Mayer Horacio F, Coloccini Alejandro, Viñas José F
Plastic Surgery Department, Hospital Italiano de Buenos Aires, University of Buenos Aires Medical School, Hospital Italiano de Buenos Aires University Institute (IUHIBA), Buenos Aires C1053ABH, Argentina.
J Clin Med. 2024 Jun 2;13(11):3278. doi: 10.3390/jcm13113278.
Three-dimensional (3D) printing is dramatically improving breast reconstruction by offering customized and precise interventions at various stages of the surgical process. In preoperative planning, 3D imaging techniques, such as computer-aided design, allow the creation of detailed breast models for surgical simulation, optimizing surgical outcomes and reducing complications. During surgery, 3D printing makes it possible to customize implants and precisely shape autologous tissue flaps with customized molds and scaffolds. This not only improves the aesthetic appearance, but also conforms to the patient's natural anatomy. In addition, 3D printed scaffolds facilitate tissue engineering, potentially favoring the development and integration of autologous adipose tissue, thus avoiding implant-related complications. Postoperatively, 3D imaging allows an accurate assessment of breast volume and symmetry, which is crucial in assessing the success of reconstruction. The technology is also a key educational tool, enhancing surgeon training through realistic anatomical models and surgical simulations. As the field evolves, the integration of 3D printing with emerging technologies such as biodegradable materials and advanced imaging promises to further refine breast reconstruction techniques and outcomes. This study aims to explore the various applications of 3D printing in breast reconstruction, addressing current challenges and future opportunities.
三维(3D)打印通过在手术过程的各个阶段提供定制化和精确的干预措施,正在显著改善乳房重建。在术前规划中,诸如计算机辅助设计等3D成像技术能够创建详细的乳房模型用于手术模拟,优化手术效果并减少并发症。在手术过程中,3D打印使得定制植入物以及使用定制模具和支架精确塑造自体组织皮瓣成为可能。这不仅改善了美学外观,还符合患者的自然解剖结构。此外,3D打印支架促进了组织工程,可能有利于自体脂肪组织的发育和整合,从而避免与植入物相关的并发症。术后,3D成像能够准确评估乳房体积和对称性,这对于评估重建的成功与否至关重要。该技术也是一种关键的教育工具,通过逼真的解剖模型和手术模拟增强外科医生的培训。随着该领域的不断发展,3D打印与可生物降解材料和先进成像等新兴技术的整合有望进一步完善乳房重建技术和效果。本研究旨在探讨3D打印在乳房重建中的各种应用,应对当前的挑战并把握未来的机遇。