Bertin E, Coussens C, Brumpt E, Meyer C, Louvrier A
CHU Besançon, Chirurgie Maxillo-faciale et Stomatologie, Besançon, F-25000, France.
Université Marie et Louis Pasteur, SINERGIES (UR 4662), Besançon, F-25000, France.
3D Print Med. 2025 Jul 1;11(1):33. doi: 10.1186/s41205-025-00285-8.
BACKGROUND: The consequences of maxillofacial injuries are functionals and aesthetics. The initial treatment must lead to consolidation without any sequelae (complete healing with no clinical symptoms). 3D printing is increasingly used in maxillofacial surgery, but data on its use in the initial phase of trauma is scarce. METHOD: We conducted a bibliographic search in PubMed’s electronic database with the following terms: maxillofacial traumatology, maxillofacial fracture, mandible fracture, maxillary fracture, zygoma fracture, LeFort fracture, fracture of the naso-ethmoido-maxillo-fronto-orbital complex, orbital fracture, nasal bones fracture, frontal sinus fracture, 3D printing, 3-dimensional printing, virtual planning. Data included study characteristics, material used, evaluation criteria, advantages, and disadvantages of the use of 3D printing. RESULTS: Fifty-six articles were selected and divided into 3 groups (multiple facial fractures, mandible fractures, and zygoma and/or orbital wall fractures). There were mainly retrospective studies and case reports, and the authors used CT scans to plan surgery. Printed objects were occlusal splints ( = 11 from fractures with occlusal disorders), and a skull model with fracture or after virtual reduction ( = 42). 3D printing permits a reduction in operating time from 15 to 60 min. The authors often used them to preshape plates, and the evaluation criteria were essentially radiologic (position of the implant compared to planning, precision of the reduction, orbital volume, etc.). CONCLUSION: The use of 3D printing permits reduced operating times and better visibility of movements. However, this often requires a post-operative CT scan, and little account is taken of clinical criteria. 3D printing and acute maxillofacial trauma: an overview of the literature.
背景:颌面损伤的后果涉及功能和美观。初始治疗必须实现愈合且无任何后遗症(完全愈合且无临床症状)。3D打印在颌面外科中的应用日益广泛,但关于其在创伤初始阶段使用的数据却很稀少。 方法:我们在PubMed电子数据库中进行了文献检索,检索词如下:颌面创伤学、颌面骨折、下颌骨骨折、上颌骨骨折、颧骨骨折、LeFort骨折、鼻筛上颌额眶复合体骨折、眼眶骨折、鼻骨骨折、额窦骨折、3D打印、三维打印、虚拟规划。数据包括研究特征、使用的材料、评估标准、3D打印使用的优点和缺点。 结果:共筛选出56篇文章,并分为3组(多发性面部骨折、下颌骨骨折以及颧骨和/或眶壁骨折)。主要为回顾性研究和病例报告,作者使用CT扫描来规划手术。打印的物品有咬合夹板(因咬合紊乱骨折的有11个)以及骨折或虚拟复位后的颅骨模型(42个)。3D打印可将手术时间缩短15至60分钟。作者经常用它们来预塑形钢板,评估标准主要是影像学方面的(植入物相对于规划的位置、复位精度、眼眶容积等)。 结论:使用3D打印可缩短手术时间并提高动作可视性。然而,这通常需要术后CT扫描,且很少考虑临床标准。3D打印与急性颌面创伤:文献综述。
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