未来的形态：应用游离腓骨皮瓣的下颌骨重建术中的院内三维打印
The Shape of Things to Come: In-Hospital Three-Dimensional Printing for Mandibular Reconstruction Using Fibula Free Flap.
机构信息
Division of Maxillofacial Surgery, City of Health and Science of Turin Hospital, University of Turin, Turin, Italy.
Department of Management and Production Engineering, Polytechnic University of Turin, Turin, Italy.
出版信息
Laryngoscope. 2020 Dec;130(12):E811-E816. doi: 10.1002/lary.28650. Epub 2020 Apr 6.
OBJECTIVES/HYPOTHESIS: The aim of this study was to explore whether the production of in-hospital, low-cost surgical cutting guides would be possible and to assess different cutting guide shapes to facilitate the surgery and the application with instruments.
STUDY DESIGN
Cohort study.
METHODS
Using free computer-aided design software, surgical cutting guides for the mandible and fibula were designed and used to perform virtual segmental osteotomies and fibula transplants in seven patients.
RESULTS
Fourteen virtual osteotomies were performed using the free software and the proposed workflow. Thirteen guides were then printed to transfer the virtual planning information to the operating room.
CONCLUSIONS
Virtual planning and the three-dimensional (3D) printing of guides for mandibular reconstruction is reliable with the aid of an in-hospital 3D laboratory. We also demonstrated that different guides with different shapes could be produced with benefits during surgery.
LEVEL OF EVIDENCE
4 Laryngoscope, 2020.
目的/假设：本研究旨在探讨是否可以制作低成本的院内手术切割引导器，并评估不同切割引导器形状，以方便手术和器械应用。
研究设计
队列研究。
方法
使用免费的计算机辅助设计软件，设计了下颌骨和腓骨的手术切割引导器，并在七名患者中使用这些引导器进行虚拟节段性截骨术和腓骨移植术。
结果
使用免费软件和提出的工作流程进行了 14 次虚拟截骨术。然后，打印了 13 个引导器，以将虚拟规划信息转移到手术室。
结论
在院内 3D 实验室的帮助下，下颌骨重建的虚拟规划和引导器的 3D 打印是可靠的。我们还证明了可以制作不同形状的不同引导器，从而在手术中获益。
证据等级
4 级喉镜，2020 年。
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