Virtual Surgical Planning and the 'In-House' Rapid Prototyping Technique in Maxillofacial Surgery: The Current Situation and Future Perspectives
| Autor: | Vincenzo Abbate, Pasquale Piombino, Luigi Califano, Giovanni Salzano, Luigi Angelo Vaira, Paola Bonavolontà, Fabio Maglitto, Gianluca Renato De Fazio, Giovanni Dell'Aversana Orabona, Umberto Committeri |
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| Přispěvatelé: | Maglitto, F., Dell'Aversana Orabona, G., Committeri, U., Salzano, G., De Fazio, G. R., Vaira, L. A., Abbate, V., Bonavolonta, P., Piombino, P., Califano, L. |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Rapid prototyping
medicine.medical_specialty Reconstructive surgery 3D-printing Computer science Radiography Traumatology CAD virtual surgical planning maxillofacial surgery Surgical planning lcsh:Technology CAD/CAM lcsh:Chemistry 03 medical and health sciences 0302 clinical medicine Software medicine General Materials Science Instrumentation lcsh:QH301-705.5 Fluid Flow and Transfer Processes business.industry lcsh:T Process Chemistry and Technology General Engineering 030206 dentistry lcsh:QC1-999 Computer Science Applications Surgery medicine.anatomical_structure lcsh:Biology (General) lcsh:QD1-999 lcsh:TA1-2040 030220 oncology & carcinogenesis Zygomatic arch business lcsh:Engineering (General). Civil engineering (General) lcsh:Physics |
| Zdroj: | Applied Sciences Volume 11 Issue 3 Applied Sciences, Vol 11, Iss 1009, p 1009 (2021) |
| ISSN: | 2076-3417 |
| DOI: | 10.3390/app11031009 |
| Popis: | Background: The first applications of computer-aided design/computer-aided manufacturing (CAD/CAM) in maxillofacial surgery date back to the 1980s. Since then, virtual surgical planning (VSP) has undergone significant development and is now routinely used in daily practice. Indeed, in an extraordinary period, such as that of the current COVID-19 pandemic, it offers a valuable tool in relation to the protection of healthcare workers. In this paper we provide a comprehensive summary of the clinical applications reported in the literature and review our experience using an in-house rapid prototyping technique in the field of maxillofacial surgery. methods: Our research was focused on reconstructive surgery, traumatology (especially in relation to orbital floor and zygomatic arch fractures), and COVID-19 masks. The first step was a radiographic study. Next, computed tomography (CT) scans were segmented in order to obtain a three-dimensional (3D) model. Finally, in the editing phase, through the use of specific software, a customized device for each patient was designed and printed. results: Four reconstructive procedures were performed with a perfect fitting of the surgical device produced by means of VSP. In nine orbital floor fracture cases a good overlapping of the mesh on the orbital floor was obtained. In sixteen zygomatic arch cases the post-operative CT scan showed an excellent fitting of the device and a correct fracture reduction. Regarding the COVID-19 period, six masks and shields produced proved to provide effective protection. conclusions: The timescale and costs required for the production of our &ldquo home-made&rdquo virtual design are low, which makes this method applicable to a large number of cases, for both ordinary and extraordinary activities. |
| Databáze: | OpenAIRE |
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