下颌骨重建术后外观评估的现状分析

Current status of appearance evaluation after mandibular reconstruction

各种原因引起的下颌骨缺损可严重危及患者的身心健康,如何恢复重建下颌骨外观及功能是修复重建外科医生不懈的追求。目前,下颌骨重建术后外观的评价方法主要包括:观察者评估、患者自我评估、影像评估,但均存在不足,尚无客观统一的评价体系。如何建立客观、有效的外观评估方法是下颌骨重建评价体系的关键环节。该文通过回顾下颌骨重建的发展历史,综述不同学科对面部轮廓的评估方法与技术手段,旨在为下颌骨重建后的外观评估提供更全面的借鉴。

Mandible defects caused by various reasons seriously endanger the physical and mental health of patients,and how to restore the appearance and function of the reconstructed mandible is the unremitting pursuit for surgeons.The current evaluation method for aesthetic appearance after mandible reconstruction mainly include:observer evaluation,patient self-evaluation,and medical imaging evaluation.But these method still have deficiencies,and there is no objective and consolidated evaluation system.How to establish an objective and effective appearance evaluation method is an essential part in the evaluation system of mandibular reconstruction.This study reviewed the development history of mandibular reconstruction,and also reviewed the evaluation method of physical appearance in different disciplines,aiming to provide a more comprehensive reference for the appearance assessment after mandibular reconstruction.