A novel 'surgeon-dominated' approach to the design of 3D-printed patient-specific surgical plates in mandibular reconstruction: a proof-of-concept study.
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| Titel: | A novel 'surgeon-dominated' approach to the design of 3D-printed patient-specific surgical plates in mandibular reconstruction: a proof-of-concept study. |
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| Autoren: | Yang WF; Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region., Zhang CY; Guangzhou Janus Biotechnology Co., Ltd, Guangzhou, China., Choi WS; Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region., Zhu WY; Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region., Li DTS; Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region., Chen XS; Guangzhou Janus Biotechnology Co., Ltd, Guangzhou, China., Du R; Shien-Ming Wu School of Intelligent Engineering, Guangzhou International Campus of South China University of Technology, Guangzhou, China., Su YX; Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region. Electronic address: richsu@hku.hk. |
| Quelle: | International journal of oral and maxillofacial surgery [Int J Oral Maxillofac Surg] 2020 Jan; Vol. 49 (1), pp. 13-21. Date of Electronic Publication: 2019 Jun 21. |
| Publikationsart: | Journal Article |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: Churchill Livingstone Country of Publication: Denmark NLM ID: 8605826 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1399-0020 (Electronic) Linking ISSN: 09015027 NLM ISO Abbreviation: Int J Oral Maxillofac Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: Copenhagen : Churchill Livingstone Original Publication: Copenhagen : Munksgaard, c1986- |
| MeSH-Schlagworte: | Mandibular Reconstruction* , Plastic Surgery Procedures* , Surgeons* , Surgery, Computer-Assisted*, Bone Plates ; Computer-Aided Design ; Humans ; Mandible ; Printing, Three-Dimensional |
| Abstract: | Three-dimensionally (3D) printed patient-specific surgical plates have been proposed to facilitate mandibular reconstruction and are attracting extensive attention. We have recently reported the high accuracy of 3D-printed patient-specific surgical plates used in head and neck reconstruction. Based on this previous work, the current study proposes a novel 'surgeon-dominated' approach to the design of 3D-printed patient-specific surgical plates. The aim of this proof-of-concept study was to explore the workflow and technical procedures of the surgeon-dominated approach. The workflow includes virtual surgery, the design and printing of patient-specific surgical devices, and real surgery. The prototype of the patient-specific surgical plate was designed by surgeons and further optimized for 3D printing by engineers. Different types of mandibular defect were tested to confirm the wide applicability of this approach. Cases in which this approach was used were reviewed and the duration of time spent on each case studied. Based on a total of 16 patients, the time spent on virtual surgery and plate design was 18.83±13.19hours, and the time taken for 3D printing, post-processing, and product delivery was 162.9±55.15hours. Therefore, this novel surgeon-dominated approach is feasible and time-saving, which would likely promote the wide application of patient-specific surgical plates and lead to a new era of 'digitization and precision' in mandibular reconstruction. ClinicalTrials.gov registration: NCT03057223. (Copyright © 2019 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.) |
| Contributed Indexing: | Keywords: 3D print; bone plates; computer-assisted surgery; fibula; head and neck reconstruction; mandibular reconstruction; patient-specific surgical plate; software workflow; surgeon-dominated; three-dimensional printing; titanium; virtual surgery |
| Molecular Sequence: | ClinicalTrials.gov NCT03057223 |
| Entry Date(s): | Date Created: 20190625 Date Completed: 20200102 Latest Revision: 20221207 |
| Update Code: | 20250114 |
| DOI: | 10.1016/j.ijom.2019.05.005 |
| PMID: | 31230767 |
| Datenbank: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstract: | Three-dimensionally (3D) printed patient-specific surgical plates have been proposed to facilitate mandibular reconstruction and are attracting extensive attention. We have recently reported the high accuracy of 3D-printed patient-specific surgical plates used in head and neck reconstruction. Based on this previous work, the current study proposes a novel 'surgeon-dominated' approach to the design of 3D-printed patient-specific surgical plates. The aim of this proof-of-concept study was to explore the workflow and technical procedures of the surgeon-dominated approach. The workflow includes virtual surgery, the design and printing of patient-specific surgical devices, and real surgery. The prototype of the patient-specific surgical plate was designed by surgeons and further optimized for 3D printing by engineers. Different types of mandibular defect were tested to confirm the wide applicability of this approach. Cases in which this approach was used were reviewed and the duration of time spent on each case studied. Based on a total of 16 patients, the time spent on virtual surgery and plate design was 18.83±13.19hours, and the time taken for 3D printing, post-processing, and product delivery was 162.9±55.15hours. Therefore, this novel surgeon-dominated approach is feasible and time-saving, which would likely promote the wide application of patient-specific surgical plates and lead to a new era of 'digitization and precision' in mandibular reconstruction. ClinicalTrials.gov registration: NCT03057223.<br /> (Copyright © 2019 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.) |
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| ISSN: | 1399-0020 |
| DOI: | 10.1016/j.ijom.2019.05.005 |