Oth Olivier, Durieux Valérie, Orellana Maria-Fernanda, Glineur Régine
Department of Oral and Maxillofacial Surgery, Hôpital Erasme, Université Libre de Bruxelles (ULB), Route de Lennik 808 1070 Brussels, Belgium.
Bibliothèque des Sciences de la Santé, Université Libre de Bruxelles (ULB), Route de Lennik 808 1070 Brussels, Belgium.
J Clin Exp Dent. 2020 Jan 1;12(1):e85-e92. doi: 10.4317/medoral.56145. eCollection 2020 Jan.
The purpose of this systematic review is to evaluate the current state of the art of making genioplasties using 3D printing technology.
A multi-database single-reviewer systematic review identified sixteen papers that fulfilled the selection criteria. There were mainly case series and case reports available (Level IV of the Oxford Evidence-based medicine scale); only two prospective study (Level III) evaluated this subject. These articles are analyzed in details and summarized in this review.
The realization of genioplasties with surgical guide using 3D-printing technology could improve predictability and accuracy. It protects anatomical structures in the environment of the surgery, reducing by this way the morbidity and providing safer results. The type of printer and material used as well as the sterilization techniques should be further developed by the authors. The use of open-access software should also be further explored to allow the use of these new technologies by the largest number of surgeons.
Finally, prospective multi-center studies with larger samples should be performed to definitively conclude the benefits of this new technology and allow for its routine use. This article is the first systematic review on this topic. Genioplasty, printing, three-dimensional, surgery, computer-assisted.
本系统评价的目的是评估使用3D打印技术进行颏成形术的当前技术水平。
通过多数据库单 reviewer 系统评价,确定了16篇符合入选标准的论文。主要有病例系列和病例报告(牛津循证医学量表IV级);仅有两项前瞻性研究(III级)评估了该主题。本文对这些文章进行了详细分析并总结。
使用3D打印技术制作手术导板进行颏成形术,可提高可预测性和准确性。它能在手术环境中保护解剖结构,从而降低发病率并提供更安全的结果。作者应进一步改进打印机类型、所用材料以及灭菌技术。还应进一步探索开放获取软件的使用,以使更多外科医生能够使用这些新技术。
最后,应开展样本量更大的前瞻性多中心研究,以明确得出这项新技术的益处并使其能够常规使用。本文是关于该主题的首次系统评价。颏成形术、打印、三维、手术、计算机辅助。