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EPPOCRATIS:骨折术前即时标准化解剖复位与三维打印技术以改善手术效果。

EPPOCRATIS: Expedited Preoperative Point-of-Care Reduction of Fractures to Normalized Anatomy and Three-Dimensional Printing to Improve Surgical Outcomes.

机构信息

From the Division of Plastic Surgery, Department of Surgery; Anatomic Modeling Laboratory; and Department of Radiology, Mayo Clinic.

出版信息

Plast Reconstr Surg. 2022 Mar 1;149(3):695-699. doi: 10.1097/PRS.0000000000008871.

Abstract

Virtual surgical planning and three-dimensional printing have been invaluable tools in craniomaxillofacial surgery. From planning head and neck reconstruction to orthognathic surgery and secondary reconstruction of maxillofacial trauma, virtual surgical planning and three-dimensional printing allow the surgeon to rehearse the surgical plan and use patient-specific surgical guides for carrying out the plan accurately. However, the process of virtual surgical planning and three-dimensional printing requires time and coordination between the surgeon on one hand and the biomedical engineers and designers on the other hand. Outsourcing to third-party companies contributes to inefficiencies in this process. Advances in surgical planning software and three-dimensional printing technology have enabled the integration of virtual surgical planning and three-dimensional printing at the treating hospital, the point of care. This allows for expedited use of this process in semiurgent surgical cases and acute facial trauma cases by bringing the surgeon, radiologist, biomedical engineers, and designers to the point of care. In this article, the authors present the utility of EPPOCRATIS, expedited preoperative point of care reduction of fractures to normalized anatomy and three-dimensional printing to improve surgical outcomes, in the management of acute facial trauma.

摘要

虚拟手术规划和三维打印在颅颌面外科中是非常有价值的工具。从规划头颈部重建到正颌外科和颌面创伤的二次重建,虚拟手术规划和三维打印使外科医生能够预演手术计划,并使用患者特异性手术导板来精确执行计划。然而,虚拟手术规划和三维打印的过程需要外科医生一方面与生物医学工程师和设计师另一方面之间的时间和协调。将其外包给第三方公司会导致该过程效率低下。手术规划软件和三维打印技术的进步使虚拟手术规划和三维打印能够在治疗医院(即护理点)进行整合。这使得在半紧急手术病例和急性面部创伤病例中可以加速使用该过程,方法是将外科医生、放射科医生、生物医学工程师和设计师带到护理点。在本文中,作者介绍了 EPPOCRATIS 在急性面部创伤管理中的效用,即通过加速术前护理点骨折的复位至正常解剖结构和三维打印来改善手术结果。

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