Dorbandt Daniel M, Joslyn Stephen K, Hamor Ralph E
Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois Urbana-Champaign, 1008 W. Hazelwood Drive, Urbana, IL, 61802, USA.
Vet Ophthalmol. 2017 Jan;20(1):58-64. doi: 10.1111/vop.12352. Epub 2016 Jan 22.
To describe the technique and utility of three-dimensional (3D) printing for orbital and peri-orbital masses and discuss other potential applications for 3D printing.
Three dogs with a chronic history of nonpainful exophthalmos.
Computed tomography (CT) and subsequent 3D printing of the head was performed on each case. CT confirmed a confined mass, and an ultrasound-guided biopsy was obtained in each circumstance. An orbitotomy was tentatively planned for each case, and a 3D print of each head with the associated globe and mass was created to assist in surgical planning.
In case 1, the mass was located in the cranioventral aspect of the right orbit, and the histopathologic diagnosis was adenoma. In case 2, the mass was located within the lateral masseter muscle, ventral to the right orbit between the zygomatic arch and the ramus of the mandible. The histopathologic diagnosis in case 2 was consistent with a lipoma. In case 3, the mass was located in the ventral orbit, and the histopathologic diagnosis was histiocytic cellular infiltrate.
Three-dimensional printing in cases with orbital and peri-orbital masses has exceptional potential for improved surgical planning and provides another modality for visualization to help veterinarians, students, and owners understand distribution of disease. Additionally, as the techniques of 3D printing continue to evolve, the potential exists to revolutionize ocular surgery and drug delivery.
描述三维(3D)打印技术在眼眶及眶周肿物中的应用及其效用,并探讨3D打印的其他潜在应用。
三只患有无痛性眼球突出症慢性病史的犬。
对每只犬进行头部计算机断层扫描(CT)及后续的3D打印。CT确诊为局限性肿物,在每种情况下均进行超声引导下活检。每例均初步计划进行眶切开术,并制作每个头部及其相关眼球和肿物的3D打印模型,以辅助手术规划。
病例1中,肿物位于右眼眶的颅腹侧,组织病理学诊断为腺瘤。病例2中,肿物位于右眼眶外侧咬肌内,在颧弓和下颌支之间的腹侧。病例2的组织病理学诊断符合脂肪瘤。病例3中,肿物位于眼眶腹侧,组织病理学诊断为组织细胞性细胞浸润。
3D打印在眼眶及眶周肿物病例中具有改善手术规划的巨大潜力,并为可视化提供了另一种方式,有助于兽医、学生和宠物主人了解疾病分布。此外,随着3D打印技术不断发展,存在彻底改变眼科手术和药物递送方式的潜力。