Emerging Applications of Bedside 3D Printing in Plastic Surgery.
Emerging Applications of Bedside 3D Printing in Plastic Surgery.
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DOI：
10.3389/fsurg.2015.00025
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发表时间：
2015
影响因子：
1.8
通讯作者：
Hunter-Smith DJ
中科院分区：
文献类型：
--
作者：
Chae MP;Rozen WM;McMenamin PG;Findlay MW;Spychal RT;Hunter-Smith DJ
现代影像技术是整形和重建外科手术前计划的重要组成部分。然而，包括三维(3D)重建在内的常规模式受到其在2D工作站上的表示的限制。3D打印，也被称为快速原型制造或添加剂制造，曾经是工业界的专属领域，通过计算机辅助设计(CAD)以一层一层的方式制造模型。临床实践中的早期采用者已经接受了医学成像引导的3D打印生物模型，因为它们能够提供触觉反馈和对解剖结构之间的视觉空间关系的更好的理解。随着可访问性的提高，研究人员能够使用各种3D重建软件将标准成像数据转换为CAD文件，并最终使用3D打印技术制造3D模型，例如立体光刻、多喷射建模、选择性激光烧结、粘结剂喷射技术和熔融沉积建模。然而，许多临床医生质疑成本效益比是否证明其继续使用是合理的。随着3D打印关键专利的到期，3D打印机的成本和尺寸在过去十年里迅速下降。临床成像和用户友好的3D软件的显著改进使得在许多情况下无需外包即可对解剖结构和植入物进行计算机辅助3D建模。这些发展为3D打印在床边的各种临床应用提供了巨大的潜力。在这篇综述中，描述了3D打印在整形外科实践中的现有应用，从面部移植手术的模板到定制的头面部植入物的形成以优化手术后的美学。此外，我们讨论了3D打印在整形外科中成为一种基本的办公工具的潜力，以帮助进行术前计划、开发术中指导工具、教授患者和外科实习生，以及在日常外科实践中生产针对患者的假体。
Modern imaging techniques are an essential component of preoperative planning in plastic and reconstructive surgery. However, conventional modalities, including three-dimensional (3D) reconstructions, are limited by their representation on 2D workstations. 3D printing, also known as rapid prototyping or additive manufacturing, was once the province of industry to fabricate models from a computer-aided design (CAD) in a layer-by-layer manner. The early adopters in clinical practice have embraced the medical imaging-guided 3D-printed biomodels for their ability to provide tactile feedback and a superior appreciation of visuospatial relationship between anatomical structures. With increasing accessibility, investigators are able to convert standard imaging data into a CAD file using various 3D reconstruction softwares and ultimately fabricate 3D models using 3D printing techniques, such as stereolithography, multijet modeling, selective laser sintering, binder jet technique, and fused deposition modeling. However, many clinicians have questioned whether the cost-to-benefit ratio justifies its ongoing use. The cost and size of 3D printers have rapidly decreased over the past decade in parallel with the expiration of key 3D printing patents. Significant improvements in clinical imaging and user-friendly 3D software have permitted computer-aided 3D modeling of anatomical structures and implants without outsourcing in many cases. These developments offer immense potential for the application of 3D printing at the bedside for a variety of clinical applications. In this review, existing uses of 3D printing in plastic surgery practice spanning the spectrum from templates for facial transplantation surgery through to the formation of bespoke craniofacial implants to optimize post-operative esthetics are described. Furthermore, we discuss the potential of 3D printing to become an essential office-based tool in plastic surgery to assist in preoperative planning, developing intraoperative guidance tools, teaching patients and surgical trainees, and producing patient-specific prosthetics in everyday surgical practice.
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影响因子：
1.5
作者：
Ciocca, Leonardo;Scotti, Roberto
通讯作者：
Scotti, Roberto
DOI：
10.3109/10929088.2014.887778
发表时间：
2014
期刊：
Computer aided surgery : official journal of the International Society for Computer Aided Surgery
影响因子：
--
作者：
Adolphs N;Liu W;Keeve E;Hoffmeister B
通讯作者：
Hoffmeister B
影响因子：
2.9
作者：
Cheung, Coding L.;Looi, Thomas;Farhat, Walid A.
通讯作者：
Farhat, Walid A.
影响因子：
2.7
作者：
Bruyere, Franck;Leroux, Cecile;Lermusiaux, Patrick
通讯作者：
Lermusiaux, Patrick
影响因子：
2.1
作者：
Chae, Michael P.;Lin, Frank;Rozen, Warren Matthew
通讯作者：
Rozen, Warren Matthew