal bone for described temporal bone is fixed wing plate.
Wherein, in above-mentioned zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese, described second fixing hole
For screw hole.
Wherein, in above-mentioned zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese, described cheekbone fixed-wing
The width of plate is 10mm, a length of 20mm, and thickness is 2.5mm；Described temporal bone fixes the width of wing plate
For 10mm, a length of 15mm, thickness is 2.5mm；The width of described zygomatic arch connecting portion is 10mm,
A length of 15mm, thickness is 2.5mm；Described basis cranii jut is one 45 degree of slopes, length 15mm,
Width 15mm；Described glenoid fossa depressed part is the hemisphere depression of radius 8mm；The length of described baffle plate
For 5mm.
Wherein, in above-mentioned zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese, described prosthese is by superelevation
Molecular polyethylene polymer is made.
Compared with prior art, a kind of zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese of the present invention, can
To repair the zygomatic arch that remporomandibular joint tumor, congenital malformation (such as mandibular arch syndrome) etc. cause
Combining defect with articular fossa of temporal bone, prosthese is more fitted with jawbone, decreases unnecessary bone grinding,
Avoid basis cranii and the risk of external auditory meatus damage, highly shortened operating time, add prosthese solid
The Stability and veracity of position, it is possible to achieve the essence of Chinese zygomatic arch articular fossa of temporal bone associating defect
Really repair.
Accompanying drawing explanation
Fig. 1 is that the structure of the zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese of the embodiment of the present invention is shown
It is intended to；
Fig. 2 is that the Facad structure of the zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese of the embodiment of the present invention shows
It is intended to；
Fig. 3 is that the polycrystalline substance of the zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese of the embodiment of the present invention shows
It is intended to
Fig. 4 is the signal during zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese installation of the embodiment of the present invention
Figure.
Wherein:
1 fixes wing plate for cheekbone；2 fix wing plate for temporal bone；3 is zygomatic arch connecting portion；4 is glenoid fossa
Depressed part；5 is basis cranii jut；6 is the first fixing hole；7 is the second fixing hole；8 is baffle plate.
Detailed description of the invention
For making the object, technical solutions and advantages of the present invention of greater clarity, below in conjunction with concrete real
Executing mode referring to the drawings, the present invention is described in more detail.It should be understood that these describe simply
Exemplary, and it is not intended to limit the scope of the present invention.Additionally, in the following description, it is right to eliminate
Known features and the description of technology, to avoid unnecessarily obscuring idea of the invention.
Present invention is mainly applied to remporomandibular joint tumor, congenital malformation (such as first arch syndrome)
Reparation etc. the zygomatic arch articular fossa of temporal bone associating defect caused.Preoperative CT data pair based on patient
Defect scope measures and designs.
As shown in Figures 1 to 4, the zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese of the present embodiment includes:
The cheekbone contacted with cheekbone and be fixed thereon fixes what wing plate 1 contacted with temporal bone and was fixed thereon
Temporal bone fixes wing plate 2, zygomatic arch connecting portion 3 and the basis cranii jut 5 contacted with basis cranii.Cheekbone is fixed
Wing plate 1, temporal bone fix wing plate 2, basis cranii jut 5 is all connected to form prosthese with zygomatic arch connecting portion 3,
This prosthese is made up of ultra high molecular polyethylene polymer.
Specifically, cheekbone is fixed and is provided with multiple first fixing hole 6, the first fixing hole on wing plate 1
6 are fixed on cheekbone for cheekbone is fixed wing plate 1, this first fixing hole 6 can but be not limited only to
Screw hole.Temporal bone is fixed and is provided with multiple second fixing hole 7 on wing plate 2, and the second fixing hole 7 is used for
Temporal bone is fixed wing plate 3 be fixed on temporal bone, this second fixing hole 7 can but be not limited only to screw hole.
Basis cranii jut 5 has glenoid fossa depressed part 4 and is arranged on the baffle plate 8 at glenoid fossa depressed part 4 two ends.
In the present embodiment, specifically, it is 10mm that cheekbone fixes the width of wing plate 1, a length of 20mm,
Thickness is 2.5mm.It is 10mm that temporal bone fixes the width of wing plate 2, a length of 15mm, and thickness is 2.5mm.
The width of zygomatic arch connecting portion 3 is 10mm, a length of 15mm, and thickness is 2.5mm.Basis cranii jut 5
It is one 45 degree of slopes, length 15mm, width 15mm.Glenoid fossa depressed part 4 is the half of radius 8mm
Spheroid caves in.The a length of 5mm of baffle plate 8.
Upward, down, cheekbone is solid for glenoid fossa depressed part 4 for prosthese basis cranii jut 5 in the present embodiment
Determine wing plate 1 and be placed in cheekbone area outwardly, fix the screw hole on wing plate 1 by cheekbone solid by screw
On facies lateralis ossis zygomatici, temporal bone is fixed wing plate 2 and is placed in temporal bone region outwardly, by temporal bone fixed-wing
Screw hole on plate 2 is fixed on temporal bone lateral surface by screw, and rear portion baffle plate 8 is before external auditory meatus
Wall 2-3mm.
The prosthese of this enforcement can repair remporomandibular joint tumor, congenital malformation (combine by such as mandibular arch
Close disease) etc. the zygomatic arch that causes and articular fossa of temporal bone associating defect, prosthese is more fitted with jawbone, subtracts
Lack unnecessary bone grinding, it is to avoid basis cranii and the risk of external auditory meatus damage, highly shortened hands
The art time, add the Stability and veracity of prosthese maintenance, it is possible to achieve under Chinese zygomatic arch temporo
The accurate reparation of jaw glenoid fossa associating defect.
Operation consent is measured according to the three dimensional CT of patient, specifies scope and the size of defect；Art uses
Improvement preauricular incision+margo palpebrae lower cut fully exposes temporal bone, basis cranii, zygomatic arch, cheekbone and socket of the eye lower edge,
Excision pathological changes or exposure defect, the soft tissue of finishing bone surface, it is beneficial to prosthese maintenance.Prosthese is pacified
It is placed in defective region so that it is the tissue surface of cheekbone wing plate, temporal bone wing plate and basis cranii is fitted with patient's surface of bone,
The temporal bone wing plate of the most each 4 screws fixed fae body respectively and cheekbone wing plate, it is ensured that prosthese maintenance is stable
Without rocking.Chloromycetin irrigates, each placement negative-pressure drainage tube 1 in otch before ear and after jaw
Root, layer-by-layer suture otch.
As it has been described above, the zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese of the present invention, can be according to patient
Defect scope make to measure, and change the sclerotin of patient without mill, thus avoid basis cranii and outer
The risk of auditory meatus damage, highly shortened operating time；The prosthese of design can accurate repair deficiency,
Paste completely with surface of bone merga pass cheekbone, temporal bone and basis cranii carry out 3 stable fixing, there is accuracy
Advantage with stability.
It should be appreciated that the above-mentioned detailed description of the invention of the present invention is used only for exemplary illustration or solution
Release the principle of the present invention, and be not construed as limiting the invention.Therefore, in the essence without departing from the present invention
Any modification, equivalent substitution and improvement etc. done in the case of god and scope, should be included in this
Within bright protection domain.Want additionally, claims of the present invention are intended to fall into appended right
That asks in the equivalents on scope and border or this scope and border whole changes and modifications example.
Claims (7)
1. a zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese, it is characterised in that described prosthese bag
Include: the cheekbone contacting with cheekbone and being fixed thereon is fixed wing plate (1) and contacted with temporal bone and be fixed on
Temporal bone thereon fixes wing plate (2), zygomatic arch connecting portion (3) and the basis cranii jut contacted with basis cranii
(5)；Described cheekbone fixes wing plate (1), temporal bone fixes wing plate (2), basis cranii jut (5) equal
It is connected with described zygomatic arch connecting portion (3)；Described basis cranii jut (5) has glenoid fossa depressed part (4)
With the baffle plate (8) being arranged on described glenoid fossa depressed part (4) two ends.
Zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese the most according to claim 1, its feature
Being, described cheekbone is fixed and is provided with multiple first fixing hole (6) on wing plate (1), for by institute
State cheekbone to fix wing plate (1) and be fixed on cheekbone.
Zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese the most according to claim 2, its feature
Being, described first fixing hole (6) is screw hole.
Zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese the most according to claim 1, its feature
Being, described temporal bone is fixed and is provided with multiple second fixing hole (7) on wing plate (2), for by institute
State temporal bone to fix wing plate (3) and be fixed on temporal bone.
Zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese the most according to claim 4, its feature
Being, described second fixing hole (7) is screw hole.
6. false according to the zygomatic arch articular fossa of temporal bone combine d bioremediation according to any one of claim 1-5
Body, it is characterised in that it is 10mm that described cheekbone fixes the width of wing plate (1), a length of 20mm,
Thickness is 2.5mm；It is 10mm that described temporal bone fixes the width of wing plate (2), a length of 15mm, thick
Degree is 2.5mm；The width of described zygomatic arch connecting portion (3) is 10mm, a length of 15mm, and thickness is
2.5mm；Described basis cranii jut (5) is one 45 degree of slopes, length 15mm, width 15mm；Institute
State the hemisphere depression that glenoid fossa depressed part (4) is radius 8mm；Described baffle plate (8) a length of
5mm。
Zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese the most according to claim 6, its feature
Being, described prosthese is made up of ultra high molecular polyethylene polymer.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610227998.8A CN105943200A (en) | 2016-04-13 | 2016-04-13 | Zygomatic arch temporal-mandibular joint glenoid fossa combined remediation prosthesis |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610227998.8A CN105943200A (en) | 2016-04-13 | 2016-04-13 | Zygomatic arch temporal-mandibular joint glenoid fossa combined remediation prosthesis |
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| Publication Number | Publication Date |
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| CN105943200A true CN105943200A (en) | 2016-09-21 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610227998.8A Pending CN105943200A (en) | 2016-04-13 | 2016-04-13 | Zygomatic arch temporal-mandibular joint glenoid fossa combined remediation prosthesis |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107157624A (en) * | 2017-06-08 | 2017-09-15 | 上海交通大学医学院附属第九人民医院 | Basis cranii remporomandibular joint combines prosthese |
| CN109064862A (en) * | 2018-10-18 | 2018-12-21 | 冯萍 | A kind of application method of remporomandibular joint simulation demonstrating apparatus |
| CN116492114A (en) * | 2022-03-18 | 2023-07-28 | 上海交通大学医学院附属第九人民医院 | Skull base joint fossa prosthesis, construction method thereof and preparation method thereof |
| CN116492115A (en) * | 2022-03-18 | 2023-07-28 | 上海交通大学医学院附属第九人民医院 | Anterior temporomandibular joint blocking prosthesis and construction method thereof |
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| US4917701A (en) * | 1988-09-12 | 1990-04-17 | Morgan Douglas H | Temporomandibular joint prostheses |
| US5549680A (en) * | 1994-02-10 | 1996-08-27 | Biomet, Inc. | Apparatus for total temporomandibular joint replacement |
| WO2014195404A1 (en) * | 2013-06-07 | 2014-12-11 | Obl Sa | Temporo-mandibular joint prosthesis |
| CN104887352A (en) * | 2015-05-12 | 2015-09-09 | 上海交通大学医学院附属第九人民医院 | Artificial temporal-mandibular joint replacement prosthesis |
| CN205698133U (en) * | 2016-04-13 | 2016-11-23 | 上海交通大学医学院附属第九人民医院 | A kind of zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese |
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2016
- 2016-04-13 CN CN201610227998.8A patent/CN105943200A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4917701A (en) * | 1988-09-12 | 1990-04-17 | Morgan Douglas H | Temporomandibular joint prostheses |
| US5549680A (en) * | 1994-02-10 | 1996-08-27 | Biomet, Inc. | Apparatus for total temporomandibular joint replacement |
| WO2014195404A1 (en) * | 2013-06-07 | 2014-12-11 | Obl Sa | Temporo-mandibular joint prosthesis |
| CN104887352A (en) * | 2015-05-12 | 2015-09-09 | 上海交通大学医学院附属第九人民医院 | Artificial temporal-mandibular joint replacement prosthesis |
| CN205698133U (en) * | 2016-04-13 | 2016-11-23 | 上海交通大学医学院附属第九人民医院 | A kind of zygomatic arch articular fossa of temporal bone combine d bioremediation prosthese |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107157624A (en) * | 2017-06-08 | 2017-09-15 | 上海交通大学医学院附属第九人民医院 | Basis cranii remporomandibular joint combines prosthese |
| CN109064862A (en) * | 2018-10-18 | 2018-12-21 | 冯萍 | A kind of application method of remporomandibular joint simulation demonstrating apparatus |
| CN109064862B (en) * | 2018-10-18 | 2020-12-01 | 温州迈德菲家居有限公司 | Use method of temporomandibular joint simulation demonstration device |
| CN116492114A (en) * | 2022-03-18 | 2023-07-28 | 上海交通大学医学院附属第九人民医院 | Skull base joint fossa prosthesis, construction method thereof and preparation method thereof |
| CN116492115A (en) * | 2022-03-18 | 2023-07-28 | 上海交通大学医学院附属第九人民医院 | Anterior temporomandibular joint blocking prosthesis and construction method thereof |
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