Nakamura Robertha Carvalho, Leverone Andreia, Avila de Almeida Carolina, Werner Heron, Canella Clarissa
Nail Study Center, Institute of Dermatology Professor Rubem David Azulay ‒ Santa Casa da Misericódia do Rio de Janeiro, Rio de Janeiro, Brazil.
Instituto Nacional do Cancer do Rio de Janeiro, Rio de Janeiro, Brazil.
Skin Appendage Disord. 2024 Aug;10(4):312-320. doi: 10.1159/000537871. Epub 2024 Mar 26.
3D biomodels represent a cutting-edge advancement in medical imaging technology. The incorporation of 3D technologies in dermatology through the acquisition of onychological images, 3D reconstruction, and development of customized equipment to assist in surgeries demonstrated reduction in operating times and improved surgical outcomes. Additionally, the use of 3D printing in surgical simulation provided a safe environment for training and education. This article explores the application of 3D biomodels in dermatology, focusing on three clinical cases involving nail tumors.
In case 1, a glomus tumor was visualized in 3D, guiding the creation of a personalized surgical device. The minimally invasive surgery, facilitated by the biomodel, resulted in successful tumor removal. Case 2, featuring a subungual keratoacanthoma, utilized 3D biomodels for conservative surgery planning, anatomical comprehension, and patient communication. Case 3 involved a longitudinal groove, where biomodels aided in precise lesion localization and surgical planning.
The integration of virtual and physical anatomical biomodels proves valuable in surgical dermatology, contributing to enhanced treatment quality, patient safety, and medical education.
3D生物模型代表了医学成像技术的前沿进展。通过获取甲床图像、进行3D重建以及开发定制设备以辅助手术，将3D技术应用于皮肤科，结果显示手术时间缩短且手术效果得到改善。此外，3D打印在手术模拟中的应用为培训和教育提供了安全的环境。本文探讨3D生物模型在皮肤科的应用，重点介绍三例涉及甲肿瘤的临床病例。
在病例1中，通过3D可视化了一个血管球瘤，指导制作了个性化手术器械。在生物模型的辅助下进行的微创手术成功切除了肿瘤。病例2为甲下角化棘皮瘤，利用3D生物模型进行保守手术规划、解剖理解和患者沟通。病例3涉及一条纵向沟纹，生物模型有助于精确病变定位和手术规划。
虚拟和物理解剖生物模型的整合在皮肤外科手术中被证明具有价值，有助于提高治疗质量、患者安全性和医学教育水平。
