Division of Oral and Maxillofacial Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland.
UFR des Sciences Odontologiques, Univ. Bordeaux, 33000 Bordeaux, France.
J Stomatol Oral Maxillofac Surg. 2023 Sep;124(4):101433. doi: 10.1016/j.jormas.2023.101433. Epub 2023 Mar 11.
Three-dimensional (3D) printing is now a widely recognized surgical tool in oral and maxillofacial surgery. However, little is known about its benefits for the surgical management of benign maxillary and mandibular tumors and cysts.
The objective of this systematic review was to assess the contribution of 3D printing in the management of benign jaw lesions.
A systematic review, registered in PROSPERO, was conducted using PubMed and Scopus databases, up to December 2022, by following PRISMA guidelines. Studies reporting 3D printing applications for the surgical management of benign jaw lesions were considered.
This review included thirteen studies involving 74 patients. The principal use of 3D printing was to produce anatomical models, intraoperative surgical guides, or both, allowing for the successful removal of maxillary and mandibular lesions. The greatest reported benefits of printed models were the visualization of the lesion and its anatomical relationships to anticipate intraoperative risks. Surgical guides were designed as drilling locating guides or osteotomy cutting guides and contributed to decreasing operating time and improving the accuracy of the surgery.
Using 3D printing technologies to manage benign jaw lesions results in less invasive procedures by facilitating precise osteotomies, reducing operating times, and complications. More studies with higher levels of evidence are needed to confirm our results.
三维（3D）打印现已成为口腔颌面外科学中广泛认可的手术工具。然而，对于 3D 打印在良性上下颌骨肿瘤和囊肿的手术治疗中的益处，知之甚少。
本系统评价的目的是评估 3D 打印在良性颌骨病变治疗中的作用。
根据 PRISMA 指南，在 PROSPERO 上进行了系统评价，检索了 PubMed 和 Scopus 数据库，截至 2022 年 12 月。纳入报告 3D 打印应用于良性颌骨病变手术治疗的研究。
本综述纳入了 13 项研究，共 74 例患者。3D 打印的主要用途是制作解剖模型、术中手术导板或两者兼而有之，以成功切除上颌骨和下颌骨病变。报告的打印模型的最大益处是可视化病变及其与解剖结构的关系，以预测术中风险。手术导板设计为钻孔定位导板或截骨切割导板，有助于减少手术时间并提高手术的准确性。
使用 3D 打印技术管理良性颌骨病变可通过促进精确的截骨、减少手术时间和减少并发症来实现更微创的手术。需要更多具有更高证据水平的研究来证实我们的结果。
