中国实用口腔科杂志

• 口腔颌面部组织再生专栏 •    下一篇

口腔颌面软组织损伤的再生修复策略

郑晨曦隋秉东胡成虎   

  1. 军事口腔医学国家重点实验室,口腔疾病国家临床医学研究中心,第四军医大学组织工程研发中心,陕西  西安 710032
  • 出版日期:2016-12-15 发布日期:2017-01-17
  • 基金资助:

    国家自然科学基金(31301062)

  • Online:2016-12-15 Published:2017-01-17

摘要:

颌面部软、硬组织具有特殊的解剖部位和生理结构,在人体咀嚼、发音、美观等方面起着至关重要的作用,同时很容易受到创伤、感染和先天性疾病等的影响。颌面部组织缺损在临床上十分常见,严重影响患者的生理功能和生活质量,而现有的临床修复方法以自体软、硬组织移植修复为主,会导致二次创伤且不利于塑形。因此,颌面组织缺损修复是临床亟待解决的难题。其中,颌面软组织的解剖结构和组织成分复杂,并与唾液相接触,对相关修复材料和修复策略的研发提出了更高要求。近年来,随着组织工程和再生医学的发展,口腔颌面部再生领域受到越来越多的重视,为口腔颌面软组织缺损提供了极具前景的治疗策略。文章对口腔颌面部软组织再生领域相关的种子细胞、生长因子、生物支架以及修复策略的研究进展做一综述。

关键词: 颌面软组织, 再生, 种子细胞, 生长因子, 生物支架

Abstract:

Maxillofacial soft and hard tissue, which has special anatomical site and physical structure, plays a vital role in the mastication, pronunciation, appearance and other physical functions in human. However, maxillofacial tissue is vulnerable to trauma, infection and congenital diseases. Maxillofacial tissue defects are very common in clinical practice, seriously affecting the physiological function and life quality of patients. Nowadays, the major repair methods applied in clinic are autologous transplantation, which results in second trauma and incomplete structural and functional repair, so the reconstruction of maxillofacial tissue defect is a difficult clinical problem urgent to be solved. The maxillofacial soft tissue has complex composition and structure and is directly exposed to saliva, which is more demanding for repair materials and repair strategies. In recent years, with the development of tissue engineering and regenerative medicine, more and more attention has been paid to the regeneration of maxillofacial region, which provides a promising treatment strategy for maxillofacial soft tissue defects. In this paper, the research progress of the maxillofacial soft tissue regeneration, which mainly refers to seed cells, growth factors, biological scaffold and repair strategies,is reviewed.

Key words: maxillofacial soft tissue, regeneration, seed cell, growth factor, scaffold