La medicina 3D. implantación de un Fab-Lab hospitalario

carretero, jose luis cebrian; Martínez, Marta María Pampín; Venturini, Alessandro Gutiérrez

doi:10.20986/recom.2022.1404/2022

Cited by 1 publication

(2 citation statements)

References 4 publications

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“…To avoid this dependency and reduce costs, in-house virtual planning has become an important part of our workflow and it is becoming increasingly common for hospitals to set up their own 3D laboratories (FabLabs) to meet their 3D design and manufacturing needs, known as POC ( 4 ). Dell’Aversana Orabona in 2018 ( 10 ) and Sharkh in 2019 ( 11 ), found that the time needed to produce the personalized cutting guides using an internal process may be cut by up to 24 hours when compared to the time needed by the commercial system.…”

Section: Discussionmentioning

confidence: 99%

“…The fact that patient-specific implants (PSI) , such as cutting guides or plates, are mostly offered and produced by osteosynthesis manufacturing companies raises the question of whether their use has really led to an overall reduction in costs, despite the fact that several articles report it as a self-financing technology ( 1 - 3 ). Consequently, to avoid this dependency, in-house virtual planning has become an important part of our maxillofacial Point-Of-Care (POC) manufacturing workflow ( 4 ). The advantages of an in-house system have been reported, such as faster prototyping and planning, higher cost-effectiveness and faster manufacturing.…”

Section: Introductionmentioning

confidence: 99%

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In-House 3D Printed Positioning and Cutting Guide System for Mandibular Reconstruction. Protocol and case report

Rodríguez-Arias,

Moreiras-Sánchez,

Gutiérrez-Venturini

et al. 2024

J Clin Exp Dent

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Maxillofacial surgery planning has been improved by technological advances in 3D printing. The use of customized cutting and positioning guides allows intraoperative reproduction of pre-planned osteotomy cuts, resulting in increased surgical accuracy, reduced surgical time and improved esthetic and functional outcomes. Our paper presents a new method for creating and printing in-house cutting and positioning guides. A computer program (Brainlab iPlan) was used to segment the mandible for three-dimensional planning from imported conventional computed tomography (CT) scans. The virtual model of the mandible was printed on a stereolithography (SLA) 3D printer and a reconstruction plate was adapted to the printed model. The surface of the model and the screw-retained plate was scanned using a structured light surface 3D scanner (Artec Eva). The obtained scan of the jaw and plate in position was processed and transformed into an STL file. Free software (Autodesk Meshmixer) superimposes the initial jaw on the scanned jaw with the plate, designing a customized hybrid cutting guide that allows accurate intraoperative positioning, knowing the exact position of the reconstruction plate screws in the jaw. The total design, fabrication and 3D printing time for the in-house hybrid guide was 595 min. The average total printing cost was EUR 16. We found the technique to be simple and repeatable. We present and describe here a novel and simple technique for in-house 3D printed positioning and cutting guide system which can be applied to overall maxillofacial area. In cases of mandibular reconstruction, this protocol guarantees an adequate esthetic and functional result. Key words: Oral cancer, 3D surgery, CAD/CAM, personalized medicine, surgical guides, in house.

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Section: Discussionmentioning

confidence: 99%