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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.

DOI:10.1007/s00405-025-09497-4
PMID:40517161
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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本文引用的文献

1
Slide laryngotracheopexy for idiopathic subglottic stenosis.用于特发性声门下狭窄的滑动式喉气管固定术。
Eur Arch Otorhinolaryngol. 2025 Apr;282(4):1981-1988. doi: 10.1007/s00405-025-09226-x. Epub 2025 Feb 1.
2
Extended partial laryngectomy with functional preservation using the rotational crico-thyrotracheopexy.采用环状-甲状-气管旋转固定术的功能性保留扩大部分喉切除术。
Laryngoscope Investig Otolaryngol. 2023 Sep 19;8(5):1328-1336. doi: 10.1002/lio2.1155. eCollection 2023 Oct.
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Long-term results of slide laryngotracheoplasty for congenital subglottic stenosis in newborns and infants.
先天性新生儿和婴儿会厌下狭窄的滑动喉气管成形术的长期疗效。
Int J Pediatr Otorhinolaryngol. 2022 Jul;158:111192. doi: 10.1016/j.ijporl.2022.111192. Epub 2022 May 27.
4
Advanced preoperative three-dimensional planning decreases the surgical complications of using large-for-size grafts in pediatric living donor liver transplantation.术前的三维精确规划可降低小儿活体肝移植中大体积供肝的手术并发症。
J Pediatr Surg. 2022 Jul;57(7):1210-1214. doi: 10.1016/j.jpedsurg.2022.02.034. Epub 2022 Mar 13.
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The Role of 3D Printing in Planning Complex Medical Procedures and Training of Medical Professionals-Cross-Sectional Multispecialty Review.3D打印在复杂医疗程序规划及医学专业人员培训中的作用——横断面多专业综述
Int J Environ Res Public Health. 2022 Mar 11;19(6):3331. doi: 10.3390/ijerph19063331.
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[Innovative surgical solutions for laryngeal stenoses in newborns and infants].[新生儿及婴儿喉狭窄的创新手术解决方案]
Orv Hetil. 2021 Dec 26;162(52):2100-2106. doi: 10.1556/650.2021.32304.
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Three-dimensional printing technology for localised thoracoscopic segmental resection for lung cancer: a quasi-randomised clinical trial.三维打印技术在肺癌局部胸腔镜节段切除中的应用:一项准随机临床试验。
World J Surg Oncol. 2020 Aug 24;18(1):223. doi: 10.1186/s12957-020-01998-2.
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Slide laryngotracheoplasty for congenital subglottic stenosis in newborns and infants.新生儿和婴儿先天性声门下狭窄的喉气管成形术。
Laryngoscope. 2020 Apr;130(4):E199-E205. doi: 10.1002/lary.28192. Epub 2019 Jul 27.
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Interactive 3D Digital Models for Anatomy and Medical Education.交互式 3D 数字模型在解剖学和医学教育中的应用。
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3D printing-assisted preoperative plan of pedicle screw placement for middle-upper thoracic trauma: a cohort study.3D打印辅助中上段胸椎创伤椎弓根螺钉置入术前规划:一项队列研究
BMC Musculoskelet Disord. 2017 Aug 11;18(1):348. doi: 10.1186/s12891-017-1703-1.