3D Printed Models for Surgical Planning and Reconstructive Implant Design in Sphenoorbital Tumor Surgery

2016 ◽  
Vol 77 (S 02) ◽  
Author(s):  
Hassan Othman ◽  
Sam Evans ◽  
Daniel Morris ◽  
Saty Bhatia ◽  
Caroline Hayhurst
2017 ◽  
Vol 26 (4) ◽  
pp. 513-518 ◽  
Author(s):  
Ralph J. Mobbs ◽  
Marc Coughlan ◽  
Robert Thompson ◽  
Chester E. Sutterlin ◽  
Kevin Phan

OBJECTIVE There has been a recent renewed interest in the use and potential applications of 3D printing in the assistance of surgical planning and the development of personalized prostheses. There have been few reports on the use of 3D printing for implants designed to be used in complex spinal surgery. METHODS The authors report 2 cases in which 3D printing was used for surgical planning as a preoperative mold, and for a custom-designed titanium prosthesis: one patient with a C-1/C-2 chordoma who underwent tumor resection and vertebral reconstruction, and another patient with a custom-designed titanium anterior fusion cage for an unusual congenital spinal deformity. RESULTS In both presented cases, the custom-designed and custom-built implants were easily slotted into position, which facilitated the surgery and shortened the procedure time, avoiding further complex reconstruction such as harvesting rib or fibular grafts and fashioning these grafts intraoperatively to fit the defect. Radiological follow-up for both cases demonstrated successful fusion at 9 and 12 months, respectively. CONCLUSIONS These cases demonstrate the feasibility of the use of 3D modeling and printing to develop personalized prostheses and can ease the difficulty of complex spinal surgery. Possible future directions of research include the combination of 3D-printed implants and biologics, as well as the development of bioceramic composites and custom implants for load-bearing purposes.


Author(s):  
B Keegan Markhardt ◽  
Matthew A Beilfuss ◽  
Scott J Hetzel ◽  
David C Goodspeed ◽  
Andrea M Spiker

Abstract The purpose of this study was to determine the feasibility and clinical benefits of using 3D-printed hemipelvis models for periacetabular osteotomy preoperative planning in the treatment of hip dysplasia. This retrospective study included 28 consecutive cases in 26 patients, with two bilateral cases, who underwent periacetabular osteotomy between January 2017 and February 2020 and had routine radiographs, CT and MR imaging. Of these, 14 cases [mean patient age 30.7 (SD 8.4) years, 11 female] had routine preoperative imaging, and 14 cases [mean patient age 28.0 (SD 8.7) years, 13 female] had routine preoperative imaging and creation of a full-scale 3D-printed hemipelvis model from the CT data. The expected surgical cuts were performed on the 3D-printed models. All patients underwent Bernese periacetabular osteotomy. Operative times, including time to achieve proper acetabular position and total periacetabular osteotomy time, fluoroscopy radiation dose and estimated total blood loss were compiled. ANOVA compared outcome variables between the two patient groups, controlling for possible confounders. On average, patients who had additional preoperative planning using the 3D-printed model had a 5.5-min reduction in time to achieve proper acetabular position and a 14.5-min reduction in total periacetabular osteotomy time; however, these changes were not statistically significant (P = 0.526 and 0.151, respectively). No significant difference was identified in fluoroscopy radiation dose or total blood loss. Detailed surgical planning for periacetabular osteotomy using 3D-printed models is feasible using widely available and affordable technology and shows promise to improve surgical efficiency.


2021 ◽  
pp. 100014
Author(s):  
A. Tejo-Otero ◽  
F. Fenollosa-Artés ◽  
R. Uceda ◽  
A. Castellví-Fernández ◽  
P. Lustig-Gainza ◽  
...  
Keyword(s):  

2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Nicola Bizzotto ◽  
Ivan Tami ◽  
Attilio Santucci ◽  
Roberto Adani ◽  
Paolo Poggi ◽  
...  

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Natanael Parningotan Agung ◽  
Muhammad Hanif Nadhif ◽  
Gampo Alam Irdam ◽  
Chaidir Arif Mochtar

Urology is one of the fields that are always at the frontline of bringing scientific advancements into clinical practice, including 3D printing (3DP). This study aims to discuss and presents the current role of 3D-printed phantoms and devices for organ-specified applications in urology. The discussion started with a literature search regarding the two mentionedtopics within PubMed, Embase, Scopus, and EBSCOhost databases. 3D-printed urological organ phantoms are reported for providing residents new insight regarding anatomical characteristics of organs, either normal or diseased, in a tangible manner. Furthermore, 3D-printed organ phantoms also helped urologists to prepare a pre-surgical planning strategy with detailed anatomical models of the diseased organs. In some centers, 3DP technology also contributed to developing specified devicesfor disease management. To date, urologists have been benefitted by 3D-printed phantoms and devices in the education and disease management of organs of in the genitourinary system, including kidney, bladder, prostate, ureter, urethra, penis, and adrenal. It is safe to say that 3DP technology can bring remarkable changes to daily urological practices.


2019 ◽  
Vol 56 (2) ◽  
pp. 413-415
Author(s):  
Zoltan Fabian ◽  
Kristof Kadar ◽  
Lajos Patonay ◽  
Krisztian Nagy

Secondary autogenous bone grafting is the gold standard for the closure of an alveolar cleft. A preoperative surgical planning helps to determine the optimal shape and volume of the graft, that ideally guide canine eruption to the cleft area and ensure adequate nasal support. The authors describe their experience with design and use of an individually shaped 3D template for an autologous bone graft with fibrin glue for correct volume design. The conforming template is designed using freeware and open source software, it is manufactured by means of additive technology using autoclavable resin.


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