Medical School, College of Medicine and Health, Exeter, UK.
Department of Engineering, College of Engineering, Mathematics, and Physical Sciences, University of Exeter, Exeter, EX4 4QF, UK.
Biomed Eng Online. 2022 Mar 19;21(1):18. doi: 10.1186/s12938-022-00989-6.
There are a number of clinical disorders that require mandibular reconstruction (MR). Novel three-dimensional (3D) printing technology enables reconstructions to be more accurate and beneficial to the patient. However, there is currently no evidence identifying which techniques are better suited for MR, based on the type of clinical disorder the patient has. In this study, we aim to compare 3D techniques with conventional techniques to identify how best to reconstruct the mandible based on the clinical cause that necessitates the reconstructive procedure: cancerous or benign tumours, clinical disorders, infection or disease and trauma or injury.
PubMed, Scopus, Embase and Medline were searched to identify relevant papers that outline the clinical differences between 3D and conventional techniques in MR. Data were evaluated to provide a clear outline of suitable techniques for surgery.
20 of 2749 papers met inclusion criteria. These papers were grouped based on the clinical causes that required MR into four categories: malignant or benign tumour resection; mandibular trauma/injury and other clinical disorders.
The majority of researchers favoured 3D techniques in MR. However, due to a lack of standardised reporting in these studies it was not possible to determine which specific techniques were better for which clinical presentations.
有许多临床疾病需要进行下颌骨重建(MR)。新型三维(3D)打印技术可使重建更加准确,对患者更有益。然而,目前尚无证据表明哪种技术更适合 MR,这取决于患者的临床疾病类型。在这项研究中,我们旨在比较 3D 技术与传统技术,以确定根据需要重建手术的临床病因(癌症或良性肿瘤、临床疾病、感染或疾病以及创伤或损伤)如何最好地重建下颌骨。
通过检索 PubMed、Scopus、Embase 和 Medline,确定了概述 3D 和传统技术在 MR 中临床差异的相关论文。对数据进行评估,以清楚地概述适合手术的技术。
在 2749 篇论文中,有 20 篇符合纳入标准。这些论文根据需要进行 MR 的临床病因进行分组,分为四类:恶性或良性肿瘤切除术、下颌骨创伤/损伤和其他临床疾病。
大多数研究人员在 MR 中更倾向于 3D 技术。然而,由于这些研究中缺乏标准化报告,因此无法确定哪种特定技术更适合哪种临床表现。