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正颌外科中的 3D 打印:文献综述。

3D printing in orthognathic surgery - A literature review.

机构信息

Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.

MFACE KieferGesichtsZentrum Munich, HELIOS Hospital Munich West, Munich, Germany.

出版信息

J Formos Med Assoc. 2018 Jul;117(7):547-558. doi: 10.1016/j.jfma.2018.01.008. Epub 2018 Feb 3.

Abstract

With the recent advances in three-dimensional (3D) imaging, computer-assisted surgical planning and simulation are now regularly used for analysis of craniofacial structures and improved prediction of surgical outcomes in orthognathic surgery. A variety of patient-specific surgical guides and devices have been designed and manufactured using 3D printing technology, which rapidly gained widespread popularity to improve the outcomes. The article presents an overview of 3D printing technology for state-of-the-art application in orthognathic surgery and discusses the impacts on treatment feasibility and patient outcome. The current available literature regarding the use of 3D printing methods in orthognathic surgery including 3D computer-aided design/computer-aided manufacturing, rapid prototyping, additive manufacturing, 3D printing, 3D printed models, surgical occlusal splints, custom-made guides, templates and fixation plates is reviewed. A Medline, PubMed, ProQuest and ScienceDirect search was performed to find relevant articles over the past 10 years. A total of 318 articles were found, out of which 69 were publications addressing the topic of this study. An additional 9 hand-searched articles were added. From the review, we can conclude that the use of 3D printing methods in orthognathic surgery provide the benefit of optimal functional and aesthetic results, patient satisfaction, and precise translation of the treatment plan.

摘要

随着三维(3D)成像技术的最新进展,计算机辅助手术规划和模拟现在常用于分析颅面结构,并提高正颌手术的手术结果预测能力。各种患者特异性手术导板和器械已使用 3D 打印技术设计和制造,该技术迅速普及,以改善手术效果。本文概述了 3D 打印技术在正颌外科中的最新应用,并讨论了其对治疗可行性和患者结果的影响。目前可获得的关于正颌外科中使用 3D 打印方法的文献,包括 3D 计算机辅助设计/计算机辅助制造、快速原型制作、增材制造、3D 打印、3D 打印模型、手术咬合夹板、定制导板、模板和固定板,进行了综述。通过 Medline、PubMed、ProQuest 和 ScienceDirect 搜索,查找过去 10 年的相关文章。共找到 318 篇文章,其中 69 篇是关于该研究主题的出版物。另外还增加了 9 篇手工搜索的文章。从综述中可以得出结论,3D 打印方法在正颌外科中的应用带来了功能和美学效果最佳、患者满意度高以及治疗计划精确转化的好处。

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