CN215129552U - Surgical guide plate kit for iliac valve transplantation after mandible tumor resection - Google Patents
Surgical guide plate kit for iliac valve transplantation after mandible tumor resection Download PDFInfo
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- CN215129552U CN215129552U CN202120276249.0U CN202120276249U CN215129552U CN 215129552 U CN215129552 U CN 215129552U CN 202120276249 U CN202120276249 U CN 202120276249U CN 215129552 U CN215129552 U CN 215129552U
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- mandible
- ilium
- baffle
- guide plate
- bone
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- 210000004373 mandible Anatomy 0.000 title claims abstract description 83
- 206010028980 Neoplasm Diseases 0.000 title claims abstract description 36
- 238000002271 resection Methods 0.000 title claims description 14
- 238000002054 transplantation Methods 0.000 title description 5
- 210000003692 ilium Anatomy 0.000 claims abstract description 78
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 28
- 208000010392 Bone Fractures Diseases 0.000 claims abstract description 20
- 238000001356 surgical procedure Methods 0.000 claims abstract description 16
- 238000000465 moulding Methods 0.000 claims abstract description 11
- 238000007493 shaping process Methods 0.000 claims description 41
- 238000005520 cutting process Methods 0.000 claims description 24
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims description 7
- 229910052719 titanium Inorganic materials 0.000 claims description 7
- 239000010936 titanium Substances 0.000 claims description 7
- 210000001621 ilium bone Anatomy 0.000 claims description 2
- 210000001847 jaw Anatomy 0.000 claims 1
- 238000000034 method Methods 0.000 abstract description 9
- 241000446313 Lamella Species 0.000 abstract description 8
- 230000008569 process Effects 0.000 abstract description 6
- 238000002360 preparation method Methods 0.000 abstract description 4
- 238000005265 energy consumption Methods 0.000 abstract description 2
- 239000000463 material Substances 0.000 abstract description 2
- 238000013459 approach Methods 0.000 description 4
- 238000013461 design Methods 0.000 description 4
- 208000014674 injury Diseases 0.000 description 4
- 230000006870 function Effects 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 230000008733 trauma Effects 0.000 description 3
- 238000004519 manufacturing process Methods 0.000 description 2
- 238000004080 punching Methods 0.000 description 2
- 239000011347 resin Substances 0.000 description 2
- 229920005989 resin Polymers 0.000 description 2
- 238000010146 3D printing Methods 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 230000003340 mental effect Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 230000035945 sensitivity Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
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Abstract
The utility model provides a surgery baffle external member is transplanted to ilium lamella after mandible tumour excision, including mandible cut bone baffle, the moulding baffle of ilium cut bone and coaptation board, mandible cut bone baffle includes the first baffle base member that corresponds with mandible tissue shape, is equipped with first locating hole on the first baffle base member, the ilium cuts the moulding baffle of bone and includes the second baffle base member that corresponds with ilium tissue shape, is equipped with the second locating hole on the second baffle base member, be equipped with a plurality of fixed orificess on the coaptation board, and a plurality of fixed orificess on the coaptation board are corresponding with first locating hole or second locating hole respectively. The utility model provides a surgical baffle external member is transplanted to ilium lamella after mandible tumour excision contains mandible and cuts the moulding baffle of bone with the ilium, has reduced baffle preparation number to corresponding energy consumption, raw and other materials, process time etc. have been saved. In addition, the fixing holes on the bone fracture plate correspond to the positioning holes on the guide plate, so that the corresponding operation accuracy is improved.
Description
Technical Field
The utility model belongs to the technical field of medical instrument and specifically relates to a surgery baffle external member is transplanted to ilium lamella after mandible tumour excision is related to.
Background
Functional repair and reconstruction of mandibular defects is one of research hotspots in the field of oral maxillofacial surgery in recent years, and a Virtual Surgical Planning (VSP) can intuitively simulate an operation process before an operation to obtain a predicted operation effect. Currently, the main means of converting virtual design into surgical implementation are computer-aided navigation systems and surgical guides. The surgical guide plate designed according to the CT before the operation of the patient can accurately control the resection of the tumor and the fixation of the transplanted bone block during the operation. Compared with a computer-aided navigation system, the surgical guide plate is lower in manufacturing cost and lower in technical sensitivity, and is more beneficial to the learning and use of surgeons and the development in primary hospitals.
In the use process of the existing guide plate kit, the number of guide plates is large, and the operation flow is complex; for example: grant publication No. CN 107049416B, discloses a bone grafting guide plate kit for mandibular tumor resection and extraction from body ilium. 1. This patent includes 4 surgical guide plates, which are relatively numerous and relatively expensive to manufacture. 2. The guide plate function of this patent includes: mandible osteotomies, iliac osteotomies, and guided iliac positioning, but not guided iliac and mandible fixation. 3. The guide plate in the patent has no fixing device with the mandible and the ilium, and the position is easy to change relatively in the operation process, so that the operation accuracy is reduced.
Therefore, the guide plate kit with simple operation process is significant.
SUMMERY OF THE UTILITY MODEL
The utility model aims at providing a surgical baffle external member is transplanted to ilium lamella after the tumour excision of mandible to solve the complicated problem of baffle external member operation flow among the prior art.
In order to achieve the above object, the present invention provides the following technical solutions:
according to the utility model discloses the first aspect of the embodiment provides a surgery baffle external member is transplanted to ilium lamella after mandible tumour excision, cut moulding baffle of bone and coaptation board including mandible, the mandible cuts the bone baffle and includes the first baffle base member that corresponds with mandible tissue shape, is equipped with first locating hole on the first baffle base member, the ilium cuts the moulding baffle of bone and includes the second baffle base member that corresponds with ilium tissue shape, is equipped with the second locating hole on the second baffle base member, be equipped with a plurality of fixed orificess on the coaptation board, and a plurality of fixed orificess on the coaptation board are corresponding with first locating hole or second locating hole respectively.
Furthermore, the first positioning holes on the mandible osteotomy guide plate correspond to the fixing holes on two sides of the bone fracture plate.
Furthermore, a second positioning hole on the ilium cutting and shaping guide plate corresponds to a fixing hole in the middle of the bone fracture plate.
Further, the tumor corresponding part in the mandible osteotomy guide plate is at least 5mm away from the tumor surface.
Furthermore, a mandible osteotomy line is arranged on the mandible osteotomy guide plate.
Furthermore, an ilium osteotomy line is arranged on the periphery of the ilium osteotomy shaping guide plate.
Furthermore, a shaping line is arranged inside the ilium osteotomy shaping guide plate.
Further, the surgical guide plate kit for the iliac valve transplantation after the resection of the mandible tumor further comprises a plurality of titanium nails for fixing the mandible osteotomy guide plate, the iliac osteotomy shaping guide plate and the bone fracture plate.
The utility model has the advantages of as follows: the utility model provides a surgery baffle external member is transplanted to ilium lamella after mandible tumour excision only contains mandible and cuts bone baffle, the moulding baffle of ilium cut bone and coaptation board, has reduced baffle preparation number to corresponding energy consumption, raw and other materials, process time etc. have been saved. In addition, the fixing holes on the bone fracture plate correspond to the positioning holes on the guide plate, so that the corresponding operation accuracy is improved.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the embodiments or the technical solutions in the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.
Fig. 1 is a schematic view of a three-dimensional printing mandible photosensitive resin model provided by the utility model;
fig. 2 is a schematic view of the mandible bone fracture plate according to the present invention;
fig. 3 is a schematic view of the mandible osteotomy guide provided by the present invention;
fig. 4 is a schematic view of an ilium osteotomy shaping guide provided by the present invention;
description of reference numerals: 1-mandible osteotomy guide plate; 2-an ilium osteotomy shaping guide plate; 3-a bone fracture plate; 4-a first locating hole; 5-a second positioning hole; 6-fixing the hole.
Detailed Description
The technical solution of the present invention will be described clearly and completely with reference to the following embodiments, and it should be understood that the described embodiments are some, but not all embodiments of the present invention. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and to simplify the description, but do not indicate or imply that the device or element referred to must have a particular orientation, be constructed and operated in a particular orientation, and therefore should not be construed as limiting the present invention.
Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, features defined as "first", "second", may explicitly or implicitly include one or more of the described features. In the description of the present invention, "a plurality" means two or more unless specifically limited otherwise. Furthermore, the terms "mounted," "connected," and "connected" are to be construed broadly and may, for example, be fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood in specific cases to those skilled in the art.
Example 1
The embodiment provides a surgery baffle external member is transplanted to ilium flap after mandible tumour excision, including mandible cut bone baffle 1, the moulding baffle 2 of ilium cut bone and coaptation board 3, mandible cut bone baffle 1 includes the first baffle base member that corresponds with mandible tissue shape, is equipped with first locating hole 4 on the first baffle base member, the ilium cuts the moulding baffle 2 of bone and includes the second baffle base member that corresponds with ilium tissue shape, is equipped with second locating hole 5 on the second baffle base member, be equipped with a plurality of fixed orificess 6 on the coaptation board 3, and a plurality of fixed orificess 6 on the coaptation board 3 are corresponding with first locating hole 4 or second locating hole 5 respectively.
Preferably, the first positioning holes 4 of the mandible osteotomy guide 1 correspond to the fixing holes 6 on both sides of the bone plate 3.
Preferably, the second positioning hole on the ilium cutting shaping guide plate 2 corresponds to the fixing hole 6 in the middle of the bone plate 3.
Preferably, the tumor corresponding part in the mandibular bone cutting guide 1 is at least 5mm from the tumor surface.
Preferably, the mandible osteotomy guide plate 1 is provided with a mandible osteotomy line; an ilium osteotomy line is arranged on the periphery of the ilium osteotomy shaping guide plate 2; and a shaping line is arranged inside the ilium osteotomy shaping guide plate 2.
Preferably, the surgical guide plate kit for iliac valve transplantation after resection of mandible tumor further comprises a plurality of titanium nails for fixing the mandible osteotomy guide plate 1, the iliac osteotomy shaping guide plate 2 and the bone plate 3, and the specific number can be selected according to the requirement.
The utility model provides a design principle of ilium lamella transplantation surgery baffle external member lies in after mandible tumour excision:
after the preoperative digital design is completed, as shown in fig. 1, a photosensitive resin model of the mandible is printed in three dimensions, and as shown in fig. 2, a bone fracture plate 3 which is required to be used for fixing the ilium and the mandible is pre-bent on the model. The hole position of the bone fracture plate 3 is obtained by using a three-dimensional scanner, and the hole position is used for designing the mandible osteotomy guide plate 1 and the iliac osteotomy shaping guide plate 2.
As shown in fig. 3, the mandible osteotomy guide plate 1 is designed according to the position of mandible tumor excision and the position of bone plate holes. The using method of the mandible osteotomy guide plate 1 comprises the following steps: exposing the tumor through a lower jaw approach in the operation; the mandible osteotomy guide plate 1 is positioned according to the shape of the lower edge of the mandible and the side surface (lateral surface) of the cheek; after the position of the mandible osteotomy guide plate 1 is determined to be correct, punching is performed on the mandible according to a first positioning hole 4 on the mandible osteotomy guide plate 1, and the mandible osteotomy guide plate 1 is fixed on the mandible by using a titanium nail; and fourthly, guiding the mandible to cut according to the bone cutting line on the mandible bone cutting guide plate 1. The function of the mandible osteotomy guide 1 includes: firstly, guiding the resection and osteotomy of the mandible tumor; preparing holes for fixing the bone fracture plate 3 for the mandible in advance; and thirdly, the first positioning hole 4 of the mandible osteotomy guide plate 1 is also the fixing hole 6 of the bone fracture plate 3. The mandible osteotomy guide 1 needs to meet the following requirements in design: when the lower edge of the remaining mandible is selected as a mark for guiding the positioning, the mandible osteotomy guide plate 1 is prevented from excessively wrapping and extending towards the lingual side of the mandible as much as possible, so that the trauma to the healthy tissue on the lingual side (inner side) of the remaining mandible is reduced; after the mandible osteotomy guide plate 1 is completely in place, the tissue surface (inner side surface) of the mandible osteotomy guide plate 1 corresponding to the tumor part should keep a distance of at least 5mm from the tumor surface, so as to ensure the integrity of the tumor edge; fixing holes 6 of the bone fracture plate 3 are used as the position fixing holes of the guide plate as much as possible, so that additional trauma is avoided; attention is paid to the protection of the healthy lateral mental nerve.
As shown in figure 4, the iliac osteotomy shaping guide 2 is designed according to the position of the iliac bone required to be used and the position of the hole of the bone plate 3. The use method of the ilium osteotomy shaping guide plate 2 comprises the following steps: exposing the ilium through an external iliac approach in an operation; the ilium osteotomy shaping guide plate 2 is positioned according to the shape of the external side of the ilium crest and the ilium; after the position of the ilium cutting and shaping guide plate 2 is determined to be correct, holes are formed in the ilium according to a second positioning hole 5 in the ilium cutting and shaping guide plate 2, and the ilium cutting and shaping guide plate 2 is fixed on the ilium through a titanium nail; guiding the ilium osteotomy according to the osteotomy line at the periphery of the ilium osteotomy shaping guide plate 2; and fifthly, guiding the shaping of the ilium according to a shaping line in the ilium cutting and shaping guide plate 2.
The functions of the ilium osteotomy shaping guide 2 include: firstly, guiding the cutting and internal shaping of the ilium; preparing holes for fixing the bone fracture plate 3 for the ilium in advance; and thirdly, the second positioning hole 5 of the ilium cutting and shaping guide plate 2 is also a fixing hole 6 of the bone fracture plate 3. The design of the ilium osteotomy shaping guide plate 2 needs to meet the following requirements: firstly, the iliac cutting and shaping guide plate 2 is prevented from being excessively wrapped and extended towards the inner side of an iliac crest as much as possible, so that the injury to the vascular pedicle of the iliac valve is avoided; secondly, fixing holes 6 of the bone fracture plate 3 are used as second positioning holes 5 of the ilium osteotomy shaping guide plate 2 as far as possible, so that additional trauma is avoided; attention is paid to the protection of the tissue valve to cross the blood vessel.
After the preparation of the ilium is completed, the bone fracture plate 3 is used for directly connecting and fixing the mandible and the ilium with the prefabricated holes. The holes of the bone fracture plate do not need to be prepared again, and an additional iliac positioning guide plate is also not needed.
The utility model provides a use method of surgery baffle external member is transplanted to ilium lamella after mandible tumour excision, including following step:
step one, exposing the tumor position in the mandibular approach of a patient, and positioning the mandibular bone cutting guide plate 1 according to the mandibular inferior border and the buccal side (lateral side) shape.
And step two, after the position of the mandible bone cutting guide plate 1 is determined to be correct, the mandible bone cutting guide plate 1 is punched on the mandible according to the first positioning hole 4 on the mandible bone cutting guide plate 1, and the mandible bone cutting guide plate 1 is fixed on the mandible by using a titanium nail (as shown in fig. 3).
And step three, guiding the mandible osteotomy according to the osteotomy line on the mandible osteotomy guide plate 1.
And step four, exposing the ilium through the external side approach of the ilium, positioning the ilium cutting and shaping guide plate 2 according to the external side shapes of the ilium crest and the ilium, punching holes on the ilium according to a second positioning hole 5 on the ilium cutting and shaping guide plate 2 after determining that the position of the ilium cutting and shaping guide plate 2 is correct, and fixing the ilium cutting and shaping guide plate 2 on the ilium by using a titanium nail (as shown in figure 4).
And step five, guiding the ilium osteotomy according to the osteotomy line at the periphery of the ilium osteotomy shaping guide plate 2, and guiding the ilium shaping according to the shaping line inside the ilium osteotomy shaping guide plate 2.
And step six, after the preparation of the ilium is finished, the bone fracture plate 3 is used for directly connecting and fixing the prefabricated mandible and the ilium.
Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit the same; although the present invention has been described in detail with reference to the foregoing embodiments, it should be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; such modifications and substitutions do not depart from the spirit and scope of the present invention.
Claims (8)
1. The utility model provides a surgery baffle external member is transplanted to ilium flap after mandible tumour excision which characterized in that: including mandible cut bone conduction board, ilium cut moulding baffle of bone and coaptation board, mandible cut bone conduction board include the first baffle base member that corresponds with mandible tissue shape, is equipped with first locating hole on the first baffle base member, the ilium cuts moulding baffle of bone and includes the second baffle base member that corresponds with ilium tissue shape, is equipped with the second locating hole on the second baffle base member, be equipped with a plurality of fixed orificess on the coaptation board, and a plurality of fixed orificess on the coaptation board are corresponding with first locating hole or second locating hole respectively.
2. The guide kit for posterior iliac valve grafting surgery after resection of a mandibular tumor according to claim 1, wherein: the first positioning holes on the mandible osteotomy guide plate correspond to the fixing holes on two sides of the bone fracture plate.
3. The guide kit for posterior iliac valve grafting surgery after resection of a mandibular tumor according to claim 1, wherein: and a second positioning hole on the ilium cutting and shaping guide plate corresponds to a fixing hole in the middle of the bone fracture plate.
4. The guide kit for posterior iliac valve grafting surgery after resection of a mandibular tumor according to claim 1, wherein: the distance between the corresponding part of the tumor in the mandible osteotomy guide plate and the surface of the tumor is at least 5 mm.
5. The guide kit for posterior iliac valve grafting surgery after resection of a mandibular tumor according to claim 1, wherein: the mandible osteotomy guide plate is provided with a mandible osteotomy line.
6. The guide kit for posterior iliac valve grafting surgery after resection of a mandibular tumor according to claim 1, wherein: and an ilium osteotomy line is arranged on the periphery of the ilium osteotomy shaping guide plate.
7. The guide kit for posterior iliac valve grafting surgery after resection of a mandibular tumor according to claim 1, wherein: and a shaping line is arranged inside the ilium osteotomy shaping guide plate.
8. The guide kit for posterior iliac valve grafting surgery after resection of a mandibular tumor according to claim 1, wherein: still include a plurality of titanium nails that are used for fixing jaw bone cutting baffle, the moulding baffle of ilium bone cutting and coaptation board.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202120276249.0U CN215129552U (en) | 2021-01-29 | 2021-01-29 | Surgical guide plate kit for iliac valve transplantation after mandible tumor resection |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202120276249.0U CN215129552U (en) | 2021-01-29 | 2021-01-29 | Surgical guide plate kit for iliac valve transplantation after mandible tumor resection |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN215129552U true CN215129552U (en) | 2021-12-14 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202120276249.0U Expired - Fee Related CN215129552U (en) | 2021-01-29 | 2021-01-29 | Surgical guide plate kit for iliac valve transplantation after mandible tumor resection |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN215129552U (en) |
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2021
- 2021-01-29 CN CN202120276249.0U patent/CN215129552U/en not_active Expired - Fee Related
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| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20211214 |