RapidNAM: Algorithm for the Semi-Automated Generation of Nasoalveolar Molding Device Designs for the Presurgical Treatment of Bilateral Cleft Lip and Palate

Schiebl, Jonas; Bauer, Franz X.; Grill, F; Loeffelbein, Denys J.

doi:10.1109/tbme.2019.2934907

Cited by 18 publications

(13 citation statements)

References 21 publications

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“…One study used AI to develop sequential plates for infants with bilateral cleft lip and palate who required naso-alveolar molding (NAM) for reducing the severity of the cleft defect ( 38 ). Fabrication of successive plates is done by segmenting the structure, virtually bridging the gap, and generating plates.…”

Section: Resultsmentioning

confidence: 99%

“…The traditional method of fabricating NAM plates involves making a series of impressions which are modified manually every week to adapt the plates to the changing anatomy of the arch. AI was used in one study ( 38 ) for the automatic generation of the sequence of these plates with modifications made virtually to the digital impressions. This approach will improve the quality of treatment and also save time by reducing the frequency of visits to the hospital.…”

Section: Discussionmentioning

confidence: 99%

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Current Applications of Artificial Intelligence in Cleft Care: A Scoping Review

et al. 2021

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Objective: This scoping review aims to identify the various areas and current status of the application of artificial intelligence (AI) for aiding individuals with cleft lip and/or palate.Introduction: Cleft lip and/or palate contributes significantly toward the global burden on the healthcare system. Artificial intelligence is a technology that can help individuals with cleft lip and/or palate, especially those in areas with limited access to receive adequate care.Inclusion Criteria: Studies that used artificial intelligence to aid the diagnosis, treatment, or its planning in individuals with cleft lip and/or palate were included.Methodology: A search of the Pubmed, Embase, and IEEE Xplore databases was conducted using search terms artificial intelligence and cleft lip and/or palate. Gray literature was searched using Google Scholar. The study was conducted according to the PRISMA- ScR guidelines.Results: The initial search identified 458 results, which were screened based on title and abstracts. After the screening, removal of duplicates, and a full-text reading of selected articles, 26 publications were included. They explored the use of AI in cleft lip and/or palate to aid in decisions regarding diagnosis, treatment, especially speech therapy, and prediction.Conclusion: There is active interest and immense potential for the use of artificial intelligence in cleft lip and/or palate. Most studies currently focus on speech in cleft palate. Multi-center studies that include different populations, with collaboration amongst academicians and researchers, can further develop the technology.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Current Applications of Artificial Intelligence in Cleft Care: A Scoping Review

et al. 2021

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“…This is modified on a weekly or biweekly basis to "mold" the nasoalveolar defect nonsurgically in order to improve symmetry, project the nasal tip, elongate the columella, align the alveolar ridges, and decrease the gap between the cleft lip segments (Grayson et al, 1999;Grayson & Garfinkle, 2014). This complex, manual process of manipulating the patient molds requires high expertise, is time-consuming, and efficacy and efficiency of the treatment are dependent upon the practitioners' skills (Schiebl et al, 2019;Zheng et al, 2019).…”

Section: Nasoalveolar Moldingmentioning

confidence: 99%

Three-Dimensional Printing in Cleft Care: A Systematic Review

Virani

Chua

Timbang

et al. 2021

The Cleft Palate Craniofacial Journal

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Objective: To determine the current applications of 3-dimensional (3D) printing in the care of patients with cleft lip and palate. We also reviewed 3D printing limitations, financial analysis, and future implications. Design: Retrospective systematic review. Methods: Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines were used by 3 independent reviewers. Articles were identified from Cochrane library, Ovid Medline, and Embase. Search terms included 3D printing, 3 dimensional printing, additive manufacturing, rapid prototyping, cleft lip, and cleft palate. Exclusion criteria included articles not in English, animal studies, reviews without original data, oral presentations, abstracts, opinion pieces, and articles without relevance to 3D printing or cleft lip and palate. Main Outcome Measures: Primary outcome measure was the purpose of 3D printing in the care of patients with cleft lip and palate. Secondary outcome measures were cost analysis and clinical outcomes. Results: Eight-four articles were identified, and 39 met inclusion/exclusion criteria. Eleven studies used 3D printing models for nasoalveolar molding. Patient-specific implants were developed via 3D printing in 6 articles. Surgical planning was conducted via 3D printing in 8 studies. Eight articles utilized 3D printing for anatomic models/educational purposes. 3-Dimensional printed models were used for surgical simulation/training in 6 articles. Bioprinting was utilized in 4 studies. Secondary outcome of cost was addressed in 8 articles. Conclusion: 3-Dimensional printing for the care of patients with cleft lip and palate has several applications. Potential advantages of utilizing this technology are demonstrated; however, literature is largely descriptive in nature with few clinical outcome measures. Future direction should be aimed at standardized reporting to include clinical outcomes, cost, material, printing method, and results.

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“…Intraoral scanners can accurately capture the palatal cleft area and other anatomic details in 3D digital format (ie, STereoLithography [STL] file). These 3D digital models of cleft defect can be used to create a digitally designed sequential NAM appliance for 3D printing or sequential digital models for 3D printing upon which sequential NAM appliance may be constructed (Ahmed et al, 2019;Zheng et al, 2019;Batra et al, 2020;Bous et al, 2020;Gong et al, 2020;Schiebl et al, 2020;Shanbhag et al, 2020). Digital NAM appliances have a more precise fit and are as effective as traditional NAM devices (Branstetter and Patel, 2019;Bous et al, 2020;Gong et al, 2020).…”

mentioning

confidence: 99%

“…Schiebl et al (2020); GermanyIEEE Transactions on Biomedical EngineeringRapidNAM: Algorithm for the Semi-Automated Generation of Nasoalveolar Molding Device Designs for the Presurgical Treatment of Bilateral Cleft Lip and Palate (Original article)…”

mentioning

confidence: 99%