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使用基于CT的3D模型和3D打印展示复杂的喉气管手术:技术说明

Presentation of complex laryngotracheal surgeries using CT-based 3D models and 3D printing: a technical note.

作者信息

Tóbiás Zoltán, Perényi Ádám, Bach Ádám, Nagy Roland, Csanády Miklós, Geretovszky Zsolt, Cseh Martin, Rovó László

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Szeged, Tisza Lajos krt. 111., Szeged, 6722, Hungary.

Department of Radiology, Faculty of Medicine, University of Szeged, Szeged, Hungary.

出版信息

Eur Arch Otorhinolaryngol. 2025 Jun 14. doi: 10.1007/s00405-025-09497-4.

Abstract

INTRODUCTION

Slide laryngotracheopexy for cricotracheal stenosis and extended partial laryngectomy combined with tracheopexy for T2-T3 glottic tumors represent novel, complex laryngotracheal surgeries requiring meticulous preoperative planning.

METHODS

In addition to conventional diagnostic tools (imaging, endoscopy), digital/virtual 3D techniques along with 3D printing - also referred to as Additive Manufactoring (AM)- allow for the creation and application of CT-based virtual and 3D-printed models of the larynx and the trachea. These 3D technologies can facilitate surgical team preparation and provide an innovative approach to training on complex surgical solutions.

DISCUSSION

This paper presents the digital workflow for three cases where patient-specific 3D laryngotracheal models were developed and successfully applied in surgical planning and training. These models serve as high-fidelity anatomical representations for surgical rehearsal, training, and patient communication, demonstrating their potential for broader clinical implementation.

摘要

引言

用于环状气管狭窄的滑动喉气管固定术以及用于T2 - T3声门肿瘤的扩大部分喉切除术联合气管固定术,是需要精心术前规划的新型复杂喉气管手术。

方法

除了传统诊断工具(影像学、内镜检查)外,数字/虚拟3D技术以及3D打印(也称为增材制造,AM)能够创建并应用基于CT的喉和气管虚拟模型及3D打印模型。这些3D技术有助于手术团队的准备工作,并为复杂手术方案的培训提供创新方法。

讨论

本文介绍了三例患者的数字工作流程,其中开发了针对患者的3D喉气管模型,并成功应用于手术规划和培训。这些模型作为手术预演、培训和患者沟通的高保真解剖模型,展示了其在更广泛临床应用中的潜力。

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