CN208492220U - Novel mandibular integration osteotomy guide plate - Google Patents
Novel mandibular integration osteotomy guide plate Download PDFInfo
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- CN208492220U CN208492220U CN201721401380.5U CN201721401380U CN208492220U CN 208492220 U CN208492220 U CN 208492220U CN 201721401380 U CN201721401380 U CN 201721401380U CN 208492220 U CN208492220 U CN 208492220U
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- sticking part
- guide plate
- leaflet
- osteotomy guide
- leaflet sticking
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/176—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the jaw
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/568—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Dentistry (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The utility model provides a kind of novel mandibular integration osteotomy guide plate, including fragment sticking part, bridging portion, dissection fixed point portion, location hole and saw lanes；Fragment sticking part includes the forward and backward leaflet sticking part of structure in the form of sheets；Forward and backward leaflet sticking part is connected by bridging portion；Preceding leaflet sticking part is equipped with dissection fixed point portion；The shape for dissecting fixed point portion is the circular protrusions being adapted with mental foramen form；It is provided on forward and backward leaflet sticking part and the operation matched location hole of titanium nail dimension；It is respectively provided with a saw lanes on forward and backward leaflet sticking part, is located at Mandibular disease area two sides.The osteotomy guide plate of the utility model can effectively reduce the loss of bone caused by electric saw, reduce osteotomy section deviation caused by guide plate deviates in place, it reduces in art because of the shortening or extension of osteotomy section caused by adjustment bone block, bone contact surface and angle, do not interfere the in place of transplanting bone block, the in place of fixed titanium plate is not influenced, the relative tertiary location of broken ends of fractured bone bone block can be accurately retained.
Description
Technical field
The utility model relates to biomedical engineering technology field, specifically a kind of novel mandibular integration osteotomy
Guide plate.
Background technique
Jaw defect caused by tumour, wound, inflammation etc. can face to patient and function generate extremely apparent shadow
It rings, to bring physiology and psychological serious blow to patient, influences patient's social activities and life quality.As facial area
Maximum and unique mobilizable bone tissue, recovery of the reconstruction of mandibular for functions such as the facial appearance of patient and chewing voices
It is of great significance, can greatly improve the psychological condition and quality of life of patient.
In recent years, with the rapid development of iconography, microsurgery and Computer Aided Surgery, the digitlization of mandibular
Reconstruction technique is widely applied, and has pushed the mandibular defect reparation weight using the progress such as vascularization free fibula, ilium
Build the development of technology.Guide plate is designed and digitized by virtual operation, and clinician can make for different situations rapid and convenient
Complicated personalization guide plate enormously simplifies surgical procedure relative to the modus operandi based on Conventional wisdom, shortens hand
The art time.
But because jawbone anatomical structure is special, surface irregularity, there are the important anatomy structures such as tooth, nerve channel, individual differences
It is different big, and ilium, fibula used in reconstruction etc. is also the bone tissue of irregular form, so no matter how to cut in art
Bone is finally both needed to make osteotomy surface, contact surface and angle certain adjustment.There are certain saw blades to cause during osteotomy
Bone tissue loss, during adjustment, multiple bone sections adjustment accumulation error will with defect increase and amplify, finally lead
It causes that condyle is prominent, there are biggish deviations for angle of mandible etc. mark point and design scheme, and easily leads to tissue damage.In addition soft in art
Additional interference is organized, causes effect and Design of the bone after the fitting reconstruction of position also to there is certain deviation, in lower jaw
When the second repair of bone defect is rebuild, since the offset of bone block is larger, the problem is more significant.
How to optimize 3D printing personalization guide plate, reduces the error because grinding, modifying the accumulation such as bone face, in place, it is ensured that repair
Mandibular Morphology after multiple reconstruction is consistent with position with Design, still lacks a kind of suitable design scheme.
Utility model content
The utility model devises a kind of mandibular integration osteotomy guide plate of novel Anatomical orientation, which can be effective
It reduces bone caused by electric saw to be lost, reduces osteotomy section deviation caused by guide plate deviates in place, reduce in art because adjustment bone block, bone connect
The in place of transplanting bone block is not interfered in the shortening or extension of osteotomy section caused by contacting surface and angle, does not influence the in place of fixed titanium plate,
The relative tertiary location of broken ends of fractured bone bone block can accurately be retained.By the integration guide plate, 3D printing personalization guide plate can be reduced in jaw
Repeatedly shift and consume the deviation of appearance in bone remoulding art, it is more acurrate, reconstruction rapidly is carried out to mandibular defect, it reduces
Postoperative complications shorten operating time, shorten length of stay.
A kind of novel mandibular integration osteotomy guide plate, it is characterised in that:
Including fragment sticking part, bridging portion, dissection fixed point portion, location hole and saw lanes；
The fragment sticking part includes the preceding leaflet sticking part and rear leaflet sticking part of structure in the form of sheets, for wrapping and pasting
The bone lateral surface and lower edge for closing Mandibular disease area two sides bone section, play the role of maintenance and support；
The preceding leaflet sticking part is connected with rear leaflet sticking part by bridging portion, bridging portion in the form of sheets, rod-shaped or arc；
Preceding leaflet sticking part is equipped with dissection fixed point portion；The shape for dissecting fixed point portion is the circle being adapted with mental foramen form
Protrusion, diseased region is ipsilateral or the mental foramen recess as anatomical landmarks of opposite side for being buckled in, and it is quick to play osteotomy guide plate
Effect in place；
Be provided on the preceding leaflet sticking part and rear leaflet sticking part and perform the operation the matched location hole of titanium nail dimension,
A saw lanes are respectively provided on the preceding leaflet sticking part and rear leaflet sticking part, two saw lanes are located at mandibular
Diseased region two sides are surrounded diseased region with this.
Preferably, the preceding leaflet sticking part and rear leaflet sticking part are respectively equipped with 1-2 location hole, location hole is interior
The annular hollow column structure of diameter 2mm, outer diameter 4-8mm, height are 3-4mm lower than the length that operation titanium is followed closely, to guarantee titanium nail
Maintenance.
Preferably, the saw lanes are the fine crack road structure of width 0.8mm, it is located at Mandibular disease area lateral border 1cm,
Lower edge lower edge on guide plate is 2mm distance thereon, is bevel structure on the inside of saw lanes.
Preferably, the preceding leaflet sticking part and rear leaflet sticking part with a thickness of 2-5mm.
Preferably, the bridging portion and preceding leaflet sticking part, rear leaflet sticking part contact point with a thickness of 4-8mm,
In order to avoid forming weak and stress raiser.
It is parallel to each other preferably, two saw lanes are at least a part of.
Compared with prior art compared with, the beneficial effects of the utility model are:
The guide plate can substantially reduce osteotomy section deviation caused by 1. jawbone affected area osteotomy guide plate deviates in place；The area ②Gong Gu
The shortening or extension of osteotomy section caused by domain osteotomy guide plate and bone face laminating degree；3. deviation caused by the loss of saw lanes.Pass through
The novel all-in-one osteotomy guide plate, can effectively reduce 3D printing personalization guide plate in reconstruction of jaw art because grind, modify bone face,
The deviation in place for waiting repeatedly transfer and consume accumulation appearance, it is ensured that Mandibular Morphology and position and Design after reconstruction
Unanimously, operation precision is improved, operating time is shortened.
Detailed description of the invention
Fig. 1 are as follows: osteotomy guide plate structure schematic diagram described in embodiment 1,
Fig. 2 are as follows: mandibular uses situation after osteotomy guide plate osteotomy described in embodiment 1,
Fig. 3 are as follows: osteotomy guide plate use state diagram described in embodiment 1.
Appended drawing reference: 1- fragment sticking part；Leaflet sticking part before 1a-；Leaflet sticking part after 1b-；2- bridging portion；3- dissection
Fixed point portion；4- location hole；5- saw lanes.
Specific embodiment
Novel mandibular integration osteotomy guide plate is described in further detail below in conjunction with specific implementation case.Its
In, certain known features and its term will be understood by for this skilled addressee in institute's attached drawing, not remake herein
It elaborates.Another present embodiment citing is only highlighted to be set with this osteotomy guide plate relevant portion, the operation of other digital virtuals
Meter, model picture and specific surgical procedure are only briefly described.
1 > of < embodiment
A kind of novel mandibular integration osteotomy guide plate, it is characterised in that:
Including fragment sticking part 1, bridging portion 2, dissection fixed point portion 3, location hole 4 and saw lanes 5；
The fragment sticking part 1 includes the preceding leaflet sticking part 1a and rear leaflet sticking part 1b of structure in the form of sheets, for wrapping
Around the bone lateral surface and lower edge with fitting Mandibular disease area two sides bone section, play the role of maintenance and support；
The preceding leaflet sticking part 1a and rear leaflet sticking part 1b by bridging portion 2 connect, bridging portion 2 in the form of sheets, it is rod-shaped
Or arc；
Preceding leaflet sticking part 1a is equipped with dissection fixed point portion 3；The shape for dissecting fixed point portion 3 is to be adapted with mental foramen form
Circular protrusions, diseased region is ipsilateral or the mental foramen recess as anatomical landmarks of opposite side for being buckled in, and plays osteotomy guide plate
Quickly effect in place；
It is provided on the preceding leaflet sticking part 1a and rear leaflet sticking part 1b and the operation matched positioning of titanium nail dimension
Hole 4,
A saw lanes 5 are respectively provided on the preceding leaflet sticking part 1a and rear leaflet sticking part 1b, two saw lanes are located at
Mandibular disease area two sides are surrounded diseased region with this.
In above-mentioned osteotomy guide plate, the preceding leaflet sticking part 1a and rear leaflet sticking part 1b are respectively equipped with 1-2 location hole
4, location hole 4 is the annular hollow column structure of internal diameter 2mm, outer diameter 4-8mm, and height is 3-4mm lower than the length that operation titanium is followed closely,
To guarantee the maintenance of titanium nail.
In above-mentioned osteotomy guide plate, the saw lanes 5 are the fine crack road structure of width 0.8mm, are located on the outside of Mandibular disease area
At edge 1cm, lower edge lower edge on guide plate is 2mm distance thereon, is bevel structure on the inside of saw lanes.
In above-mentioned osteotomy guide plate, the preceding leaflet sticking part 1a and rear leaflet sticking part 1b with a thickness of 2-5mm.
In above-mentioned osteotomy guide plate, the thickness of the contact point of the bridging portion 2 and preceding leaflet sticking part 1a, rear leaflet sticking part 1b
Degree is 4-8mm, in order to avoid form weak and stress raiser.
In above-mentioned osteotomy guide plate, two strap saw 5 is at least a part of to be parallel to each other.
In above-mentioned osteotomy guide plate, the osteotomy guide plate is made using polylactic acid 3D printing material.
The design and application method of integration osteotomy guide plate described in embodiment 1 are as follows:
The guide plate design 1. digital virtual is performed the operation:
1. conventional Christmas patient image's data, row three-dimensional reconstruction, the threedimensional model in the non-lesion region after retaining osteotomy.
2. avoiding weight on osteotomy guide plate according to non-lesion mandible model design integration osteotomy guide plate (Fig. 1) after osteotomy
The setting location hole for wanting anatomical structure to disperse as far as possible, two broken ends of fractured bone each 1-2.Location hole herein is avoiding the same of important feature
When, it avoids overlapping with the position of the fixed titanium plate of jawbone, i.e. middle part of middle part of Mandibular Rumas and lateral mandibular.Reserved one
Fixed saw lanes loss, design keep two osteotomy surfaces parallel.
3. designing ilium or fibular autograft scheme according to defect size, and osteotomy line and osteotomy guide plate are designed, takes free bone
Block is fitted to bone defect position, and simulates the model after bone collection is rebuild.
4. passing through model after rapid shaping technique processing mandible integration osteotomy guide plate and mandible reconstruction.
5. being sterilized after making model above spare.
2. specifically operation application method is as follows:
1. make mandible threedimensional model, mandibular integration osteotomy guide plate, donor site bone graft osteotomy guide plate,
It is preoperative to bend the fixed titanium plate of jawbone according to model after reconstruction after reconstruction guide plate and mandible reconstruction after model, and in operation
Preceding disinfection；
2. the integrated osteotomy guide plate for being equipped with location hole is buckled after having removed Jawbone Pathoses and non-lesion bone tissue
At mental foramen, it is placed in mandibular predetermined position, guidance is placed according to location hole and bores punching, and tighten fixing glue;
3. lesion is amputated (Fig. 2) according to integrated osteotomy guide plate, the non-lesion broken ends of fractured bone stops blooding and modifies sharpened edge spur；
4. will rebuild guide plate according to location hole is fixed on the free mandibular of bilateral, after the fixed titanium plate of jawbone resets in place, according to titanium
Fixation hole drilling on plate, is screwed into fixing glue, and titanium plate is fixed on the mandibular of both ends；
5. resetting to by area's lesion locations, appropriate experiment material and edge trimming after intercepting donor site bone graft, making to transplant
Bones morphology adapts to be reached and sufficiently matched by area with donor site by area bone tissue space.
6. conventional merging titanium nail, vascular anastomosis and the closing art area surface of a wound.
The purpose of present design is that reducing bone section by improveing integrated osteotomy guide plate repeatedly shifts, and in practical behaviour
Deviation accumulation caused by being lost in work, three sections of bones for guaranteeing that fixed titanium plate is fixed are in ideal three-dimensional position, avoid blind
Mesh finds position, guarantees to save operating time while accuracy, improves procedure efficiency, improves post-operative recovery situation.
The above-mentioned implementation case of this specification is merely possible to enumerate explanation, the utility model to inventive concept way of realization
Application range be not construed as the restriction to the scope of the utility model.Protection scope of the present invention should also be included in
Made modification, equivalent replacement and improvement under the premise of the utility model is conceived.The protection scope of the utility model patent should be with
Subject to appended claims.
Claims (6)
1. a kind of novel mandibular integration osteotomy guide plate, it is characterised in that:
Including fragment sticking part, bridging portion, dissection fixed point portion, location hole and saw lanes；
The fragment sticking part includes the preceding leaflet sticking part and rear leaflet sticking part of structure in the form of sheets, for wrapping and being bonded down
The bone lateral surface and lower edge of Jawbone Pathoses area two sides bone section, play the role of maintenance and support；
The preceding leaflet sticking part is connected with rear leaflet sticking part by bridging portion, bridging portion in the form of sheets, rod-shaped or arc；
Preceding leaflet sticking part is equipped with dissection fixed point portion；The shape for dissecting fixed point portion is that the circle adaptable with mental foramen form is convex
It rises, diseased region is ipsilateral or the mental foramen recess as anatomical landmarks of opposite side for being buckled in, and plays osteotomy guide plate quickly just
The effect of position；
Be provided on the preceding leaflet sticking part and rear leaflet sticking part and perform the operation the matched location hole of titanium nail dimension,
A saw lanes are respectively provided on the preceding leaflet sticking part and rear leaflet sticking part, two saw lanes are located at Mandibular disease
Area two sides are surrounded diseased region with this.
2. osteotomy guide plate according to claim 1, it is characterised in that:
The preceding leaflet sticking part and rear leaflet sticking part are respectively equipped with 1-2 location hole, and location hole is internal diameter 2mm, outer diameter 4-
The annular hollow column structure of 8mm, height are 3-4mm lower than the length that operation titanium is followed closely, to guarantee the maintenance of titanium nail.
3. osteotomy guide plate according to claim 1, it is characterised in that:
The saw lanes are the fine crack road structure of width 0.8mm, are located at Mandibular disease area lateral border 1cm, thereon lower edge distance
Lower edge is 2mm distance on guide plate, is bevel structure on the inside of saw lanes.
4. osteotomy guide plate according to claim 1, it is characterised in that:
The preceding leaflet sticking part and rear leaflet sticking part with a thickness of 2-5mm.
5. osteotomy guide plate according to claim 1, it is characterised in that:
The contact point of the bridging portion and preceding leaflet sticking part, rear leaflet sticking part with a thickness of 4-8mm, in order to avoid formed it is weak and
Stress raiser.
6. osteotomy guide plate according to claim 1-5, it is characterised in that:
Two saw lanes are at least a part of to be parallel to each other.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721401380.5U CN208492220U (en) | 2017-10-26 | 2017-10-26 | Novel mandibular integration osteotomy guide plate |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721401380.5U CN208492220U (en) | 2017-10-26 | 2017-10-26 | Novel mandibular integration osteotomy guide plate |
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| Publication Number | Publication Date |
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| CN208492220U true CN208492220U (en) | 2019-02-15 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201721401380.5U Active CN208492220U (en) | 2017-10-26 | 2017-10-26 | Novel mandibular integration osteotomy guide plate |
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109758208A (en) * | 2019-03-04 | 2019-05-17 | 美创医核公司 | A kind of osteotomy guide plate and preparation method thereof |
| CN109875682A (en) * | 2019-03-26 | 2019-06-14 | 上海交通大学医学院附属第九人民医院 | A kind of construction method of maxillary teeth guidance ascending branch reset and fixed guide plate |
| CN112245074A (en) * | 2020-09-10 | 2021-01-22 | 上海交通大学医学院附属第九人民医院 | Jaw bone transplantation in-place guide plate |
| CN113017765A (en) * | 2021-02-22 | 2021-06-25 | 上海交通大学医学院附属第九人民医院 | Integrated mandible osteotomy external fixation device and use method |
| CN114209390A (en) * | 2022-01-21 | 2022-03-22 | 世康数字(北京)科技有限公司 | Positioning and mounting method and system of bone cutting guide plate, electronic device and storage medium |
| CN114209387A (en) * | 2022-01-21 | 2022-03-22 | 世康数字(北京)科技有限公司 | Osteotomy guide plate assembly |
| IT202100002270A1 (en) * | 2021-02-03 | 2022-08-03 | Univ Degli Studi Di Torino | MANDIBLE CUT GUIDE |
-
2017
- 2017-10-26 CN CN201721401380.5U patent/CN208492220U/en active Active
Cited By (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109758208A (en) * | 2019-03-04 | 2019-05-17 | 美创医核公司 | A kind of osteotomy guide plate and preparation method thereof |
| US11253319B2 (en) | 2019-03-04 | 2022-02-22 | Centermed, Inc. | Osteotomy guide plate and preparation method thereof |
| CN109875682A (en) * | 2019-03-26 | 2019-06-14 | 上海交通大学医学院附属第九人民医院 | A kind of construction method of maxillary teeth guidance ascending branch reset and fixed guide plate |
| CN112245074A (en) * | 2020-09-10 | 2021-01-22 | 上海交通大学医学院附属第九人民医院 | Jaw bone transplantation in-place guide plate |
| CN112245074B (en) * | 2020-09-10 | 2023-09-22 | 上海交通大学医学院附属第九人民医院 | Jaw bone grafting guide board that takes one's place |
| IT202100002270A1 (en) * | 2021-02-03 | 2022-08-03 | Univ Degli Studi Di Torino | MANDIBLE CUT GUIDE |
| WO2022167942A1 (en) * | 2021-02-03 | 2022-08-11 | Universita' Degli Studi Di Torino | Jaw surgical guide |
| CN113017765A (en) * | 2021-02-22 | 2021-06-25 | 上海交通大学医学院附属第九人民医院 | Integrated mandible osteotomy external fixation device and use method |
| CN114209390A (en) * | 2022-01-21 | 2022-03-22 | 世康数字(北京)科技有限公司 | Positioning and mounting method and system of bone cutting guide plate, electronic device and storage medium |
| CN114209387A (en) * | 2022-01-21 | 2022-03-22 | 世康数字(北京)科技有限公司 | Osteotomy guide plate assembly |
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Effective date of registration: 20211018 Address after: 430071 floor 10, No. 338, Xudong street, Wuchang District, Wuhan City, Hubei Province Patentee after: Wuhan chaoen Medical Technology Co.,Ltd. Address before: 430072 Hubei Province, Wuhan city Wuchang District of Wuhan University Luojiashan Patentee before: WUHAN University |
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