Kryukov A I, Tovmasyan A S, Kishinevskii A E, Mosin V V, Chumakov P L, Yanovsky V V, Shvedov N V
Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia.
Pirogov Russian National Research Medical University, Moscow, Russia.
Vestn Otorinolaringol. 2024;89(4):30-36. doi: 10.17116/otorino20248904130.
Adhesion of the middle turbinate to the lateral wall of the nasal cavity and synechia of the middle meatus are one of the common reasons for the failure of surgical interventions for chronic sinusitis. The use of specially shaped intranasal splints can solve the problem of preventing synechiae in the postoperative period. Many different devices and approaches have been proposed to prevent the development of this category of complications. This study proposes an anatomical version of the splint for the middle turbinate, developed using 3D computer modeling technologies followed by printing from a biocompatible elastic material on a Formlabs 3BL 3D printer. The shape and size of the splint were developed based on the analysis of computed tomography data of 50 adult patients. The safety of the developed device was studied in a group of 20 volunteers in whom the developed splint was installed on one side of the nasal cavity for 2 weeks after bilateral surgery. According to endoscopic examination and patient questionnaires, the developed splint did not cause local or systemic allergic reactions and did not create additional discomfort for the patient in the postoperative period. Installing a splint helped prevent the formation of synechiae. However, to determine clinical effectiveness, a study with a larger sample of patients is required.
中鼻甲与鼻腔外侧壁粘连以及中鼻道粘连是慢性鼻窦炎手术干预失败的常见原因之一。使用特殊形状的鼻内夹板可以解决术后预防粘连的问题。已经提出了许多不同的装置和方法来预防这类并发症的发生。本研究提出了一种针对中鼻甲的解剖学版本夹板,它是利用3D计算机建模技术开发的,随后在Formlabs 3BL 3D打印机上用生物相容性弹性材料打印而成。夹板的形状和尺寸是基于对50名成年患者的计算机断层扫描数据进行分析而确定的。在一组20名志愿者中研究了所开发装置的安全性,在双侧手术后,将所开发的夹板安装在鼻腔一侧2周。根据内镜检查和患者问卷,所开发的夹板未引起局部或全身过敏反应,且在术后未给患者造成额外不适。安装夹板有助于预防粘连形成。然而,要确定临床疗效,需要对更多患者样本进行研究。