The Application of 3D Printing Technology for Simultaneous Orthognathic Surgery and Mandibular Contour Osteoplasty in the Treatment of Craniofacial Deformities

Xiao, Yanju; Sun, Xiaofeng; Wang, Lin; Zhang, Yaoyao; Wu, Guomin

doi:10.1007/s00266-017-0914-z

Cited by 33 publications

(13 citation statements)

References 23 publications

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“…They showed adequate performances in reproducing training models of the maxilla and their accuracy is really satisfying for creating planning models [12,18]. It is also possible to create models for simulating surgeries, thanks to their good haptic feedback [12,14,18]. Also MJ printers allow to produce models that provide good haptic feedback and that can be used to simulate complex surgeries before entering the operating room [14].…”

Section: Suggestionsmentioning

confidence: 97%

“…It is also possible to create models for simulating surgeries, thanks to their good haptic feedback [12,14,18]. Also MJ printers allow to produce models that provide good haptic feedback and that can be used to simulate complex surgeries before entering the operating room [14]. Generally, they cost more than the VP ones, as well as the BJ ones [35,61].…”

Section: Suggestionsmentioning

confidence: 99%

“…The manipulation of the patient anatomical structures helps to get a better understanding of his specific condition and to plan the required surgical interventions [13]. These models are often used in orthognathic and reconstructive surgeries, giving the possibility of a better comprehension and more predictable results [14][15][16][17]. Measurements and surgical pre-operative evaluations can be performed on these models.…”

Section: Introductionmentioning

confidence: 99%

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3D printed bone models in oral and cranio-maxillofacial surgery: a systematic review

et al. 2020

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Aim This systematic review aimed to evaluate the use of three-dimensional (3D) printed bone models for training, simulating and/or planning interventions in oral and cranio-maxillofacial surgery. Materials and methods A systematic search was conducted using PubMed® and SCOPUS® databases, up to March 10, 2019, by following the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) protocol. Study selection, quality assessment (modified Critical Appraisal Skills Program tool) and data extraction were performed by two independent reviewers. All original full papers written in English/French/Italian and dealing with the fabrication of 3D printed models of head bone structures, designed from 3D radiological data were included. Multiple parameters and data were investigated, such as author’s purpose, data acquisition systems, printing technologies and materials, accuracy, haptic feedback, variations in treatment time, differences in clinical outcomes, costs, production time and cost-effectiveness. Results Among the 1157 retrieved abstracts, only 69 met the inclusion criteria. 3D printed bone models were mainly used as training or simulation models for tumor removal, or bone reconstruction. Material jetting printers showed best performance but the highest cost. Stereolithographic, laser sintering and binder jetting printers allowed to create accurate models with adequate haptic feedback. The cheap fused deposition modeling printers exhibited satisfactory results for creating training models. Conclusion Patient-specific 3D printed models are known to be useful surgical and educational tools. Faced with the large diversity of software, printing technologies and materials, the clinical team should invest in a 3D printer specifically adapted to the final application.

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Section: Suggestionsmentioning

confidence: 97%

Section: Suggestionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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3D printed bone models in oral and cranio-maxillofacial surgery: a systematic review

et al. 2020

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“…A previous study reported on the efficacy of 3D printing simulated operation and the associated improvement in the accuracy and safety of minimally invasive surgery through a small incision lateral to the rectus abdominis for pelvic fracture (22). Xiao et al (23) demonstrated that 3D printing technology increased the predictability, feasibility and reliability of simultaneous mandibular contour osteoplasty and orthognathic surgery. The present study indicated that a 3D-printed pelvis model improved the accuracy of pelvic osteotomy, and also decreased the surgery time and post-operative inflammation compared to 3D-CT-based surgery for patients with DDH.…”

Section: Discussionmentioning

confidence: 99%

3D‑printed pelvis model is an efficient method of osteotomy simulation for the treatment of developmental dysplasia of the hip

Liu

et al. 2019

Exp Ther Med

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Developmental dysplasia of the hip (DDH) is a congenital or developmental deformation of the hip joint, which may require a high number of surgical interventions. It has been indicated that 3D printing may be used to simulate a fractured pelvis to facilitate the fixation of plates during the surgical procedure. In the present double-blinded randomized clinical trial, the utility of the 3D-printed pelvis model, comprising 3D reconstruction, reverse engineering and rapid prototyping, in the treatment of DDH was evaluated with 3D CT as control. The value of the 3D-printed pelvis model in the surgical management and development of a strategy for an individualized operation for DDH using osteotomy simulation was also assessed. The results indicated that use of the 3D-printed pelvis model increased the success rate of the operation with a shortened surgery time and post-operative recovery time for DDH patients. In addition, the application of the 3D-printed pelvis model allowed for more efficient surgical management of DDH than 3D CT and promoted post-operative recovery of the DDH patients. Pre-operative planning using the 3D-printed pelvis model was feasible for DDH patients. Furthermore, few patients exhibited delayed incision healing, wound infection or nonunion in the DDH group with osteotomy simulation using the 3D-printed pelvis model or 3D-CT. In conclusion, the present study indicated that the 3D-printed pelvis model, including 3D reconstruction, reverse engineering and rapid prototyping, constitutes an efficient tool for pelvic osteotomy simulation, which improves personalized pre-operative planning by providing a visual and accurate osteotomy model for patients with DDH (Chinese Trial Registry No. KCT0012374).

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“…3-D printing has also gained traction in craniofacial surgery, as the wide-ranging anatomical variations in head and neck anatomy renders any surgery both daunting and potentially disfiguring. The utmost importance must be placed on fine manipulation to help mitigate potential complications, and 3-D printing allows one to create more representative models that provide more predictable results [ 91 – 95 ]. Models have been utilized in orbital reconstructive surgery, wherein the titanium replacement plate is morphed to exact anatomical parameters by using the 3-D-printed model, which can potentially improve outcomes and can reduce surgery time [ 96 – 98 ].…”

Section: Current Applications In Medicinementioning

confidence: 99%

Establishing a point-of-care additive manufacturing workflow for clinical use

Daoud

Pezzutti

Dolatowski

et al. 2021

Journal of Materials Research

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Graphical abstract Additive manufacturing, or 3-Dimensional (3-D) Printing, is built with technology that utilizes layering techniques to build 3-D structures. Today, its use in medicine includes tissue and organ engineering, creation of prosthetics, the manufacturing of anatomical models for preoperative planning, education with high-fidelity simulations, and the production of surgical guides. Traditionally, these 3-D prints have been manufactured by commercial vendors. However, there are various limitations in the adaptability of these vendors to program-specific needs. Therefore, the implementation of a point-of-care in-house 3-D modeling and printing workflow that allows for customization of 3-D model production is desired. In this manuscript, we detail the process of additive manufacturing within the scope of medicine, focusing on the individual components to create a centralized in-house point-of-care manufacturing workflow. Finally, we highlight a myriad of clinical examples to demonstrate the impact that additive manufacturing brings to the field of medicine.

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The Application of 3D Printing Technology for Simultaneous Orthognathic Surgery and Mandibular Contour Osteoplasty in the Treatment of Craniofacial Deformities

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 33 publications

References 23 publications

3D printed bone models in oral and cranio-maxillofacial surgery: a systematic review

3D printed bone models in oral and cranio-maxillofacial surgery: a systematic review

3D‑printed pelvis model is an efficient method of osteotomy simulation for the treatment of developmental dysplasia of the hip

Establishing a point-of-care additive manufacturing workflow for clinical use

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