国际口腔医学杂志

国际口腔医学杂志 ›› 2023, Vol. 50 ›› Issue (1): 114-119.doi: 10.7518/gjkq.2023016

• 综述 • 上一篇    下一篇

带线锚钉在口腔颌面外科的应用

木合森·牙生江1,2(),买买提吐逊·吐尔地1,2()   

  1. 1.新疆医科大学第一附属医院（附属口腔医院）颌面创伤正颌外科 乌鲁木齐 830054
    2.新疆维吾尔自治区口腔医学研究所 乌鲁木齐 830054
  • 收稿日期:2022-05-26 修回日期:2022-10-09 出版日期:2023-01-01 发布日期:2023-01-09
  • 通讯作者: 买买提吐逊·吐尔地
  • 作者简介:木合森·牙生江，硕士，Email：1509030383@qq.com
  • 基金资助:
    新疆维吾尔自治区自然科学基金(2016D01C249)

Application of suture anchor in oral and maxillofacial surgery

Yashengjiang Muhesen1,2(),Tuerdi Maimaitituxun1,2()   

  1. 1.Dept. of Maxillofacial Trauma and Orthognathic Surgery, The First Affiliated Hospital/Affiliated Stomatological Hospital of Xinjiang Medical University, Urumqi 830054, China
    2.Xinjiang Uygur Autonomous Region Institute of Stomatology, Urumqi 830054, China
  • Received:2022-05-26 Revised:2022-10-09 Online:2023-01-01 Published:2023-01-09
  • Contact: Maimaitituxun Tuerdi
  • Supported by:
    Natural Science Foundation of Xinjiang Uygur Autonomous Region(2016D01C249)

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摘要：

带线锚钉通过植入于骨皮质内的锚钉及配套缝线达到固定目标软组织的目的。该技术在骨科被广泛应用，主要是对韧带、肌腱等软组织进行固定，之后在口腔颌面部软组织缺损修复及功能修复重建中的应用也逐渐成熟。本文探讨了锚固技术的基本原理、操作要点，锚钉种类、适用范围以及在口腔颌面外科的具体应用，并提出该技术存在的问题和将来可能的应用前景。

关键词: 锚固定术, 带线锚钉, 口腔颌面部缺损, 修复重建

Abstract:

Soft tissue anchoring fixation is to fix the target soft tissue through anchors and matching sutures implanted into the bone cortex. This technique is widely used in orthopedics, mainly for soft tissues such as ligaments and tendons. Its application in oral and maxillofacial soft tissue defects has gradually matured to repair and functional reconstruction. This study discusses the basic principle, operation points, types, and scope of suture anchors as well as the specific application of this technique in oral and maxillofacial surgery, also puts forward the existing problems and possible applications with prospects of them in the future.

Key words: anchor fixation, suture anchor, oral and maxillofacial defects, repair and reconstruction

中图分类号: 

  • R 782.12
1 Spies CK, Langer M, Müller LP, et al. Distal radioulnar joint instability: current concepts of treatment[J]. Arch Orthop Trauma Surg, 2020, 140(5): 639-650.
2 Bond S, Rust P, Boland M. The accommodation of bone anchors within the distal phalanx for repair of flexor digitorum profundus avulsions[J]. J Hand Surg Am, 2019, 44(11): 986.e1-986.e6.
3 Lang NW, Bukaty A, Sturz GD, et al. Treatment of primary total distal biceps tendon rupture using cortical button, transosseus fixation and suture anchor: a single center experience[J]. Orthop Traumatol Surg Res, 2018, 104(6): 859-863
4 Wagner M, Schmoelz W, Stofferin H, et al. Biomechanical in vitro comparison of suture anchors for thumb UCL repair[J]. Arch Orthop Trauma Surg, 2018, 138(3): 435-442.
5 Gualdi A, Cambiaso-Daniel J, Gatti J, et al. Minimal undermining suspension technique (MUST): combined eyebrow and mid-face lift via temporal access[J]. Aesthetic Plast Surg, 2017, 41(1): 40-46.
6 Hasmat S, McPherson S, Suaning GJ, et al. Recreation of eyelid mechanics using the sling concept[J]. J Plast Reconstr Aesthet Surg, 2020, 73(5): 942-950.
7 Mao Y, Chen XZ, Xie XR, et al. Evaluation of an improved anchoring nail in temporomandibular joint disc repositioning surgery: a prospective study of 25 patients[J]. J Craniomaxillofac Surg, 2021, 49(10): 929-934.
8 Cho CH, Bae KC, Kim DH. Biomaterials used for suture anchors in orthopedic surgery[J]. Clin Orthop Surg, 2021, 13(3): 287-292.
9 Panesar KS, Robertson A. Glenohumeral migration of intraosseous suture-button after acromioclavicular joint ACJ reconstruction-a case report[J]. J Orthop Case Rep, 2020, 10(5): 16-19.
10 Schröder FF, Huis In’t Veld R, den Otter LA, et al. Metal artefacts severely hamper magnetic resonance imaging of the rotator cuff tendons after rotator cuff repair with titanium suture anchors[J]. Shoulder Elbow, 2018, 10(2): 107-113.
11 Visscher LE, Jeffery C, Gilmour T, et al. The history of suture anchors in orthopaedic surgery[J]. Clin Biomech (Bristol, Avon), 2019, 61: 70-78.
12 Barber FA, Herbert MA. All-suture anchors: biomechanical analysis of pullout strength, displacement, and failure mode[J]. Arthroscopy, 2017, 33(6): 1113-1121.
13 Barber FA, Spenciner DB, Bhattacharyya S, et al. Biocomposite implants composed of poly(lactide-co-glycolide)/β-tricalcium phosphate: systematic review of imaging, complication, and performance outcomes[J]. Arthroscopy, 2017, 33(3): 683-689.
14 Barber FA, Herbert MA, Beavis RC, et al. Suture anchor materials, eyelets, and designs: update 2008[J]. Arthroscopy, 2008, 24(8): 859-867.
15 Barber FA, Herbert MA, Coons DA, et al. Sutures and suture anchors: update 2006[J]. Arthroscopy, 2006, 22(10): 1063.e1-1063.e9.
16 Barber FA. Biodegradable materials: anchors and interference screws[J]. Sports Med Arthrosc Rev, 2015, 23(3): 112-117.
17 Cho CH, Bae KC, Kim DH. Biomaterials used for suture anchors in orthopedic surgery[J]. Clin Orthop Surg, 2021, 13(3): 287-292.
18 Amako M, Arino H, Tsuda Y, et al. Recovery of sh-oulder rotational muscle strength after arthroscopic bankart repair[J]. Orthop J Sports Med, 2017, 5(9): 2325967117728684.
19 Burnham RR Jr, Kumar J, Pinzur M, et al. Initial experience with a bioresorbable polymer anchor[J]. Cureus, 2020, 12(12): e12370.
20 Wang XJ, Mei LN, Jiang XS, et al. Hydroxyapatite-coated titanium by micro-arc oxidation and steam-hydrothermal treatment promotes osseointegration[J]. Front Bioeng Biotechnol, 2021, 9: 625877.
21 Bailie DS, Ellenbecker TS. Severe chondrolysis after shoulder arthroscopy: a case series[J]. J Shoulder Elbow Surg, 2009, 18(5): 742-747.
22 Barber FA. Complications of biodegradable materials: anchors and interference screws[J]. Sports Med Arthrosc Rev, 2015, 23(3): 149-155.
23 Ji SJ, Sun CR, Zhao J, et al. Comparison and analysis on mechanical property and machinability about polyetheretherketone and carbon-fibers reinforced polyetheretherketone[J]. Materials (Basel), 2015, 8(7): 4118-4130.
24 Suchenski M, McCarthy MB, Chowaniec D, et al. Material properties and composition of soft-tissue fixation[J]. Arthroscopy, 2010, 26(6): 821-831.
25 Yoshikawa H, Tamai N, Murase T, et al. Interconnected porous hydroxyapatite ceramics for bone tissue engineering[J]. J R Soc Interface, 2009, 6(): S341-S348.
26 夏文棣, 傅开元. 颞下颌关节盘前移位对下颌功能和形态的影响及其生物学机制的研究进展[J]. 中华口腔医学杂志, 2016, 51(3): 182-184.
Xia WD, Fu KY. The influences of anterior disc displacement on oral mandibular function and morphology and their biological mechanisms[J]. Chin J Stomatol, 2016, 51(3): 182-184.
27 Abramowicz S, Dolwick MF. 20-year follow-up study of disc repositioning surgery for temporomandibular joint internal derangement[J]. J Oral Maxillofac Surg, 2010, 68(2): 239-242.
28 Mehra P, Wolford LM. Use of the Mitek anchor in temporomandibular joint disc-repositioning surgery[J]. Proc (Bayl Univ Med Cent), 2001, 14(1): 22-26.
29 Mehra P, Wolford LM. The Mitek mini anchor for TMJ disc repositioning: surgical technique and results[J]. Int J Oral Maxillofac Surg, 2001, 30(6): 497-503.
30 Ruiz Valero CA, Marroquin Morales CA, Jimenez Alvarez JA, et al. Temporomandibular joint meniscopexy with Mitek mini anchors[J]. J Oral Maxillofac Surg, 2011, 69(11): 2739-2745.
31 He DM, Yang C, Zhang SY, et al. Modified temporomandibular joint disc repositioning with miniscrew anchor: Part Ⅰ: surgical technique[J]. J Oral Maxillofac Surg, 2015, 73(1): 47.e1-47.e9.
32 朱慧敏, 周琴, 何冬梅, 等. 关节盘复位锚固术术后稳定性的影像学评价[J]. 中国实用口腔科杂志, 2018, 11(12): 731-734.
Zhu HM, Zhou Q, He DM, et al. Imaging evaluation of disc position and condylar status after temporomandibular joint disc repositioning surgery with miniscrew anchor[J]. Chin J Pract Stomatol, 2018, 11(12): 731-734.
33 甄锦泽, 张善勇, 杨驰, 等. 改良颞下颌关节盘锚固术常见并发症的防治[J]. 中国口腔颌面外科杂志, 2016, 14(2): 158-161.
Zhen JZ, Zhang SY, Yang C, et al. Prevention of common complications after modified temporomandibular joint disc anchor[J]. China J Oral Maxillofac Surg, 2016, 14(2): 158-161.
34 Pang P, Li RW, Shi JP, et al. A comparison of mandible preservation method and mandibulotomy approach in oral and oropharyngeal cancer: a meta-analysis[J]. Oral Oncol, 2016, 63: 52-60.
35 Stanley RB. Mandibular lingual releasing approach to oral and oropharyngeal carcinomas[J]. Laryngoscope, 1984, 94(5 Pt 1): 596-600.
36 Stringer SP, Jordan JR, Mendenhall WM, et al. Mandibular lingual releasing approach[J]. Otolaryngol Head Neck Surg, 1992, 107(3): 395-398.
37 Dean A, Alamillos F, García-López A, et al. The use of Mitek pins in the mandibular lingual releasing approach to oral and/or oropharyngeal carcinomas: a technical note[J]. J Craniomaxillofac Surg, 2000, 28(5): 308-311.
38 徐立群, 张陈平, 张志愿, 等. 血管化游离组织瓣在口腔颌面-头颈部缺损修复中的应用（4 640例临床分析）[J]. 实用肿瘤杂志, 2015, 30(1): 18-21.
Xu LQ, Zhang CP, Zhang ZY, et al. Application of vascularized free flap in reconstruction of oral and maxillofacial-head and neck defect: a clinical analysis of 4 640 cases[J]. J Pract Oncol, 2015, 30(1): 18-21.
39 邵侠, 叶鹏程, 方一鸣, 等. 游离前臂皮瓣移植修复治疗口腔颌面部肿瘤切除后缺损47例分析[J]. 中华全科医学, 2017, 15(2): 206-209.
Shao X, Ye PC, Fang YM, et al. Free forearm flap for oral and maxillofacial defects after tumor resection: an analysis of 47 cases[J]. Chin J Gen Pract, 2017, 15(2): 206-209.
40 Grammatica A, Piazza C, Paderno A, et al. Free flaps in head and neck reconstruction after oncologic surgery: expected outcomes in the elderly[J]. Otolaryngol Head Neck Surg, 2015, 152(5): 796-802.
41 Young AMH, Bache S, Segaren N, et al. Free flap selection and outcomes of soft tissue reconstruction following resection of intra-oral malignancy[J]. Front Surg, 2019, 6: 53.
42 Tirelli G, Tofanelli M, Boscolo Nata F, et al. Anchors for sutures to fix pedicled flaps to the floor of the mouth in reconstructions for cancer[J]. Br J Oral Maxillofac Surg, 2017, 55(7): e41-e42.
43 Shah JP, Gil Z. Current concepts in management of oral cancer: surgery[J]. Oral Oncol, 2009, 45(4/5): 394-401.
44 Arnež ZM, Novati FC, Ramella V, et al. How we fix free flaps to the bone in oral and oropharyngeal reconstructions[J]. Am J Otolaryngol, 2015, 36(2): 166-172.
45 Kim TG, Chung KJ, Kim YH, et al. Medial canthopexy using Y-V epicanthoplasty incision in the correction of telecanthus[J]. Ann Plast Surg, 2014, 72(2): 164-168.
46 Chu YY, Lim E, Liao HT. Ipsilateral transnasal medial canthopexy to correct secondary telecanthus after naso-orbito-ethmoid fracture[J]. J Plast Reconstr Aesthet Surg, 2020, 73(5): 934-941.
47 Mathijssen IM, Roche NA, Vaandrager JM. Soft tissue fixation in the face with the use of a micro mitek anchor[J]. J Craniofac Surg, 2005, 16(1): 117-119.
48 Okazaki M, Akizuki T, Ohmori K. Medical canthoplasty with the mitek anchor system[J]. Ann Plast Surg, 1997, 38(2): 124-128.
49 Iglesias Conde R, Alonso Alonso T, González Sixto B, et al. Use of bone anchor systems for the reconstruction of medial canthal tendon[J]. Dermatol Surg, 2015, 41(12): 1440-1442.
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