scholarly journals Three-Dimensional Printed Models for Preoperative Planning and Surgical Treatment of Chest Wall Disease: A Systematic Review

Technologies ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 97
Author(s):  
Beatrice Leonardi ◽  
Annalisa Carlucci ◽  
Antonio Noro ◽  
Mary Bove ◽  
Giovanni Natale ◽  
...  
Keyword(s):  
Systematic Review ◽  
Surgical Treatment ◽  
3D Printing ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Operative Time ◽  
Preoperative Planning ◽  
Three Dimensional ◽  
Chest Wall Reconstruction ◽  
Fracture Stabilization

Introduction: In chest wall reconstruction, the main objectives are the restoration of the chest wall integrity, function, and aesthetic, which is often achieved with the placement of implants. We aimed to evaluate whether 3D printed models can be useful for preoperative planning and surgical treatment in chest wall reconstruction to improve the outcome of the surgery and to reduce the rate of complications. Methods: We conducted a systematic review of literature using PubMed, Scopus, Embase, and Google Scholar databases until 8 November 2021 with the following keywords: (“3D printing” or “rapid prototyping” or “three-dimensional printing” or “bioprinting”) and (“chest wall” or “rib” or “sternum” or “ribcage” or “pectus excavatum”). Results were then manually screened by two independent authors to select studies relevant to 3D printing application in chest wall reconstruction. The primary outcome was morphological correction, and secondary outcomes were changes in operating time and procedure-related complication rate. Results: Eight articles were included in our review. Four studies were related to pectus excavatum correction, two studies were related to rib fracture stabilization, and two studies were related to chest wall tumor resection and reconstruction. Seven studies reported 3D printing of a thorax model or template implants for preoperative planning and implant modeling, and one study reported 3D printing of a PEEK prosthesis for direct implantation. Four studies reported comparison with a conventionally treated control group, and three of them detected a shorter operative time in the 3D printing model-assisted group. Satisfactory morphological correction was reported in all studies, and six studies reported a good implant fitting with minimal need for intraoperative adjustments. There were no major intraoperative or postoperative complications in any of the studies. Conclusions: The use of 3D printing models in chest wall reconstruction seems to be helpful for the production of personalized implants, reducing intraoperative adjustments. Results of morphological correction and postoperative recovery after the 3D printing-assisted surgery were satisfactory in all studies with a low rate of complication. Our literature review suggests good results regarding prosthesis fitting, accuracy of surgical planning, and reduction in operative time in 3D printing-assisted procedures, although more evidence is needed to prove this observation.

scholarly journals Complete Sternal Cleft Repair

2020 ◽  
Vol 53 (03) ◽  
pp. 419-422
Author(s):  
Ankita Harijee ◽  
Sundeep Vijayaraghavan ◽  
Arjun Reddy Marathi ◽  
Brijesh Parayaru Kottayil ◽  
Mahesh Kappanayil ◽  
...  
Keyword(s):  
3D Printing ◽  
Surgical Technique ◽  
Chest Wall ◽  
Congenital Malformation ◽  
Preoperative Planning ◽  
Pectoralis Major Muscle ◽  
Muscle Flap ◽  
Chest Wall Reconstruction ◽  
Xiphoid Process ◽  
Sternal Cleft

Abstract Sternal cleft (SC) is a rare congenital malformation which can be partial or complete.We report a case of complete SC in a 9-month-old child. Our technique involves a combination of reinforcement with the deep cervical fascial extension, followed by the anterior perichondrial flaps, bridged with the rib graft, incorporating surplus resected cartilaginous xiphoid process, and covered with the bilateral pectoralis major muscle flap for the chest wall reconstruction with 3D printing assisting preoperative planning. The size of the defect in relation to the age of presentation was a deciding factor in the adoption of this alternative surgical technique.

scholarly journals Utility of Three-Dimensional Printing for Preoperative Assessment of Children with Extra-Cranial Solid Tumors: A Systematic Review

2022 ◽  
Vol 14 (1) ◽  
pp. 32-39
Author(s):  
Sachit Anand ◽  
Nellai Krishnan ◽  
Prabudh Goel ◽  
Anjan Kumar Dhua ◽  
Vishesh Jain ◽  
...  
Keyword(s):  
Systematic Review ◽  
3D Printing ◽  
Solid Tumors ◽  
Surgical Planning ◽  
Three Dimensional ◽  
Current Evidence ◽  
Printing Technology ◽  
Three Dimensional Printing ◽  
3D Printed ◽  
Dimensional Printing

Background: In cases with solid tumors, preoperative radiological investigations provide valuable information on the anatomy of the tumor and the adjoining structures, thus helping in operative planning. However, due to a two-dimensional view in these investigations, a detailed spatial relationship is difficult to decipher. In contrast, three-dimensional (3D) printing technology provides a precise topographic view to perform safe surgical resections of these tumors. This systematic review aimed to summarize and analyze current evidence on the utility of 3D printing in pediatric extra-cranial solid tumors. Methods: The present study was registered on PROSPERO—international prospective register of systematic reviews (registration number: CRD42020206022). PubMed, Embase, SCOPUS, and Google Scholar databases were explored with appropriate search criteria to select the relevant studies. Data were extracted to study the bibliographic information of each article, the number of patients in each study, age of the patient(s), type of tumor, organ of involvement, application of 3D printing (surgical planning, training, and/or parental education). The details of 3D printing, such as type of imaging used, software details, printing technique, printing material, and cost were also synthesized. Results: Eight studies were finally included in the systematic review. Three-dimensional printing technology was used in thirty children with Wilms tumor (n = 13), neuroblastoma (n = 7), hepatic tumors (n = 8), retroperitoneal tumor (n = 1), and synovial sarcoma (n = 1). Among the included studies, the technology was utilized for preoperative surgical planning (five studies), improved understanding of the surgical anatomy of solid organs (two studies), and improving the parental understanding of the tumor and its management (one study). Computed tomography and magnetic resonance imaging were either performed alone or in combination for radiological evaluation in these children. Different types of printers and printing materials were used in the included studies. The cost of the 3D printed models and time involved (range 10 h to 4–5 days) were reported by two studies each. Conclusions: 3D printed models can be of great assistance to pediatric surgeons in understanding the spatial relationships of tumors with the adjacent anatomic structures. They also facilitate the understanding of families, improving doctor–patient communication.

scholarly journals Three-dimensional printing technology for localised thoracoscopic segmental resection for lung cancer

2020 ◽  
Author(s):  
Yangming Chen ◽  
Jiguang Zhang ◽  
Qianshun Chen ◽  
Tian Li ◽  
Kai Chen ◽  
...  
Keyword(s):  
3D Printing ◽  
Operative Time ◽  
Three Dimensional ◽  
Ct Reconstruction ◽  
Printing Technology ◽  
3D Printing Technology ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Ground Glass Nodules

Abstract Background Three-dimensional (3D) CT reconstruction technology has gained increasing attention owing to its potential in locating ground glass nodules in the lung. The 3D printing technology additionally allows visualising the surrounding anatomical structure and variations. However, the clinical utility of these techniques is not known. We aimed to establish a lung tumour and an anatomical lung model using three-dimensional (3D) printing and 3D chest computed tomography (CT) reconstruction and to evaluate the clinical potential of 3D printing technology in uniportal video-assisted thoracoscopic segmentectomy. Methods Eighty-nine patients with ground glass nodules who underwent uniportal video-assisted thoracoscopic segmentectomy were divided into the following groups: Group A, lung models for pre-positioning and simulated surgery that were made with 3D chest CT reconstruction and 3D printing; Group B, patients who underwent chest CT scans with image enhancement for 3D reconstruction. The differences in the surgery approach transfer rate, surgical method conversion rate, operative time, intraoperative blood loss, and postoperative complication rate were compared between the groups. Results The surgery approach transfer rate was 0% and 10.5% for Groups A and B, respectively, showing a significant difference (p = 0.030). The operative time was 2.07 ± 0.24 hours and 2.55 ± 0.41 hours, respectively, showing a significant difference (p<༜0.001). Intraoperative blood loss volume was 43.25 ± 13.63 and 96.68 ± 32.82 ml, respectively, showing a significant difference (p<༜0.001). The postoperative complication rate was 3.9% and 13.2%, respectively, showing a non-significant difference (P = 0.132). The rate of surgical method conversion to lobectomy in Group A was 0%, which was significantly lower than that of 10.5% in group B (p < 0.030). Conclusions 3D printing technology helps surgeons to locate the nodules more accurately, as it is based on 2D and 3D imaging findings, thereby improving the accuracy and safety of surgery. This technique is worth for application in clinical practice. Trial registration: Retrospectively registered.

Differential approach for chest wall reconstruction for pectus excavatum in adults

2017 ◽  
pp. 24
Author(s):  
A. A. Pechetov ◽  
Yu. S. Esakov ◽  
G. F. Gubaydullina ◽  
M. A. Makov ◽  
T. N. Khlan
Keyword(s):  
Chest Wall ◽  
Pectus Excavatum ◽  
Chest Wall Reconstruction ◽  
Differential Approach

scholarly journals Clinical efficacy and effectiveness of 3D printing: a systematic review

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e016891 ◽  
Author(s):  
Laura E Diment ◽  
Mark S Thompson ◽  
Jeroen H M Bergmann
Keyword(s):  
Systematic Review ◽  
3D Printing ◽  
Clinical Efficacy ◽  
Musculoskeletal System ◽  
Preoperative Planning ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Level Of Evidence ◽  
Standard Clinical Practice ◽  
3D Printed

ObjectiveTo evaluate the clinical efficacy and effectiveness of using 3D printing to develop medical devices across all medical fields.DesignSystematic review compliant with Preferred Reporting Items for Systematic Reviews and Meta-Analyses.Data sourcesPubMed, Web of Science, OVID, IEEE Xplore and Google Scholar.MethodsA double-blinded review method was used to select all abstracts up to January 2017 that reported on clinical trials of a three-dimensional (3D)-printed medical device. The studies were ranked according to their level of evidence, divided into medical fields based on the International Classification of Diseases chapter divisions and categorised into whether they were used for preoperative planning, aiding surgery or therapy. The Downs and Black Quality Index critical appraisal tool was used to assess the quality of reporting, external validity, risk of bias, risk of confounding and power of each study.ResultsOf the 3084 abstracts screened, 350 studies met the inclusion criteria. Oral and maxillofacial surgery contained 58.3% of studies, and 23.7% covered the musculoskeletal system. Only 21 studies were randomised controlled trials (RCTs), and all fitted within these two fields. The majority of RCTs were 3D-printed anatomical models for preoperative planning and guides for aiding surgery. The main benefits of these devices were decreased surgical operation times and increased surgical accuracy.ConclusionsAll medical fields that assessed 3D-printed devices concluded that they were clinically effective. The fields that most rigorously assessed 3D-printed devices were oral and maxillofacial surgery and the musculoskeletal system, both of which concluded that the 3D-printed devices outperformed their conventional comparators. However, the efficacy and effectiveness of 3D-printed devices remain undetermined for the majority of medical fields. 3D-printed devices can play an important role in healthcare, but more rigorous and long-term assessments are needed to determine if 3D-printed devices are clinically relevant before they become part of standard clinical practice.

scholarly journals Three‐dimensional printed polyether‐ether‐ketone implant for extensive chest wall reconstruction: A case report

2020 ◽  
Vol 11 (9) ◽  
pp. 2709-2712
Author(s):  
Lei Wang ◽  
Xi Liu ◽  
Tao Jiang ◽  
Lijun Huang
Keyword(s):  
Case Report ◽  
Chest Wall ◽  
Three Dimensional ◽  
Chest Wall Reconstruction ◽  
Polyether Ether Ketone ◽  
Ether Ketone

DOZ047.72: Three-dimensional printing for preoperative planning of open laryngotracheal surgery

2019 ◽  
Vol 32 (Supplement_1) ◽  
Author(s):  
G Fishman ◽  
O Wasserzug ◽  
P Berman ◽  
E Golden ◽  
A DeRow
Keyword(s):  
3D Printing ◽  
Preoperative Planning ◽  
Medical Center ◽  
Cricoid Cartilage ◽  
Three Dimensional ◽  
Balloon Dilation ◽  
3D Models ◽  
Subglottic Stenosis ◽  
Preliminary Results

Abstract Background Three-dimensional (3D) printing is being employed in a variety of surgical specialties to improve patient care. These models enable preoperative in vitro planning, advanced resident training, and better patient education. 3D models of the tracheobronchial tree that can simulate bronchoscopy and 3D printed cricoid cartilage models for balloon dilation training have been reported. A 3D model for preoperative planning of open laryngotracheal surgery has not been reported. Objectives The objective of this study was to report preliminary results with the employment of 3D printing technology for preoperative planning of laryngotracheoplasty (LTP) and cricotracheal resection (CTR). Materials and Methods Actual-size 3D models of the upper airway, from the level of the base of tongue to the level of the carina, have been created by the surgical 3D printing lab in the medical center. The models were based on computed tomography of two patients who were scheduled for LTP and CTR. The models were composed of several elements: the framework of the larynx and the trachea, the air column, the cannula, and the peri-stomal region. Results Two models were created, a model of a patient with grade III subglottic stenosis who subsequently underwent LTP and a model of a patient with grade IV subglottic stenosis who subsequently underwent CTR and end to end anastomosis. The 3D models were found to be useful for preoperative planning of the incision site in the trachea, the status of the tracheal and laryngeal framework, the length of the diseased segment, and the length of the rib cartilage graft to be harvested. Conclusions The preliminary results of this study imply that 3D models can be useful for preoperative planning of open laryngotracheal surgery. Further experience is required to establish its efficacy, the optimal model design, and cost effectiveness.

scholarly journals Three‐dimensional printing in orthopaedic preoperative planning improves intraoperative metrics: a systematic review

2019 ◽  
Vol 90 (3) ◽  
pp. 243-250 ◽  
Author(s):  
Michael Jiang ◽  
Gordon Chen ◽  
Jasamine Coles‐Black ◽  
Jason Chuen ◽  
Andrew Hardidge
Keyword(s):  
Systematic Review ◽  
Preoperative Planning ◽  
Three Dimensional ◽  
Three Dimensional Printing ◽  
Dimensional Printing

Incorporating 3D Printing Into Your Practice: Lessons Learned

2020 ◽  
pp. 193864002098091
Author(s):  
Akhil Sharma ◽  
Kyle S. Kirkland ◽  
Robert M. Holloway ◽  
Selene G. Parekh
Keyword(s):  
3D Printing ◽  
Operative Time ◽  
Three Dimensional ◽  
Lessons Learned ◽  
Foot And Ankle ◽  
Level Of Evidence ◽  
Ankle Surgery ◽  
Engineering Team ◽  
3D Printed ◽  
Successful Technology

Three-dimensional (3D) printing has greatly benefited medicine, manufacturing vital organs like skin, hearts, kidneys, and livers. Early studies on 3D printing in surgery have consistently reported decreased operative time and improved precision. This technology has gained popularity with orthopaedic surgeons in knee, hip, and shoulder surgeries because 3D printing is associated with enhancing osseointegration. However, this innovation is still not commonly used among foot and ankle surgeons; one reason is that whereas the literature on 3D printing–assisted surgery is populated with studies on operative techniques and clinical outcomes, there exists an ambiguity on how to incorporate this feature into the clinic. Thus, the aim of this technology column is to consolidate and standardize a workflow to guide foot and ankle surgeons on integrating 3D printing into one’s practice. We describe a model developed by a single surgeon at one institution who directs a large caseload of 3D-printed foot and ankle surgeries. From the initial patient visit to the interaction between the surgeon and the implant engineering team, to documentation of data adding to the preliminary literature, this work has great implications on streamlining the assimilation of a highly successful technology to improve foot and ankle surgery for both surgeons and patients. Level of Evidence: Level V

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