Hospital General de Niños Pedro de Elizalde, Buenos Aires, Argentina.; Fundación Hospitalaria Mother and Child Medical Center, Buenos Aires, Argentina.
Hospital General de Niños Pedro de Elizalde, Buenos Aires, Argentina.; Fundación Hospitalaria Mother and Child Medical Center, Buenos Aires, Argentina..
Semin Pediatr Surg. 2021 Jun;30(3):151063. doi: 10.1016/j.sempedsurg.2021.151063. Epub 2021 May 23.
Tracheobronchomalacia (TBM) is the most common tracheobronchial obstruction. Most cases are mild to moderate; therefore, they do not need surgical treatment. Severe tracheomalacia, however, represents a diagnostic and therapeutic challenge since they are very heterogeneous. In the armamentarium of resources for the treatment of dynamic airway collapse, splints and stents are two underused strategies and yet, they may represent the best alternative in selected cases. Lately, computed tomography 3D reconstruction of the airway has been used for the design of virtual models that can be 3D-printed for the creation of novel devices to address training, simulation, and biotechnological implants for refractory and severe airway malformations. This manuscript examines the role of resorbable stents, splints, and the 3D reconstruction and printing of the pediatric airway in tracheobronchomalacia.
气管支气管软化症(TBM)是最常见的气管支气管阻塞。大多数病例为轻度至中度;因此,它们不需要手术治疗。然而,严重的气管软化症是一个诊断和治疗的挑战,因为它们非常异质。在治疗动态气道塌陷的资源中,夹板和支架是两种未充分利用的策略,但在某些情况下,它们可能是最佳选择。最近,气道的计算机断层扫描 3D 重建已用于设计虚拟模型,这些模型可以 3D 打印,以创建用于解决难治性和严重气道畸形的培训、模拟和生物技术植入物的新型设备。本文研究了可吸收支架、夹板以及小儿气道的 3D 重建和打印在气管支气管软化症中的作用。