Hsieh Tsung-Yen, Dedhia Raj, Cervenka Brian, Tollefson Travis T
Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Sacramento, CA, USA.
Curr Opin Otolaryngol Head Neck Surg. 2017 Aug;25(4):291-299. doi: 10.1097/MOO.0000000000000373.
To review the use of three-dimensional (3D) printing in facial plastic and reconstructive surgery, with a focus on current uses in surgical training, surgical planning, clinical outcomes, and biomedical research. To evaluate the limitations and future implications of 3D printing in facial plastic and reconstructive surgery.
Studies reviewed demonstrated 3D printing applications in surgical planning including accurate anatomic biomodels, surgical cutting guides in reconstruction, and patient-specific implants fabrication. 3D printing technology also offers access to well tolerated, reproducible, and high-fidelity/patient-specific models for surgical training. Emerging research in 3D biomaterial printing have led to the development of biocompatible scaffolds with potential for tissue regeneration in reconstruction cases involving significant tissue absence or loss. Major limitations of utilizing 3D printing technology include time and cost, which may be offset by decreased operating times and collaboration between departments to diffuse in-house printing costs SUMMARY: The current state of the literature shows promising results, but has not yet been validated by large studies or randomized controlled trials. Ultimately, further research and advancements in 3D printing technology should be supported as there is potential to improve resident training, patient care, and surgical outcomes.
回顾三维(3D)打印在面部整形与重建手术中的应用,重点关注其在手术培训、手术规划、临床结果及生物医学研究中的当前应用情况。评估3D打印在面部整形与重建手术中的局限性及未来影响。
所回顾的研究表明,3D打印在手术规划中的应用包括精确的解剖生物模型、重建手术中的手术切割导板以及定制患者植入物的制造。3D打印技术还为手术培训提供了耐受性良好、可重复且高保真/定制患者模型。3D生物材料打印方面的新兴研究已促成生物相容性支架的开发,在涉及大量组织缺失或损失的重建病例中具有组织再生潜力。利用3D打印技术的主要局限性包括时间和成本,不过可通过缩短手术时间以及部门间合作以分摊内部打印成本来抵消。
当前文献状况显示出有前景的结果,但尚未得到大型研究或随机对照试验的验证。最终,应支持3D打印技术的进一步研究和进展,因为其有改善住院医师培训、患者护理及手术结果的潜力。