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CN106109021B - Adjustable curved forehead pattern guide - Google Patents

Adjustable curved forehead pattern guide Download PDF

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CN106109021B
CN106109021B CN201610775485.0A CN201610775485A CN106109021B CN 106109021 B CN106109021 B CN 106109021B CN 201610775485 A CN201610775485 A CN 201610775485A CN 106109021 B CN106109021 B CN 106109021B
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forehead
frontal
plate
guide rail
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CN106109021A (en
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吴颖之
杨君毅
穆雄铮
卢云鹤
潘思妲
郭范立
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Huashan Hospital of Fudan University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00792Plastic surgery

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Abstract

本发明涉及一种可调节弧形前额部模式导板,由额眶带导轨和分片式的模式额板构成,所述的额眶带导轨以额眶部的条形额眶带作为模板的导轨,额眶带导轨的弧度参照正常儿童的额眶部弧度;所述的模式额板由滑动连接件连接在额眶带导轨上,包括左、右模式额板和中央的模式前额板,左右模式额板弧度与额眶带导轨的弧度吻合,当合拢时,整体前额相当于1岁童的前额,随年龄增加,额部扩大时,经过额眶带导轨分开左右模式额板,而将中央的模式前额板经导轨移动,补充正中部位的前额的弧形使之连成整体的前额部。针对额部平坦(短头)、不对称(斜头)等畸形整复手术而设计,以便利在手术中选取相应外形的弧形骨板重建前额部外形。

Figure 201610775485

The invention relates to an adjustable arc-shaped forehead pattern guide plate, which is composed of a frontal orbital belt guide rail and a segmented pattern frontal plate. , the radian of the frontal-orbital belt rails refers to the frontal-orbital radian of normal children; the model frontal plate is connected to the frontal-orbital belt rails by sliding connectors, including the left and right pattern frontal plates and the central pattern forehead plate, the left and right patterns The curvature of the frontal plate is consistent with the curvature of the frontal-orbital belt guide rails. When closed, the overall forehead is equivalent to the forehead of a 1-year-old child. As the age increases, when the forehead expands, the left and right patterned frontal plates are separated by the frontal-orbital belt rails, and the central forehead is separated. The model forehead plate moves through the guide rail to supplement the arc of the forehead in the middle part so that it can be connected to the forehead as a whole. It is designed for deformities such as flat forehead (brachycephalic) and asymmetrical (oblique head), so as to facilitate the selection of arc-shaped bone plates with corresponding shapes to reconstruct the forehead shape during the operation.

Figure 201610775485

Description

可调节弧形前额部模式导板Adjustable curved forehead pattern guide

技术领域technical field

本发明涉及一种可调节弧形前额部模式导板,针对额部平坦(短头)、不对称(斜头)等畸形,设计可调节弧形前额部模式导板,以便利在手术中选取相应外形的弧形骨板,重建前额部外形。属于整形外科用医疗器械。The invention relates to an adjustable arc-shaped forehead model guide plate, aiming at such deformities as flat forehead (short head), asymmetric (oblique head), etc., an adjustable arc-shaped forehead model guide plate is designed to facilitate the selection of the corresponding shape during surgery A curved bone plate that reconstructs the shape of the forehead. It is a medical device for plastic surgery.

背景技术Background technique

额部整复常用浮动额骨瓣原理,取患者身体其他部位一定大小的骨瓣重新拼接固定形成额部的骨性结构。如今涉及额部整复手术主要靠医生根据经验施行,无统一的技术标准。因此,对于经验稍欠的颅面外科医生,额部整复外观常难以符合患者的年龄,从而无法达到满意的修复。The principle of floating frontal bone flap is used for frontal reconstruction, and the bone flap of a certain size from other parts of the patient's body is re-spliced and fixed to form the bony structure of the frontal part. Nowadays, forehead plastic surgery is mainly performed by doctors based on experience, and there is no uniform technical standard. Therefore, for less experienced craniofacial surgeons, the appearance of forehead reconstruction is often difficult to match the patient's age, so that a satisfactory restoration cannot be achieved.

因此也有使用导板进行牵引、固定,如:Therefore, there are also guides for traction and fixation, such as:

申请号:201410063949.6涉及一种颌骨骨折临时固定器,包括头帽、头帽两侧的束带,头帽的前面固定有向下延伸的滑槽,滑槽内具有相对滑槽滑动的滑板,通过可拆卸的固定方式连接滑板,滑板下部设有多个孔,还包括上颌托盘及下颌托盘,上颌托盘与上颌骨形状相同,下颌托盘与下颌骨形状相同,上颌托盘及下颌托盘末端具有盘柄,盘柄末端具有孔,盘柄末端的孔与滑板的孔通过可拆卸的固定方式连接。可以只针对上颌骨或下颌骨固定,也可以对二者同时固定,不增加患者的痛苦,操作的过程快速,非常适合急救中的颌骨固定。又:Application No.: 201410063949.6 relates to a temporary fixator for jaw fractures, including a head cap and straps on both sides of the head cap, a downwardly extending chute is fixed in front of the head cap, and a slide plate sliding relative to the chute is arranged in the chute, The sliding plate is connected by a detachable fixing method. There are multiple holes in the lower part of the sliding plate, and also includes a maxillary tray and a mandibular tray. The maxillary tray is the same as the maxilla, and the mandibular tray is the same as the mandible. , the end of the disc handle is provided with a hole, and the hole at the end of the disc handle is connected with the hole of the slide plate in a detachable fixing manner. It can fix only the maxilla or mandible, or fix both at the same time, without increasing the pain of the patient, and the operation process is fast, which is very suitable for the fixation of the jaw in emergency. again:

申请号:201520794543.5一种下颌角定位导板,包括本体,所述本体的内表面与下颌角外侧表面相吻合,所述本体的边缘与下颌角下缘角前切迹、下颌角以及下颌骨升支后缘形态一致,在本体的中端设有两个相互平行的导向柱,所述导向柱贯穿于本体,每个导向柱的中间各有一个中心孔,中心孔中插入克氏针,来辅助克氏针的定位,所述本体的两端设有用于固定导板于下颌骨且贯穿本体的两个固定柱,每个固定柱中间各有一个钉孔,钉孔中插入固定螺钉,将导板固定在下颌骨上,其优点是:此下颌角定位导板结构简单,使用方便,可有效降低手术的风险和难度,具有一定的实用性。Application No.: 201520794543.5 A mandibular angle positioning guide, including a body, the inner surface of the body matches the outer surface of the mandibular angle, the edge of the body is the anterior notch of the lower edge of the mandibular angle, the mandibular angle and the mandibular ascending ramus The shape of the rear edge is the same. Two parallel guide columns are arranged at the middle end of the body. The guide columns run through the body. There is a center hole in the middle of each guide column, and a Kirschner wire is inserted into the center hole to assist. For the positioning of the Kirschner wire, the two ends of the body are provided with two fixing columns for fixing the guide plate to the mandible and passing through the body. Each fixing column has a nail hole in the middle, and a fixing screw is inserted into the nail hole to fix the guide plate. On the mandible, the advantages are: the mandibular angle positioning guide plate has a simple structure, is convenient to use, can effectively reduce the risk and difficulty of surgery, and has certain practicability.

上述专利只限用于下颌颏部,其牵引方式是线式牵引。The above-mentioned patent is only applicable to the mandible and chin, and its traction method is wire traction.

发明内容SUMMARY OF THE INVENTION

本发明所要解决的技术问题是提供一种可调节弧形前额部模式导板,以便利在手术中选取相应外形的弧形骨板,重建前额部外形。The technical problem to be solved by the present invention is to provide an adjustable arc-shaped forehead model guide plate, so as to facilitate the selection of an arc-shaped bone plate with a corresponding shape during surgery to reconstruct the shape of the forehead.

本发明的技术问题通知下述方案解决:一种可调节弧形前额部模式导板,由额眶带导轨和分片式的模式额板构成,其中:The technical problem of the present invention is solved by the following solutions: an adjustable arc-shaped forehead mode guide plate, which is composed of a forehead orbital belt guide rail and a segmented mode forehead plate, wherein:

所述的额眶带导轨以额眶部的条形额眶带作为模板的导轨,额眶带导轨的弧度参照正常儿童的额眶部弧度;The described frontal-orbital belt guide rail uses the strip-shaped frontal-orbital belt of the frontal-orbital part as the guide rail of the template, and the radian of the frontal-orbital belt guide rail refers to the radian of the frontal-orbital part of normal children;

所述的模式额板由滑动连接件连接在额眶带导轨上,包括左、右模式额板和中央模式额板,左右模式额板弧度与额眶带导轨的弧度吻合,当合拢时,整体前额相当于1岁童的前额,随年龄增加,额部扩大时,沿额眶带导轨分开左、右模式额板,而将中央的模式前额板经导轨移动,补充正中部位的前额的弧形使之连成整体的前额部。The mode frontal plate is connected to the orbital belt rail by sliding connectors, including the left and right mode frontal plate and the central mode frontal plate. The forehead is equivalent to the forehead of a 1-year-old child. With the increase of age, when the forehead expands, the left and right model frontal plates are separated along the forehead orbital guide rail, and the central model forehead plate is moved through the guide rail to supplement the arc of the forehead in the middle part. Make it a whole forehead.

在上述方案基础上,为适应不同年龄段,所述的额眶带导轨可伸缩,用于调节长度。On the basis of the above scheme, in order to adapt to different age groups, the front-orbital belt guide rail is retractable and used to adjust the length.

所述的额眶带导轨的弧度参照正常儿童的额眶部弧度,包括年龄段在1岁、3岁、5岁、8岁、16岁、18岁正常人的统计平均值。The radian of the fronto-orbital belt guide rail refers to the radian of the frontal-orbital part of normal children, including the statistical average of normal people aged 1, 3, 5, 8, 16 and 18 years old.

本发明的优越性在于:方便医生根据可调节弧形前额部模式导板所构建的前额形态,设计骨瓣的截取和排布固定,利用形态弧度相符的骨瓣重建前额的骨性结构,提高手术质量。The advantages of the present invention are: it is convenient for doctors to design the cutting and arrangement of bone flaps according to the shape of the forehead constructed by the adjustable curved forehead pattern guide plate, and use the bone flaps with the shape and curvature to reconstruct the bony structure of the forehead, thereby improving the operation efficiency. quality.

附图说明Description of drawings

图1为本发明结构示意图;Fig. 1 is the structural representation of the present invention;

图2额眶带导轨示意图;Figure 2 Schematic diagram of the frontal orbital belt guide rail;

图3为本发明使用方法示意图;Fig. 3 is the schematic diagram of using method of the present invention;

1——额眶带导轨1 - Forehead orbit with guide rail

2——模式额板;2 - mode front plate;

A、B——左、右模式额板;C——模式前额板;A, B - left and right mode frontal plate; C - mode forehead plate;

3——滑动连接件。3 - Sliding connector.

具体实施方式Detailed ways

如图1为本发明结构示意图和图2额眶带导轨示意图所示:一种可调节弧形前额部模式导板,由额眶带导轨1和分片式的模式额板2构成,其中:Figure 1 is a schematic diagram of the structure of the present invention and a schematic diagram of the frontal orbital belt guide rail shown in Figure 2: an adjustable curved forehead pattern guide plate, which is composed of a frontal orbital belt guide rail 1 and a segmented pattern frontal plate 2, wherein:

所述的额眶带导轨1以额眶部的条形额眶带作为模板的导轨,额眶带导轨导轨可以伸缩调节长度,额眶带导轨1的弧度参照正常儿童的额眶部弧度;The described frontal orbital belt guide rail 1 uses the strip-shaped frontal orbital belt of the frontal orbital part as the guide rail of the template, the frontal orbital belt rail guide rail can be telescopically adjusted in length, and the radian of the frontal orbital belt guide rail 1 refers to the frontal orbital radian of normal children;

所述的模式额板2由滑动连接件3连接在额眶带导轨1上,包括左、右模式额板A、B和中央的模式前额板C,左、右模式额板A、B弧度与额眶带导轨1的弧度吻合,当合拢时,整体前额相当于1岁童的前额,随年龄增加,额部扩大时,经过额眶带导轨1分开左、右模式额板A、B,而将中央的模式前额板C经导轨移动,补充正中部位的前额的弧形使之连成整体的前额部。The mode frontal plate 2 is connected to the frontal orbital belt guide rail 1 by the sliding connector 3, including the left and right mode frontal plates A, B and the central mode forehead plate C, the left and right mode frontal plates A, B radians and The curvature of the orbital belt guide rail 1 is matched. When closed, the overall forehead is equivalent to the forehead of a 1-year-old child. As the age increases, when the forehead expands, the left and right frontal plates A and B are separated by the orbital orbital belt guide rail 1. The central model forehead plate C is moved through the guide rail, and the arc of the forehead in the middle part is supplemented to form a whole forehead.

本发明以额眶部的条形额眶带作为模板的导轨,以分片的弧形前额部作为设计主体,其中,额眶带导轨的弧度参照正常儿童的额眶部弧度。The invention uses the strip-shaped frontal-orbital belt of the frontal-orbital part as the guide rail of the template, and the segmented arc-shaped forehead part as the design main body, wherein the radian of the frontal-orbital belt guide rail refers to the radian of the frontal-orbital part of normal children.

额眶带导轨的弧度参照正常儿童的额眶部弧度,包括年龄段在1岁、3岁、5岁、8岁、16岁、18岁等正常值;分片的弧形前额部包括三部分:左、右模式额板A、B弧度吻合额眶带导轨1的弧度,当合拢时,整体前额相当于1岁童的前额,当不同年龄额部扩大时,可以经过导轨分开模式额板A、B,而将中央的模式前额板C经导轨移动,补充正中部位的前额的弧形使之连成整体的前额部。The radian of the frontal-orbital belt guide rail refers to the radian of the frontal-orbital part of normal children, including normal values in the age group of 1, 3, 5, 8, 16, and 18 years old; the segmented arc forehead includes three parts : The left and right mode frontal plates A and B radians match the radian of the forehead orbital belt guide rail 1. When closed, the overall forehead is equivalent to the forehead of a 1-year-old child. When the forehead of different ages is enlarged, the frontal plate A can be separated through the guide rails. , B, and the central model forehead plate C is moved through the guide rails to supplement the arc of the forehead in the middle part to make it connect to the whole forehead.

本发明根据患儿的年龄,拔出可调节长度的导轨以适应不同年龄患儿的额眶带弧度及长度,以利于医生作为模板重新拼患者的额眶带。According to the age of the child, the invention pulls out the guide rail with adjustable length to adapt to the curvature and length of the frontal-orbital belt of children of different ages, so as to facilitate the doctor to reassemble the patient's frontal-orbital belt as a template.

如图3为本发明使用方法示意图所示:Figure 3 is a schematic diagram of the method of use of the present invention:

第一步:贴合该额眶带模式导板,先根据患儿年龄对准内侧眼眶内角处,并测量其内眼角间距,按不同年龄调节额眶带与眶面所呈的角度;Step 1: Fit the frontal-orbital belt pattern guide, first align the inner corner of the medial orbit according to the age of the child, measure the distance between the inner canthus, and adjust the angle between the frontal-orbital belt and the orbital surface according to different ages;

第二步:移动前额导板,根据患儿的年龄,拔出可调节长度的导轨以适应不同年龄患儿的额眶带弧度及长度。当患儿年龄较小,可以直接将额部A板和B板向中间靠拢,形成完整的前额形态。当患者年龄较大,图3a所示,A板和B板不能完全涵盖前额部时,可以移动C板,,图3b所示,使A板、B板、C板形成完整的前额形态。Step 2: Move the forehead guide plate, and pull out the guide rail with adjustable length according to the age of the child to adapt to the curvature and length of the frontal-orbital belt of children of different ages. When the child is younger, the frontal plate A and B can be directly moved closer to the middle to form a complete forehead shape. When the patient is older, as shown in Figure 3a, when the A and B plates cannot completely cover the forehead, the C plate can be moved, as shown in Figure 3b, so that the A, B, and C plates form a complete forehead shape.

第三步:根据导板模拟的前额形态,设计骨瓣的截取和排布固定,利用形态弧度相符的骨瓣重建前额的骨性结构。The third step: According to the shape of the forehead simulated by the guide plate, the cutting and arrangement of the bone flap are designed, and the bone flap of the forehead is reconstructed by using the bone flap with the same shape and curvature.

Claims (2)

1. The utility model provides an adjustable arc forehead portion mode baffle which characterized in that comprises the mode forehead board of forehead orbit area guide rail and burst formula, wherein:
the forehead orbit belt guide rail comprises a guide rail taking a strip-shaped forehead orbit belt of a forehead orbit part as a template, and the radian of the forehead orbit belt guide rail refers to the forehead orbit part radian of a normal child;
the model forehead plate is connected to the forehead-orbit-belt guide rail through a sliding connection piece and comprises a left model forehead plate, a right model forehead plate and a central model forehead plate, the radian of the left model forehead plate and the right model forehead plate are matched with the radian of the forehead-orbit-belt guide rail, when the forehead plate is closed, the whole forehead is equivalent to the forehead of a child of 1 year old, the left model forehead plate and the right model forehead plate are separated through the forehead-orbit-belt guide rail along with the increase of the age, the central model forehead plate moves through the guide rail, and the arc of the forehead at the middle position is supplemented to enable the forehead plate to be connected into the whole forehead portion.
2. The adjustable arc forehead portion mode guide according to claim 1, wherein the forehead strap guide is telescoping.
CN201610775485.0A 2016-08-31 2016-08-31 Adjustable curved forehead pattern guide Expired - Fee Related CN106109021B (en)

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CN106264857A (en) * 2016-08-31 2017-01-04 复旦大学附属华山医院 Scalable arc-shaped guide rail formula eye socket traction apparatus

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CN105686886A (en) * 2016-01-08 2016-06-22 四川大学 A subapical osteotomy locating guide plate and a manufacture method therefor
CN105726169A (en) * 2016-04-26 2016-07-06 中山大学孙逸仙纪念医院 Guider for 3D printing for dental implantation and superior maxillary bone integrated reconstruction
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