TW201236638A - Bone plate manufacturing method - Google Patents

Bone plate manufacturing method Download PDF

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TW201236638A
TW201236638A TW100107152A TW100107152A TW201236638A TW 201236638 A TW201236638 A TW 201236638A TW 100107152 A TW100107152 A TW 100107152A TW 100107152 A TW100107152 A TW 100107152A TW 201236638 A TW201236638 A TW 201236638A
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bone plate
image
manufacturing
face
making
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TW100107152A
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Chinese (zh)
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TWI496557B (en
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Ting-Sheng Lin
Chih-Yu Chen
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Univ Ishou
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Abstract

A bone plate manufacturing method is designed with the consideration of mechanics of areas of craniofacial and maxillofacial defects and deformations to allow the bone plate bearing the forces to improve the precision of craniofacial and maxillofacial reconstructive surgery.

Description

201236638 六、發明說明: 【發明所屬之技術領域】 本發明係關於-種骨板製作方法,特 手術使用之骨板製作方法。檀顧顏面 【先前技街】 顧顏面手術為外科手術極為重要的範畤宜 , :=先天性的刪形、後天性的外;(’如骨主= 腫瘤切除而致之顏面缺陷進行整型手術。— 厂飞者 =進行顱顏面重建手術時’多仰賴二維電心:: 或者由電腦建立三維顧部模型進行術前規劃,再配 的專業經驗及臨場反應直接判斷骨板植人位置及角二 建殘缺或變形之顱顏面。 又 習时板製作方法主要係彻射出成型的 製作,僅可製作成縣形狀、大小及規格之骨板。 言^進行顱顏面手術時,通f係由醫師於手 11田4依‘%患者顱顏部破損處的空間位置,將前述預 ^規格之骨板隨手凹製成翻㈣度、方向及構型以進行 = 凹製的骨板對_部破減之晴進行固定 或橋正等修補工作。 ,而’由於_部骨頭之整體結構、厚度、形狀及空 ^生較為複雜’且編部包含上、下财,涉及咬合、進 3,_及_外形等問題,兼具美觀及功能上的重 :而習知骨板製作方法僅可製作出制式化的骨板, 法精癌符合顧顏部破損處之形狀,造成使用上之不便 201236638 利性;再且’於手術過程中,該制式化之骨板使得醫師必 須根據經驗法則隨手凹製塑形,並利用該骨板隨機對該顧 顏部破損處進行定位,不但骨板與顱顏部破損處大小及形 狀上不對應,該骨板之定位位置也難以準確地配合顱顏部 破損處的骨骼環境,嚴重影響顱顏面重建手術所應具備之 準確性及精密度。 由於前述問題之影響,因此,顱顏面重建手術的預後 時間往往不佳,並且時常因手術的不成功衍生患者術後無 法正確咬合、咀嚼’甚至阻礙牙床排列導致患部癒合不佳, 影響患者外觀樣貌及顏臉動作等問題,多數患者僅得以藉 由長時間且多次地唇鼻部整型手術,始得以恢復較佳的唇 顎功能。 另一習用骨板製作方法係如美國專利第us 7,6〇3,192 號專利案所述,其係利用電腦斷層掃描以及實體模型建立 單一或數個立體影像資料,分別定義各立體影像資料之X 平面、Y平面及Z平面以便組合各立體影像資料,進而獲 得完整患部以及骨板之三維空間立體模型,再由三維圖像 的相互比對設計可以與患部緊密接合之骨板’進行骨板製 作。 然而,上述專利案所提及之骨板製作方法僅係就提升 骨板與患部絲面之貼合緊密程度對倾進行設計,並未 考量患部與骨板所承受之力學,錢顱顏面部之外形及咬 合功能之需求,因此,僅可使科外形規則、厚度均句且 受力單純之四肢骨。 由於顧顏骨之結構及各部位之受力較為複雜,容易產 201236638 生複雜性骨折,因此,舒 習用骨板製作方法並不未考量患部及骨板受力關係的 應該顱顏面複雜的空間=於顧顏面之重建手術,無法因 能性而提升顧顏面重建=、外觀考量或上、下顆骨的功 彳’之準確性及精確性。 【發明内容】 顧顏面患部之力學承栽板^作方法’其主要目的為根據 顱顏面患部之力學承载,:=之設計,使骨板可承受該 及精確性。 从楗升顱顏骨重建手術的準確性 本發明之次一目的在组μ 度仰賴整型醫師的個人製作Μ ’避免過 術後狀況。 人以如骨板細彡’収善患者的 有:為達到前述發明目的’本發明所運用之技術手段包含 顧顏:種骨板製作方法’包含—影像取得步賴取一患者 立體影像;—影像重建步驟_—影像處理 y對該原始立體影像紐影像4建處理,㈣獲得一重 彡像,且該影像處轉統中係存魏筆對應一顱顏 承受之力學⑽;—比對步驟透過該影像處理 糸,讀該縣立體影似重建立體f彡麵行_,並將該 :二,象之差異處定義為一缺陷部;_數據擷取步驟於 =像處理系統中,醇該缺陷部所對應之顱顏面部位所 力學資料’並於該重建立體影像上定義—用以抵償 "缺㈣所承受之力學資料的力學補償區;一模型設計步 201236638 驟根據該力學補償區之表面形狀設計一具有一厚度之骨板 核型,及-骨板製作步驟根據該骨板模型製作一與該骨板 模型相符之骨板。 【實施方式】 *為讓本發明之上述及其他目的、特徵及優點能更明顯 易懂,下文特舉本發明之較佳實施例,並配合所附圖式, 作詳細說明如下: 本發明所述之「力學資料」,制旨_面部位所承受 2力的強度及方向性’例如下辦於咬合過程 力的強度及方向性稱之。 又心 本發略佳實施例之骨板製作方法難係透過一影 統進行。該影像處理系統係包含至少—中央處理 = :該中央處理單元係對應連接該資料 承受之力學資料有數筆對應—顱顏面各部位所 次 如下顎。卩各點於咬合時所承受之力學 貝箄。1力學資料係包含各族群“列如人種、年齡或性 = ==:各部位所承受之承載應力、作動性、 係另包含各族二需求等’較佳該資料庫中 本板之設計。 天性顱顏面缺陷患者,έ τ針對各種先天性或後 顏面骨板。 -考1力學承載後製作客製化的顱 請參照第1圖所示,本發明之骨板製作方法係包含一 201236638 影像取得步驟SI、一影像重建步驟S2、一比對步驟S3、 一數據擷取步驟S4、一模型設計步驟S5及一骨板製作步 驟S5。 請參照第2及3圖所示,該影像取得步驟S1係擷取 一患者顧顏面之原始立體影像。舉例而言,本實施例係可 選擇以醫用儀器對一顱顏面有破損或缺陷之患者進行掃 •fe ’以獲取_一維電腦斷層掃描(Computed Tomography, CT ) 影像或者磁共振(Magnetic Resonance Imaging, MRI)影 像’並透過 Ray-casting、Cuberille、Marching Cubes'Dividing201236638 VI. Description of the Invention: [Technical Field of the Invention] The present invention relates to a method for producing a bone plate and a method for producing a bone plate for special surgery. Tan Gu Yan Noodles [formerly known as the street] Gu Yan face surgery is extremely important for surgery. Fan Yiyi, := congenital shape-cutting, acquired external; ('If the bone main = tumor resection caused by facial defects for shaping Surgery. — Factory Flyer=When performing craniofacial reconstruction surgery, 'depend on the two-dimensional electric heart:: Or establish a three-dimensional model of the patient for preoperative planning, and then combine the professional experience and the on-site response to directly determine the position of the bone plate implant. And the second corner is built with a crippled face that is incomplete or deformed. The method of making the plate is mainly the production of the injection molding, which can only be used to make the bone plate of the shape, size and specification of the county. According to the space position of the doctor's hand 11 Tian 4 according to the '% of the patient's craniofacial damage, the pre-standard bone plate is hand-turned into a four-degree, direction and configuration for the = concave concave plate pair _ The damage is fixed or repaired by the bridge, and 'because the overall structure, thickness, shape and space of the bones are more complicated' and the department consists of upper and lower wealth, involving occlusion and entry. _ and _ shape and other issues, both beautiful Functional weight: The conventional bone plate making method can only produce a standardized bone plate, and the method of fine cancer meets the shape of the damaged part of the Gu Yan part, resulting in the inconvenience of use 201236638; and in the course of surgery The standardized bone plate allows the physician to manually shape and shape according to the rule of thumb, and uses the bone plate to randomly locate the damaged portion of the Gu Yan part, not only the size and shape of the damaged portion of the bone plate and the craniofacial portion are not corresponding. The positioning position of the bone plate is also difficult to accurately match the bone environment of the damaged portion of the craniofacial region, which seriously affects the accuracy and precision of the reconstruction of the craniofacial reconstruction. Due to the influence of the aforementioned problems, the reconstruction of the craniofacial reconstruction The prognosis time is often poor, and often patients who are unsuccessful in the operation cannot be properly occluded, chewed, or even hindered the arrangement of the gums, resulting in poor healing of the affected part, affecting the patient's appearance and facial movements. Most patients can only borrow. The long-term and repeated lip and nose surgery has been able to restore better lip and palate function. Another common method of making bone plates is the United States. As described in Patent No. 7,6,3,192, it uses computer tomography and a solid model to create single or several stereoscopic image data, and defines the X, Y, and Z planes of each stereo image to combine Stereoscopic image data, and then obtain a three-dimensional spatial three-dimensional model of the intact affected part and the bone plate, and then the three-dimensional image is designed to compare the bone plate of the affected part to perform bone plate production. However, the above mentioned patents mention The method of making the bone plate only designs the inclination of the adhesion between the bone plate and the silk surface of the affected part, and does not consider the mechanics of the affected part and the bone plate, the need for the shape and the occlusion function of the face of the skull, therefore, It can only make the shape of the body, the thickness of the sentence and the force of the limbs of the limbs. Because of the structure of the Gu Yan bone and the stress of each part is more complex, it is easy to produce complex fractures of 201236638, therefore, the use of bone plate production methods It is not necessary to consider the relationship between the affected part and the bone plate. The complex space of the craniofacial area should be reconstructed in the face of the face. It is impossible to enhance the face weight due to the energy. The accuracy and accuracy of the construction, the appearance considerations, or the function of the upper and lower bones. SUMMARY OF THE INVENTION The main purpose of the mechanical bearing plate of the affected part of the face is the mechanical bearing of the affected part of the cranial face, the design of the == allows the bone plate to withstand the accuracy. Accuracy of reconstructive surgery from the so-called craniofacial bone The second objective of the present invention is to make a post-operative condition in a group of degrees that relies on the individual's individual to make a postoperative condition. For example, in order to achieve the aforementioned invention, the technical means used in the present invention include the method of making a bone plate: the method of making a bone plate includes: the image acquisition step takes a stereoscopic image of the patient; Image reconstruction step _—image processing y constructs the original stereo image image 4, (4) obtains a heavy image, and the image is in the system of the Wei pen corresponding to the mechanics of a craniofacial (10); After the image processing, reading the stereoscopic image of the county is like reconstructing the stereoscopic f-plane _, and defining the difference between the image and the image as a defect portion; _ data extraction step in the image processing system, the defect of alcohol The mechanical data of the part of the cranial face corresponding to the Ministry' is defined on the reconstructed stereo image - to compensate for the mechanical compensation zone of the mechanical data subjected to the lack of (4); a model design step 201236638 based on the surface of the mechanical compensation zone The shape design is a bone plate karyotype having a thickness, and the bone plate making step produces a bone plate conforming to the bone plate model according to the bone plate model. BRIEF DESCRIPTION OF THE DRAWINGS The above and other objects, features, and advantages of the present invention will become more apparent from the aspects of the invention. The "mechanical data" described above is used to determine the strength and directionality of the two forces subjected to the occlusion. For example, the strength and directionality of the force in the occlusion process are called. Further, it is difficult to make a bone plate making method of a slightly better embodiment. The image processing system includes at least a central processing =: the central processing unit corresponds to a number of strokes corresponding to the mechanical data that is attached to the data - the parts of the cranial face are as follows.力学 The mechanics of each point in the bite. 1 The mechanical data includes all ethnic groups “such as race, age or sex = ==: bearing stress, actuation, and other needs of each family.” The design of the board is preferred. For patients with natural craniofacial defects, έ τ is for various congenital or posterior facial bone plates. - Test 1 for mechanical preparation of the customized cranial bone. Please refer to Figure 1, the bone plate making method of the present invention includes a 201236638 Image acquisition step SI, an image reconstruction step S2, a comparison step S3, a data capture step S4, a model design step S5, and a bone plate creation step S5. Referring to Figures 2 and 3, the image acquisition is performed. Step S1 is to capture the original stereoscopic image of a patient's face. For example, in this embodiment, a patient may be selected to scan a patient with a damaged or defective face with a medical instrument to obtain a one-dimensional computerized tomography. Computed Tomography (CT) image or Magnetic Resonance Imaging (MRI) image and through Ray-casting, Cuberille, Marching Cubes' Dividing

Cubes、Extended Ray-casting 或 Extended Cuberille Methods 等方法進行三_©重建,續取該患者脑面之原始立 體影像。該原始立體影像係具有患者_面的損傷或缺陷 之部位1,如第3圖所示。 ▲ μ參照第3至4 _示,該影像重建步驟S2係利用 = 該原始立體影像進行影像重建處 言之,各部位所承受之力學資料。更詳 的顱颅面3圖所不之原始立體影像係包含有因各*者 =顱顏面彳讀峨現各種患部狀況, 各〜者 二 需藉由該影像處理系統對該原二Γ y像重建處理,以獲得重 體衫像進 言,該患者可能如第3 4讀讀。舉例而 顏面骨折’該患者的下顯骨而致複雜性顧 錯位情形,須由該影像處理單處(部位1 ),且有 例係分別就朗裂處的影二本實掩 及閾值選取範圍 201236638 進行影像編修,進而獲得該患者之重建立體影像;或者可 另由鏡像取像的方式,利用顱顏面係呈鏡像相對之特徵取 得該重建立體影像。如此,便可如第4圖所示呈現出該患 者之顱顏部未受傷前之影像。其中,前述該原始立體景^ 及重建立體影像之空間數據較佳係另儲存於該影像處理系 統之資料庫中。 請參照第5圖所示,該比對步驟S3係透過該影像處 理系統對該原始立體影像及重建立體影像進行比對,並將 該一立體影像之差異處定義為一缺陷部2。更詳古之,本 實施例係透過該影像處理系統擷取該資料庫中的原始立體 影像及重建立體影像之空間數據並進行比對,由於原始立 體影像具有缺陷或破損之部位1,而該重建立體影像為該 患者之顧顏部未受傷前之影像’因此二者之空間數據經比 對後必將有所差異,於此將二者空間數據具有差異處定義 為缺陷部2,該影像處理系統便可透過比對後獲得之缺陷 部2清楚區分出破損或缺陷之部位。 請參照第6圖所示,該數據擷取步驟S4係於該影像 處理系統中,擷取該缺陷部所對應之顱顏面部位所承受的 力學資料,並於該重建立體影像上定義一用以抵償該缺陷 部2所承受之力學資料的力學補償區3。更詳言之,如前 述該影像處理系統之資料庫中係預先儲存有數筆對應一顱 顏面各部位所承受之力學資料。擷取該資料庫中,該缺陷 部2所對應之顱顏面部位所承受之力學資料,以第6圖為 例,該缺陷部2係位於下顎骨處,因此擷取該資料庫中正 常下顎骨相對應該缺陷部2處之部位所承受之力學資料, 201236638 料之參考。接著,根據所 上定義_重建立體影像 位置,使Xt «貝區3 ’其係用以作為後續骨板設置之 ^板⑤胁驗置討抵偏缺㈣2所承受之 以6圖之力學補償區3雜跨該缺陷部2, 連接該缺陷部2周圍之顧顏骨,可抵償下顆骨於咬人時 力。以透過此步驟將顧顏部破損二 考量,使得所設計出之骨板可更 又該部位之力學承載,以提升該雜之穩定性。 學補圖所示,該模型設計步驟s5,係根據該力 予補紅:3之表面職設計—具有—厚度τ之骨板模型 更评g之,定義出該力學補償區3後, =據該力學補償區3之表面形狀設計 ’如第7圖所示’以使得該骨板模型4之一表 補,3之表面形狀互補’以使製作出的骨板 籍ι、Π“區3 70全密合’而提升整體定位精密度及 穩疋十,並提供該缺損部位所需的支撐力及承載力。其中, 該:板模型4上較佳係另根據該缺陷區2之力學承載而設 置數敏位孔4卜該定位孔41主要係模擬對應顧顏面於 -般功紐伽下所生的受力強歧受力方向進行定位, 以供螺絲等固定件穿過。 該骨板製作步驟S4,係根據該骨板模型4製作〆與該 骨板模型4婦之骨板。更詳言之,本實施例係利用一加 工製造單元’依據該骨板模型4 t作倾,並且規劃該骨 板的製作路徑’透過-工具機進行骨板製作。該加工製造 201236638 早7G可以係恭日似±、 电每輔助没计(Computer-aided manufacture, 书腦輔助製造(Computer-aided manufacture,CAM ) 或者一般用/ 進行電腦加工設計的處理系統。本實施例係 先藉由布抹丨室| | 連規劃該骨板模型4與該比對圖像間的對應 十生,矛J用Δ ΤλMethods such as Cubes, Extended Ray-casting, or Extended Cuberille Methods perform a three-reconstruction reconstruction to renew the original stereo image of the patient's brain. The original stereoscopic image has a portion 1 of the lesion or defect of the patient's face, as shown in Fig. 3. ▲ μ refers to the third to fourth _, the image reconstruction step S2 uses the original stereoscopic image to perform the image reconstruction, and the mechanical data received by each part. The more detailed cranial surface of the skull and the 3rd image of the original stereoscopic image contain the cause of each *there is a cranial face reading of the various affected parts, and each of the two must use the image processing system to image the original two Reconstruction is performed to obtain a heavy shirt image, and the patient may be read as in Reading 34. For example, the facial fractures of the patient's lower bones and the complexity of the situation, the situation must be handled by the image (site 1), and there are cases where the shadows of the two cracks and the threshold selection range 201236638 The image is edited to obtain the reconstructed stereoscopic image of the patient; or the reconstructed stereoscopic image can be obtained by mirror image acquisition using the mirror image relative feature. In this way, the image of the patient's cranial face before the injury is presented as shown in Fig. 4. Preferably, the spatial data of the original stereoscopic scene and the reconstructed stereoscopic image are stored in a database of the image processing system. Referring to FIG. 5, the comparison step S3 compares the original stereo image and the reconstructed stereo image through the image processing system, and defines a difference between the stereo images as a defect portion 2. More specifically, in this embodiment, the original stereoscopic image in the database and the spatial data of the reconstructed stereoscopic image are captured and compared by the image processing system, and the original stereoscopic image has a defect or damaged portion 1 The reconstruction of the stereoscopic image is the image of the patient before the injury of the patient's face. Therefore, the spatial data of the two will be different after comparison, and the difference between the spatial data of the two is defined as the defect portion 2, the image The processing system can clearly distinguish the damaged or defective parts by the defect portion 2 obtained after the comparison. Referring to FIG. 6 , the data extraction step S4 is performed in the image processing system, and the mechanical data received by the cranial face portion corresponding to the defect portion is extracted, and a reconstruction image is defined on the reconstructed stereo image. The mechanical compensation zone 3 for compensating the mechanical data of the defect portion 2 is compensated. More specifically, as described above, the image processing system has a plurality of pre-stored mechanical data corresponding to each part of a cranial face. Taking the mechanical data of the cranial face part corresponding to the defect part 2 in the database, taking the figure 6 as an example, the defect part 2 is located at the mandible, so the normal mandible in the database is taken. Corresponding to the mechanical information of the part at the defect part 2, reference to 201236638. Then, according to the definition above, the position of the stereo image is reconstructed, so that the Xt «Bay Area 3 ' is used as the follow-up plate setting of the plate 5, and the mechanical compensation zone of 6 is accepted. 3 Crossing the defect portion 2, connecting the Gu Yan bone around the defect portion 2, can compensate the force of the lower bone when biting. Through this step, the damage of the Gu Yan part is considered, so that the designed bone plate can further carry the mechanical load of the part to improve the stability of the hybrid. As shown in the supplementary diagram, the model design step s5 is based on the force to supplement the red: 3 surface job design - the bone plate model with thickness - τ is more evaluated, after defining the mechanical compensation zone 3, = The surface shape design of the mechanical compensation zone 3 is 'as shown in Fig. 7' so that one of the bone plate models 4 is complemented, and the surface shape of 3 is complementary 'to make the bone plate of the plate ι, Π "Zone 3 70 Fully tightly' improves the overall positioning precision and stability, and provides the supporting force and bearing capacity required for the defect. Among them, the plate model 4 is preferably based on the mechanical load of the defect zone 2 The positioning of the positioning hole 41 is mainly performed by simulating the direction of the force of the force corresponding to the force of the face of the face, so as to pass through the fixing member such as a screw. Step S4, according to the bone plate model 4, a bone plate of the bone plate and the bone plate model is produced. In more detail, the present embodiment uses a processing manufacturing unit to perform tilting according to the bone plate model and plan The production path of the bone plate is made by a through-tool machine. The manufacturing process is 201236638. Early 7G can be used as a processing system for Computer-aided manufacture, Computer-aided manufacture (CAM) or general computer processing design. This embodiment is first borrowed. By cloth wiping room | | even planning the corresponding model between the bone plate model 4 and the comparison image, the spear J with Δ Τ λ

, ad依據該骨板模型4設計該骨板,再由CAM 進行後、’加工的規劃及製造。本實施例係以—鈦金屬為加 工標的進行骨板的锖造。 口,此,便完成本發明之骨板製作方法。此外,該患者 可月b如第8及9圖所示,係因腫瘤或先天性顎顏畸形而 致顏面畸形者’該患者之唇顎部分係呈現—缺損部5,因 此’較佳係透過影像處理系統模擬並回復該患者顱顏面的 缺損部5,經製作該完細以填補該缺損部5之骨片後, 再,過本翻之骨板製作方法製作將該骨>} S1定於顱顏部 之月板,相同可有效應用於顱顏部缺陷之患者。 由上所述’本發明之骨板製作方法係經由比對患者之 原始立體f彡像及還原立體影像,*定義&顱顏部缺陷或破 損之部位,再針對該部位的力學關係與空間型態定位及設 计相對應的骨板模^} ’以藉自CAD/CAMt^計並規劃骨板 的製作路徑。 利用本發明之骨板製作方法係可以因應各患者的顱 顏面特徵以及一般顱顏面的空間位置模擬設計一客製化骨 板,並且模擬患者患部受力狀態作為骨板定位的依據,因 此可以準確地對應患者顱顏面的不規則外型,維持患者顱 顏面的外觀及功能性之健全,係具有提升顱顏面重建手術 成功率之功效。 201236638 再者,本發明之骨板製作方法係藉由影像處理系統及 加工製作單元設計骨板並規劃該骨板的製作路徑,避免過 度仰賴醫_個人驗,以及骨板植人後衍生患者顧顏面 功能觉損或外觀改變料〗題;故,本剌之倾製作方法 係具有提_顏©重建手狀精雜以及提升現今顧顏面 整形手術醫療水平之功效。 雖然本發明已利用上述較佳實施例揭示,然其並非用 以限定本發明,任·習此技藝者在不脫離本發明之精神 和範圍之内,減上述實施舰行各較動與修改仍屬本 發明所保護之技織,,因此本發明之賴範圍當視後附 之申請專利範圍所界定者為準。 【圖式簡單說明】 第1圖:本發明之骨板製作方法之操作流程圖。 第2圖:本發明骨板製作方法之影像取得步驟之示意圖。 第3圖:本發明骨板製作方法之影像取得步驟之另1八 意圖。 、 第4圖:本發明倾f作方法之影像重建步驟之示 第5圖:本發明骨板製作方法之比對步驟之示意圖\ 第6圖:本發明骨板製作方法之數據擷取步驟之;: 第7圖:本發明骨板製作方法之模型設計步驟之^ = 顎顏畸形患者之影像重建示意圖。 回 第8圖:顎顏畸形患者之示意圖。 201236638 【主要元件符號說明】 1 缺陷或破損之部位 2 缺陷部 3 力學補償區 4 骨板核型 5 缺損部, ad designs the bone plate according to the bone plate model 4, and then performs planning and manufacturing by the CAM. In this embodiment, the manufacture of the bone plate is carried out by using titanium metal as a processing target. Thus, the bone plate making method of the present invention is completed. In addition, the patient may have a monthly b as shown in Figures 8 and 9, which is caused by a tumor or a congenital facial deformity. The patient's labial part appears as a defect 5, so the 'better through The image processing system simulates and restores the defect portion 5 of the cranial face of the patient, and after making the fine piece to fill the bone piece of the defect portion 5, the bone plate is made by the method of making the bone> In the crescent of the craniofacial region, the same can be effectively applied to patients with defects in the craniofacial region. According to the above description, the bone plate manufacturing method of the present invention defines the &/or the portion of the cranial defect or the damaged portion by comparing the original stereoscopic image of the patient and the restored stereoscopic image, and then the mechanical relationship and space for the portion. The type positioning and design of the corresponding bone plate mold ^} 'by borrowing from CAD / CAMt ^ and planning the production path of the bone plate. The bone plate making method of the invention can design a customized bone plate according to the cranial facial features of each patient and the spatial position of the general cranial face, and simulate the state of the affected part of the patient as the basis for the positioning of the bone plate, so that it can be accurate The ground corresponds to the irregular shape of the patient's cranial face, and maintains the appearance and functional integrity of the patient's cranial face, which has the effect of improving the success rate of craniofacial reconstruction surgery. 201236638 Furthermore, the bone plate manufacturing method of the present invention designs the bone plate by the image processing system and the processing unit, and plans the production path of the bone plate to avoid excessively relying on the medical examination, and the patient after the bone plate is implanted. Facial function impairment or appearance change material 〗                                         Although the present invention has been disclosed in the above-described preferred embodiments, it is not intended to limit the present invention, and it is still possible for those skilled in the art to reduce the above-mentioned implementations and modifications of the ship without departing from the spirit and scope of the present invention. The invention is protected by the invention, and therefore the scope of the invention is defined by the scope of the appended claims. BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a flow chart showing the operation of the method for manufacturing a bone plate of the present invention. Fig. 2 is a schematic view showing an image acquisition step of the method for producing a bone plate of the present invention. Fig. 3 is a view showing the other steps of the image acquisition step of the method for producing a bone plate of the present invention. Figure 4: The image reconstruction step of the present invention is shown in Figure 5: Schematic diagram of the comparison step of the method for fabricating the bone plate of the present invention. Figure 6: Data acquisition step of the method for manufacturing the bone plate of the present invention ;: Figure 7: Model design steps of the method for making bone plates of the present invention ^ = Schematic diagram of image reconstruction of patients with facial deformities. Back Figure 8: Schematic diagram of a patient with a deformed face. 201236638 [Description of main component symbols] 1 Defective or damaged part 2 Defective part 3 Mechanical compensation area 4 Bone plate type 5 Defective part

Claims (1)

201236638 β 七、申請專利範圚: 1、—種骨板製作方法,包含: 像,·象W步驟’係擴取—患者顧顏面之原始立體影 一影像重建步驟 像進行影像重建卢〜像處理系統對該原始立體影 影像處理系重建立體影像,且該 受之力學資料;有數筆對應一顱顏面各部位所承 及重建過該t影像處理系統對該原始立艘影像 定義為-缺=知比對,並將該二立體影像之差異處 數據榻取步驟,M 所對應之顱顏面部位^像處理系統中’掏取該缺陷部 體影像上㈣。 ㈣力學請,並於該重建立 的力學補Sr用以抵償該缺陷部所承受之力學資料 一驟,係根據該力學補償區之表面形狀設計 ’、有厚度之骨板模型,·及 2=驟,係根據該骨板模型製作-與該骨板模 2 依申請專利範園第W所述之 3計步_㈣糊虹職; ===㈣1項所述之骨板製作方法,其中該影 ΐΐΓί包含中各族群之平均顧顏面各部位的 承载應力、作動性、作用力範圍、施力部位及1力學需 —13 — 201236638 求之資料。 4、 依申請專利範圍第1項所述之骨板製作方法,其中該骨 板製作步驟中,係利用一加工製造單元進行該骨板之製 作。 5、 依申請專利範圍第1項所述之骨板製作方法,其中該骨 板製作步驟中,係以電腦輔助設計或電腦輔助製造的處 理系統作為該加工製造單元以進行該骨板之製作。 6、 依申請專利範圍第1項所述之骨板製作方法,其中該患 者係各種因先天性或後天性原因而致顱顏面畸形或缺 損的患者。 7、 依申請專利範圍第1項所述之骨板製作方法,其中該原 始立體影像係由電腦斷層掃描影像或者磁共振影像經 電腦轉標而取得。 —14 —201236638 β VII, application for patents: 1, - the method of making bone plate, including: image, like the W step 'system expansion - the original stereo image of the patient's face face image reconstruction steps like image reconstruction Lu ~ image processing The system reconstructs the stereoscopic image from the original stereoscopic image processing system, and the mechanical data is received; and a plurality of pens corresponding to a portion of the cranial face are reconstructed and the t image processing system is defined as the original image of the standing ship. Comparing, and the difference between the two stereoscopic images is in the data taking step, and the corresponding facial image processing system of M corresponds to the image of the defective part (4). (4) Mechanics, and the mechanical compensation Sr used in this re-establishment is used to compensate the mechanical data of the defect part, according to the surface shape design of the mechanical compensation zone, the thickness of the bone plate model, and 2= According to the bone plate model, the method for making a bone plate according to the method of claim 3, wherein the bone plate mold 2 is according to the application of the patent garden, and the method of making the bone plate is as follows: Impact ί contains the load-bearing stress, motility, force range, force-applying position and 1 mechanics of each part of the average face of each ethnic group. 4. The method for manufacturing a bone plate according to claim 1, wherein in the step of making the bone plate, the manufacturing of the bone plate is performed by a processing and manufacturing unit. 5. The method for manufacturing a bone plate according to claim 1, wherein the bone plate manufacturing step is a computer-aided design or a computer-assisted manufacturing processing system as the processing manufacturing unit to perform the bone plate. 6. A method of making a bone plate according to claim 1, wherein the patient is a patient suffering from a deformity or defect of the skull due to congenital or acquired causes. 7. The method for manufacturing a bone plate according to claim 1, wherein the original stereoscopic image is obtained by computer tomography or magnetic resonance imaging. —14 —
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI584776B (en) * 2014-06-13 2017-06-01 Cheng-Xin She A fixed bone plate
TWI609358B (en) * 2016-12-16 2017-12-21 國立成功大學 Generating method for orthognathic surgical planning

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US7077843B2 (en) * 2002-06-24 2006-07-18 Lanx, Llc Cervical plate
ES2322575T3 (en) * 2003-10-30 2009-06-23 Synthes Gmbh OSTEOSYNTHESIS PLATE.

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI584776B (en) * 2014-06-13 2017-06-01 Cheng-Xin She A fixed bone plate
TWI609358B (en) * 2016-12-16 2017-12-21 國立成功大學 Generating method for orthognathic surgical planning

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