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犬类定制3D打印鼻咽支架:一项尸体初步研究。

Patient-specific 3D-printed nasopharyngeal stents in dogs: a cadaveric pilot study.

作者信息

Sutter Craig, Hardy Brian, Lucero Steven, Johnson Lynelle, Culp William

机构信息

Veterinary Medical Teaching Hospital, University of California, Davis, Davis, CA, United States.

Department of Medicine and Epidemiology, University of California, Davis, Davis, CA, United States.

出版信息

Front Vet Sci. 2024 Nov 20;11:1461657. doi: 10.3389/fvets.2024.1461657. eCollection 2024.

DOI:10.3389/fvets.2024.1461657
PMID:39634762
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11615054/
Abstract

BACKGROUND

Currently available treatment options for nasopharyngeal stenosis and imperforate nasopharynx in dogs and cats are fraught with complications and failures.

OBJECTIVE

To develop patient-specific nasopharyngeal stents using 3D-printed molds and to assess placement and fit of stents within the nasopharynx.

ANIMALS

Six canine cadavers.

METHODS

Patient-specific nasopharyngeal silicone stents were generated using 3D-printed molds based on CT scans. A placement protocol was developed. Post-placement, goodness of fit within the nasopharynx was evaluated and compared to currently used methods. Mechanical properties of silicone stents were compared to catheter-based and nitinol stents.

RESULTS

Development and placement of stents was successful in all six cadavers. Silicone stents offered stiffness (force required for compression, N) and post-load deformation comparable to nitinol stents (1.8-6.2 vs. 1.2-3.3 N and 0.02-0.08 vs. 0.01-0.14 mm, respectively). Patient-specific stents offered superior goodness of fit in the nasopharynx (81-90%) compared to bilateral red rubber catheters (16.2-33.8%).

CONCLUSION

Development and placement of patient-specific stents using 3D printed molds was successful in all six cadavers. The novel stents exhibited similar mechanical properties and superior goodness of fit compared to commercially available stents, potentially offering a better alternative to commercially available stents. Further investigation is needed in animals with nasopharyngeal stenosis to determine efficacy and to assess utility in live patients.

摘要

背景

目前用于犬猫鼻咽狭窄和鼻咽闭锁的治疗方法充满了并发症和失败案例。

目的

使用3D打印模具制作针对特定患者的鼻咽支架,并评估支架在鼻咽部的放置和适配情况。

动物

六只犬类尸体。

方法

基于CT扫描,使用3D打印模具制作针对特定患者的鼻咽硅胶支架。制定了放置方案。放置后,评估鼻咽部的适配情况,并与目前使用的方法进行比较。将硅胶支架的力学性能与导管型和镍钛合金支架进行比较。

结果

所有六具尸体的支架制作和放置均成功。硅胶支架的硬度(压缩所需力,N)和加载后变形与镍钛合金支架相当(分别为1.8 - 6.2对1.2 - 3.3 N以及0.02 - 0.08对0.01 - 0.14 mm)。与双侧红色橡胶导管(16.2 - 33.8%)相比,针对特定患者的支架在鼻咽部的适配性更佳(81 - 90%)。

结论

使用3D打印模具制作并放置针对特定患者的支架在所有六具尸体上均成功。与市售支架相比,新型支架具有相似的力学性能和更佳的适配性,可能为市售支架提供更好的替代方案。需要对患有鼻咽狭窄的动物进行进一步研究,以确定疗效并评估在活体患者中的实用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b26/11615054/27f69c4290e4/fvets-11-1461657-g013.jpg
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Treatment of airway stenosis with a customized bronchial stent using a three-dimensional printer and flexible filaments.使用三维打印机和柔性细丝定制支气管支架治疗气道狭窄
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