导航辅助上颌骨缺损颧种植治疗的外科数字化流程

doi:10.12337/zgkqzzxzz.2025.06.007

中国口腔种植学杂志 ›› 2025, Vol. 30 ›› Issue (3): 243-249.DOI: 10.12337/zgkqzzxzz.2025.06.007

导航辅助上颌骨缺损颧种植治疗的外科数字化流程

苏冠宇¹, 王凤^1,2

¹上海交通大学医学院附属第九人民医院口腔第二门诊部上海交通大学口腔医学院国家口腔医学中心国家口腔疾病临床医学研究中心上海市口腔医学重点实验室上海市口腔医学研究所 201999;
²香港大学牙医学院口腔颌面外科

收稿日期:2025-03-10 出版日期:2025-06-30 发布日期:2025-06-27
通讯作者: 王凤,Email：diawang@hku.hk,电话：0852-28590269
作者简介:苏冠宇,硕士研究生,研究方向：数字化口腔种植。
王凤,临床副教授、博士、博士研究生导师,研究方向：口腔种植临床及基础研究

Navigation-assisted digital surgical workflow for zygomatic implant-supported reconstruction of maxillary defects

Su Guanyu¹, Wang Feng^1,2

¹Department of Second Dental Center, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai 201999, China;
²Division of Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong 999077, China

Received:2025-03-10 Online:2025-06-30 Published:2025-06-27
Contact: Wang Feng, Email: diawang@hku.hk, Tel: 00852-28590269

摘要/Abstract

摘要： 颌骨缺损不仅严重影响患者的咀嚼、语言和吞咽功能,还对面部美观造成显著损害。传统的赝复体修复和游离皮瓣重建在临床应用中均存在一定局限性。颧种植技术通过将种植体固定于颧骨,为上颌骨缺损的功能重建提供了新的解决方案。然而,该技术涉及复杂的颅颌面解剖结构,对手术精度和操作稳定性提出了更高要求,其临床成功率在很大程度上依赖于术前精准规划和术中高效执行。近年来,数字化技术的引入显著提升了颧种植手术的精确性和可预测性。本文系统阐述了数字化技术在上颌骨缺损颧种植外科中的应用流程,包括多模态影像数据的采集与配准、基于修复需求的种植体三维规划、动态导航系统和增强现实技术的临床应用,并结合典型病例分析探讨其实际应用价值。展望未来,随着人工智能和机器人辅助手术技术的持续发展,颧种植手术的自动化和智能化水平有望进一步提高,从而推动上颌骨缺损种植修复向更加个性化和精准化的方向迈进。

关键词: 颧种植, 上颌骨缺损, 数字化流程, 导航

Abstract: Maxillary bone defects severely compromise patients’ abilities to chew, speak, and swallow, and also significantly affect facial aesthetics. Traditional prosthetic rehabilitation and free flap reconstruction present inherent limitations in clinical practice. Zygomatic implant technology, by anchoring implants to the zygomatic bone, offers a novel approach for the functional and structural rehabilitation of maxillary defects. However, this technique involves complex craniofacial anatomical structures and demands high surgical precision and intraoperative stability. The clinical success of zygomatic implants largely depends on accurate preoperative planning and precise surgical execution. In recent years, the integration of digital technologies has greatly enhanced the accuracy and predictability of zygomatic implant surgery. This article systematically reviews the digital surgical workflow for managing maxillary defects with zygomatic implants, including multimodal imaging data acquisition and registration, prosthesis-driven implant planning, and the application of dynamic navigation systems and augmented reality technologies. Additionally, representative clinical cases are presented to illustrate the practical value of these digital technologies in zygomatic implant surgery for maxillary reconstruction. Looking ahead, with the continuous advancement of artificial intelligence and robotic-assisted surgical technologies, the degree of automation and intelligence in zygomatic implant procedures is expected to improve further, thereby promoting more personalized and precise solutions for maxillary defect rehabilitation.

Key words: Zygomatic implant, Maxillary defect, Digital workflow, Navigation

苏冠宇,王凤. 导航辅助上颌骨缺损颧种植治疗的外科数字化流程[J]. 中国口腔种植学杂志, 2025, 30(3): 243-249. DOI: 10.12337/zgkqzzxzz.2025.06.007

Su Guanyu, Wang Feng. Navigation-assisted digital surgical workflow for zygomatic implant-supported reconstruction of maxillary defects[J].Chinese Journal of Oral Implantology, 2025, 30(3): 243-249.DOI: 10.12337/zgkqzzxzz.2025.06.007.

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导航辅助上颌骨缺损颧种植治疗的外科数字化流程

Navigation-assisted digital surgical workflow for zygomatic implant-supported reconstruction of maxillary defects

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