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Conversion of an FDM printer to direct ink write 3D bioprinter utilizing an efficient and cost-effective extrusion system 利用高效且具有成本效益的挤出系统将FDM打印机转换为直接墨水写入3D生物打印机
Q3 Medicine Pub Date : 2025-06-06 DOI: 10.1016/j.stlm.2025.100212
Y.  H. Dang, Elise Dauzat, Asif Istiak, Kevin Jackson, Victoria Songe, Luke West, Md Imrul Kayes, Md Saiful Islam, Tanvir R. Faisal
3D bioprinting has emerged as a transformative technology in biomedical engineering, enabling the fabrication of functional tissues through the precise deposition of cell-laden biomaterials. However, the widespread adoption of this technology is constrained by the prohibitive costs of commercial bioprinting systems. We present a cost-effective solution through the conversion of an open-source fused deposition modeling (FDM) 3D printer into a direct ink write bioprinter by integrating a peristaltic pump-based extrusion system. The modified dual-extruder system demonstrates successful deposition of hydrogel-based bioinks across varying viscosities, producing well-defined scaffold architectures. The printer's open-source control architecture facilitates retraction capabilities, high-speed movements, and customizable printing parameters, enhancing operational flexibility. This development represents a significant step toward democratizing low-cost bioprinting technology, making it accessible to academic institutions and research facilities with limited resources.
3D生物打印已经成为生物医学工程中的一项变革性技术,通过精确沉积充满细胞的生物材料,可以制造出功能性组织。然而,这种技术的广泛采用受到商业生物打印系统高昂成本的限制。我们提出了一种经济有效的解决方案,通过集成基于蠕动泵的挤出系统,将开源熔融沉积建模(FDM) 3D打印机转换为直接墨水写入生物打印机。改进后的双挤出机系统成功地沉积了不同粘度的水凝胶基生物墨水,产生了明确的支架结构。打印机的开源控制架构促进了缩回能力、高速运动和可定制的打印参数,增强了操作灵活性。这一发展代表着向低成本生物打印技术民主化迈出的重要一步,使资源有限的学术机构和研究机构也能获得这种技术。
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引用次数: 0
3D-printed drug delivery system from food waste: A sustainable approach for the development of novel drug delivery systems 从食物垃圾中3d打印药物输送系统:一种开发新型药物输送系统的可持续方法
Q3 Medicine Pub Date : 2025-05-29 DOI: 10.1016/j.stlm.2025.100209
Sejal Porwal , Rishabha Malviya , Sathvik Belagodu Sridhar , Dhanalekshmi Unnikrishnan Meenakshi , Tarun Wadhwa , Javedh Shareef , Musarrat Husain Warsi

Background

3DP has emerged as an innovative technology in various industries, including pharmaceuticals and food. Notably, food waste is a useful resource for 3DP in drug delivery applications, helping to meet sustainability goals by recycling agricultural by-products. This concept is consistent with the circular economy since it uses elements from food waste, such as cellulose and lignin, to make bio-inks that may be used to fabricate customised drug delivery systems.

Aim

The study investigates the use of food waste-derived biopolymers for developing 3D-printed drug delivery systems, addressing both medical and environmental problems.

Discussion

Utilising food waste in 3DP drug delivery systems offers several advantages, including cost savings and reduced environmental effects. Biopolymers made from rice husk, soy protein, and eggshells improve the biodegradability and biocompatibility of pharmaceutical delivery systems. Furthermore, these food-derived biopolymers have intriguing properties such as regulated drug release and compatibility with patient-specific applications. However, there are issues in guaranteeing material consistency and stability, particularly in long-term drug release applications. Copolymerization and mixing with other biocompatible materials have the potential to improve mechanical stability and longevity, both of which are required for efficient drug administration.

Conclusion

Food waste-derived 3D-printed medicine delivery devices are an innovative and sustainable approach to healthcare, but further study is needed to increase scalability and consistency for broad utilization in clinical settings.
3d打印技术已经成为包括制药和食品在内的许多行业的创新技术。值得注意的是,食物垃圾是药物输送应用中3d打印的有用资源,通过回收农业副产品有助于实现可持续发展目标。这一概念与循环经济是一致的,因为它使用食物垃圾中的元素,如纤维素和木质素,来制造可用于制造定制药物输送系统的生物墨水。该研究调查了利用食物垃圾衍生的生物聚合物开发3d打印药物输送系统,解决医疗和环境问题。在3d打印给药系统中利用食物垃圾有几个优点,包括节约成本和减少环境影响。由稻壳、大豆蛋白和蛋壳制成的生物聚合物提高了药物输送系统的生物可降解性和生物相容性。此外,这些食品衍生的生物聚合物具有有趣的特性,如调节药物释放和与患者特定应用的兼容性。然而,在保证材料的一致性和稳定性方面存在问题,特别是在长期药物释放应用中。与其他生物相容性材料的共聚和混合具有提高机械稳定性和寿命的潜力,这两者都是有效给药所必需的。结论食物垃圾来源的3d打印给药装置是一种创新和可持续的医疗保健方法,但需要进一步研究以提高可扩展性和一致性,以便在临床环境中广泛应用。
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引用次数: 0
Dimensional accuracy and resolution assessment of the formlabs form 3B 3D printer for medical applications 用于医疗应用的formlabs form 3B 3D打印机的尺寸精度和分辨率评估
Q3 Medicine Pub Date : 2025-05-16 DOI: 10.1016/j.stlm.2025.100204
Vera Lagerburg , Anne Vrancken , Sietske Bergsma , Janita Dekker , Wouter Diemer , Judith Waldner-Troost , Maaike Koenrades

Introduction

For quality management of in-hospital 3D printing, it is essential to have detailed knowledge on the accuracy and reproducibility of the 3D printing process. In this study, the influence of several printing and post-processing parameters on dimensional accuracy and resolution were evaluated in three different hospitals to provide a reference for printer performance for medical applications.

Methods

A custom phantom was designed comprising features to assess accuracy and resolution of the Form 3B printer (Formlabs, Somerville, MA, USA). Specific features common for surgical guides were included, such as slits, flanges, and cylinders. The phantoms were 3D printed using a medical grade resin (Formlabs Biomed Clear resin) and evaluated after postprocessing and sterilization. Dimensional accuracy was defined as the deviation between the actual measurement and the known feature dimension and evaluated in x-, y- and z-direction. Resolution was defined as the smallest complete feature.

Results

The accuracy of the prints in the x-direction varied between -0.1 mm and 0.1 mm, in the y-direction between -0.25 mm and 0.4 mm and in the z-direction between -0.2 mm and 0.4 mm. The influence of sterilization on the accuracy was negligible. The smallest slit that was always open when printing in the x-direction was 0.3 mm and in the y-direction 0.4 mm.

Conclusion

This study provides hospitals with a reference for the printing accuracy and resolution for a medical grade resin. The phantom designed can be used in every hospital to determine their own printing accuracy and tolerances thereby optimizing product design for the intended clinical application.
对于医院内3D打印的质量管理,对3D打印过程的准确性和可重复性有详细的了解是必不可少的。本研究通过对三家不同医院的打印和后处理参数对尺寸精度和分辨率的影响进行评估,为医疗应用中的打印机性能提供参考。方法设计一个定制模型,包括评估Form 3B打印机的精度和分辨率的特征(Formlabs, Somerville, MA, USA)。包括手术指南常见的特定特征,如狭缝、法兰和圆柱体。这些模型使用医用级树脂(Formlabs Biomed Clear树脂)进行3D打印,并在后处理和灭菌后进行评估。尺寸精度定义为实际测量值与已知特征尺寸之间的偏差,并在x, y和z方向上进行评估。分辨率被定义为最小的完整特征。结果x -0.1 mm ~ 0.1 mm、y -0.25 mm ~ 0.4 mm、z -0.2 mm ~ 0.4 mm之间的指纹图谱精度均有显著差异。灭菌对准确性的影响可以忽略不计。x方向和y方向的最小开缝分别为0.3 mm和0.4 mm。结论为医用级树脂的打印精度和分辨率提供了参考。所设计的模体可用于各医院,以确定各自的打印精度和公差,从而优化产品设计,以达到预期的临床应用。
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引用次数: 0
Healthcare professionals’ initial attitudes towards 3D printing and effects of a short educational briefing: A pre-post pilot study utilising the technology acceptance model 医疗保健专业人员对3D打印的初步态度和简短教育简报的效果:利用技术接受模型的前后试点研究
Q3 Medicine Pub Date : 2025-05-10 DOI: 10.1016/j.stlm.2025.100205
Una M. Cronin , EmmaJude Lyons , Aidan O’ Sullivan , Niamh M. Cummins , Leonard O’Sullivan

Purpose

Adopting 3D printing technology in healthcare is variable across clinical settings and has considerable geographical differences. To advance the application of 3D printing in healthcare it is necessary to research factors inhibiting its adoption, notably in areas of low uptake. The aim of this study was to investigate attitudes toward 3D printing in Healthcare Professionals (HCPs) with low experience of the technology and to assess the effectiveness of a Short Educational Video (SEV) on these perceptions in the context of the Technology Acceptance Model (TAM).

Design/Methodology/Approach

This was a pre-post intervention study in a convenience sample of HCPs. A 5-minute video was developed to introduce and inform HCPs regarding 3D printing in healthcare. Participants (n = 52) completed an online survey grounded on the TAM before and after watching the video. Wilcoxon signed rank t-tests were used to analyse pre- and post-video scores. Perceptions post-intervention increased significantly for the TAM dimensions perceived usefulness (p < 0.05), perceived ease of use (p < 0.001), attitude toward use (p < 0.001) and behavioural intention to use (p < 0.001).

Findings

This study demonstrated that a brief introduction to the technology increased perceptual factors which may be related to the initial phase of adoption of such technology. An inference from the findings is that for HCPs with low previous experience of 3D printing, this may be a suitable model to provide education on the technology and potentially increase the adoption of 3D printing in the clinical setting. Increased perception is expected to contribute to increased likelihood of eventual adoption in healthcare.

Originality/value

This study addresses a literature gap in adopting 3D printing within healthcare. The study demonstrated that even brief educational interventions can substantially shift perceptions among HCPs. This suggests that the SEV is a scalable and cost-effective strategy to initially promote the adoption of 3D printing within healthcare.
目的在医疗保健中采用3D打印技术在不同的临床环境中是可变的,并且具有相当大的地理差异。为了推进3D打印在医疗保健领域的应用,有必要研究抑制其采用的因素,特别是在低吸收领域。本研究的目的是调查缺乏技术经验的医疗保健专业人员(HCPs)对3D打印的态度,并在技术接受模型(TAM)的背景下评估短教育视频(SEV)对这些看法的有效性。设计/方法/方法这是一项针对HCPs方便样本的干预前后研究。制作了一个5分钟的视频,介绍和告知医护人员关于医疗保健中的3D打印。参与者(n = 52)在观看视频前后完成了一项基于TAM的在线调查。使用Wilcoxon符号秩t检验分析视频前和视频后的得分。干预后感知显著增加TAM维度感知有用性(p <;0.05),感知易用性(p <;0.001),使用态度(p <;0.001)和使用行为意向(p <;0.001)。本研究表明,对该技术的简要介绍会增加感知因素,这可能与采用该技术的初始阶段有关。从研究结果中得出的结论是,对于以前没有3D打印经验的医护人员来说,这可能是一个合适的模式,可以提供有关技术的教育,并有可能增加临床环境中3D打印的采用。提高认识预计将有助于提高医疗保健最终采用该技术的可能性。原创性/价值本研究解决了在医疗保健中采用3D打印的文献空白。该研究表明,即使是简短的教育干预也能大大改变卫生保健服务人员的观念。这表明SEV是一种可扩展且具有成本效益的策略,可以初步促进医疗保健领域采用3D打印。
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引用次数: 0
StemCurCol – 3D printed scaffold for diabetic wound regeneration StemCurCol - 3D打印糖尿病伤口再生支架
Q3 Medicine Pub Date : 2025-05-01 DOI: 10.1016/j.stlm.2025.100203
Henrique Luis Piva , Mariana Santos de Queiroz , Flavia Sayuri Matsuo , Hiago Salge Borges , Mariana Kiomy Osako , Antonio Claudio Tedesco
Diabetic wounds, particularly diabetic foot ulcers, pose a significant challenge for treatment due to impaired healing and susceptibility to complications. The complex pathophysiology of wounds involves dysregulated cellular and molecular processes. Advanced therapeutic strategies are needed to address the different stages of wound healing. Curcumin, a natural polyphenol, has been shown to enhance epidermal re-epithelialization, mobilize cellular participants in wound repair, and improve different stages of wound healing. In this work curcumin-chitosan nanoparticles have been prepared and characterized, and incorporated in collagen with stem cells and were implanted into normal and diabetic mice with induced wounds and their effects on wound healing were evaluated over 14 days. Animals treated with StemCurCol scaffolds presented faster closure rates and enhanced re-epithelialization than the controls, and the cells contributed to regeneration by forming new tissues, and rapidly closing wounds.
糖尿病性伤口,特别是糖尿病足溃疡,由于愈合受损和易发生并发症,对治疗构成重大挑战。创伤的复杂病理生理涉及细胞和分子过程的失调。需要先进的治疗策略来解决伤口愈合的不同阶段。姜黄素是一种天然多酚,已被证明可以促进表皮再上皮化,动员细胞参与伤口修复,并改善伤口愈合的不同阶段。本研究制备并表征了姜黄素-壳聚糖纳米颗粒,并将其与干细胞结合于胶原蛋白中,植入正常和糖尿病小鼠创面,观察其对创面愈合的影响。使用StemCurCol支架治疗的动物比对照组具有更快的闭合率和增强的再上皮化,并且细胞通过形成新组织和快速闭合伤口来促进再生。
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引用次数: 0
Affordable multicolor 3D printing solution for biomedical education in low- and middle-income countries 为中低收入国家的生物医学教育提供经济实惠的多色3D打印解决方案
Q3 Medicine Pub Date : 2025-04-03 DOI: 10.1016/j.stlm.2025.100201
Dat Minh Lu , Phong Van Dong , Hien Bui Thu Hoang , Dang Ngoc Tran , Khiem Tran Dang , Linh Thanh Duy Tran , An Le Pham
3D printing for biomedical education in universities remains largely inaccessible in low- and middle-income countries (LMICs) due to the high cost of commercial material jetting and powder bed fusion 3D printers. To address this barrier, we have developed an affordable multicolor fused deposition modeling (FDM) 3D printer capable of producing biomedical models with intricate geometries. The key innovation of our printer is the novel integration of two distinct hybrid printhead configurations to enable simultaneous multicolor printing and water-soluble support material deposition. Positioned along the same X-axis, the first printhead employs a filament cutting, retracting, and purging mechanism to print in seven colors, while the second printhead is dedicated to printing water-soluble support material. The printer utilizes a hybrid CoreXY kinematic system and offers a 30 × 30 × 30 cm print volume. Its operations are controlled by two MKS Monster8 V2.0 boards and an MKS Pi V1.1 running Klipper firmware, with Orca Slicer software converting 3D model data into printer-readable instructions. Our printer successfully operated for up to 45 h, producing four detailed heart models (18 × 15 × 10 cm) and a multicolor DNA polymerase model from online databases and CT scan images. Support structures were removed by immersing the prints in warm water for 24 h, ensuring precise structural integrity for complex models. By combining multicolor printing with water-soluble support material, our cost-effective, frugal innovation allows the fabrication of intricate, vibrant biomedical models, making 3D printing more feasible for biomedical education and research in LMICs.
由于商业材料喷射和粉末床融合3D打印机的高成本,在低收入和中等收入国家(LMICs),用于大学生物医学教育的3D打印在很大程度上仍然无法实现。为了解决这一障碍,我们开发了一种经济实惠的多色熔融沉积建模(FDM) 3D打印机,能够生产具有复杂几何形状的生物医学模型。我们的打印机的关键创新是两种不同的混合打印头配置的新颖集成,以实现同时多色打印和水溶性支撑材料沉积。沿着相同的x轴定位,第一个打印头采用灯丝切割、收缩和清洗机制,可以打印七种颜色,而第二个打印头专门用于打印水溶性支撑材料。该打印机采用混合CoreXY运动系统,打印体积为30 × 30 × 30厘米。它的操作由两个MKS Monster8 V2.0板和一个运行Klipper固件的MKS Pi V1.1控制,Orca Slicer软件将3D模型数据转换为打印机可读的指令。我们的打印机成功运行了长达45小时,从在线数据库和CT扫描图像中产生了四个详细的心脏模型(18 × 15 × 10厘米)和一个多色DNA聚合酶模型。将打印件浸泡在温水中24小时,去除支撑结构,确保复杂模型的精确结构完整性。通过将多色打印与水溶性支撑材料相结合,我们的成本效益高,节约创新允许制造复杂,充满活力的生物医学模型,使3D打印在中低收入国家的生物医学教育和研究中更加可行。
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引用次数: 0
Powder bed fusion 3D printing for drug delivery and healthcare applications 用于药物输送和医疗保健应用的粉末床融合3D打印
Q3 Medicine Pub Date : 2025-04-02 DOI: 10.1016/j.stlm.2025.100200
Suraj Kumar , Rishabha Malviya , Sathvik Belagodu Sridhar , Tarun Wadhwa , Umme Hani , Sirajunisa Talath , Musarrat Husain Warsi
Powder Bed Fusion (PBF) is a 3D printing technique that uses powdered materials, fused through various ignition sources, to create complex structures. Over time, PBF has evolved into several methods, including selective laser sintering/melting, direct metal laser sintering, electron beam melting, and multi-jet fusion. These advancements offer benefits such as improved resolution, faster printing speeds, and the ability to produce intricate designs without the need for additional support structures. This review examines the distinct roles and potential applications of PBF in pharmacology and biomedicine, focusing on the mechanisms behind the technology and its impact on personalized drug-loaded formulations, medical devices, and implants. PBF's versatility makes it ideal for biomedical applications, where precision and customization are essential. Its high resolution and speed enable the fabrication of detailed, individualized items, driving advancements in drug delivery and implant design. However, challenges remain, such as material constraints and the requirement for specific environmental conditions, which can influence product quality. This review emphasizes the innovative applications of PBF in pharmacology and biology and highlights its transformative potential in personalized medicine. By overcoming current limitations, PBF technology could further contribute to the development of advanced biomedicine and personalized treatment solutions.
粉末床融合(PBF)是一种3D打印技术,它使用粉末材料,通过各种点火源融合,来创建复杂的结构。随着时间的推移,PBF已经演变成几种方法,包括选择性激光烧结/熔化、直接金属激光烧结、电子束熔化和多射流熔化。这些进步提供了诸如提高分辨率,更快的打印速度以及在不需要额外支撑结构的情况下生产复杂设计的能力等好处。本文综述了PBF在药理学和生物医学中的独特作用和潜在应用,重点介绍了该技术背后的机制及其对个性化药物负载配方、医疗器械和植入物的影响。PBF的多功能性使其成为生物医学应用的理想选择,其中精度和定制是必不可少的。它的高分辨率和速度使制造详细的、个性化的物品成为可能,推动了药物输送和植入物设计的进步。然而,挑战仍然存在,例如材料限制和对特定环境条件的要求,这些都可能影响产品质量。本文综述了PBF在药理学和生物学方面的创新应用,并强调了其在个性化医疗方面的变革潜力。通过克服目前的限制,PBF技术可以进一步促进先进生物医学和个性化治疗解决方案的发展。
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引用次数: 0
Polymeric hydrogels for bioprinting: A comprehensive review 生物打印用高分子水凝胶:综述
Q3 Medicine Pub Date : 2025-03-29 DOI: 10.1016/j.stlm.2025.100198
Mohammad Amir Qureshi , Basree , Raqeeba Aziz , Yasser Azim , Musheer Ahmad
Bio-printing; It is a technique to make bio-structure, has been steadily increasing the impact on society and it is transforming the science of biomaterials. It allows the direct production of customized products from biomaterials. This article is based on hydrogels for bioprinting. So, this article included a detailed discussion on different methods of bioprinting. Different characteristics of hydrogels for 3D bioprinting also discussed. Explanation regarding different types of crosslinking for the preparation of hydrogels is also featured. This review is also contains information regarding the use of different types of bio-polymeric and non-bio-polymeric hydrogels for 3D bioprinting. To last, this review has also discussed drawbacks of 3D bioprinting, transformation of 3D bioprinting to 4D bioprinting, expected steps in 4D bioprinting, and to last advantages of 4D bioprinting. This work will provide ample base for future work as it has the latest and ongoing information which researchers could use in tissue engineering and bioprinting domain.
Bio-printing;它是一种制造生物结构的技术,对社会的影响正在稳步增加,它正在改变生物材料科学。它允许从生物材料直接生产定制产品。这篇文章是基于生物打印的水凝胶。因此,本文对生物打印的不同方法进行了详细的讨论。讨论了用于生物3D打印的水凝胶的不同特性。还介绍了用于制备水凝胶的不同类型的交联。这篇综述还包含了关于3D生物打印中使用不同类型的生物聚合物和非生物聚合物水凝胶的信息。最后,本文还讨论了3D生物打印的缺点,3D生物打印向4D生物打印的转变,4D生物打印的预期步骤,以及4D生物打印的优势。本研究为组织工程和生物打印领域的研究人员提供了最新的和持续的信息,为今后的工作提供了充分的基础。
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引用次数: 0
Development of a fully digital design process for customized mandibular advancement and its precision additive manufacturing 开发用于定制下颌推进及其精密增材制造的全数字化设计流程
Q3 Medicine Pub Date : 2025-03-28 DOI: 10.1016/j.stlm.2025.100199
Chinmai Bhat , Yulius Shan Romario , I-Ching Chou , Wan-Rong Jiang , Yu-Yan Wu , Maziar Ramezani , Cho-Pei Jiang
This study aims to develop a fully digital workflow for the fabrication of customized mandibular advancement devices (MAD). MADs are used to treat obstructive sleep apnea and typically require 8–10 days to fabricate as per the patient's specifications. The currently designed digital methodology considerably shortens this timescale to 2–3 days, providing a viable alternative to traditional methods. The process integrates digital intraoral scanning, computer-aided modeling, and additive manufacturing using DD guide material through digital light processing technology. Along with the integration, the workflow also optimizes scanning accuracy, printing orientation, precision, and usability. The precision of fabrication was examined by scanning the fabricated part with the stereolithography file. The root mean square value of 0.0287 mm indicates that the fabricated device is within the clinical accuracy and thus can be used for mandibular advancement. Furthermore, the analysis indicates that printing orientations of 0° and 45° deliver higher precision and surface quality, with the 45° proving to be most cost-effective for grinding and post-processing. The post-processing greatly reduced the surface roughness thereby increasing the comfortability and hygiene. The durability of the fabricated MADs was proved through the unaffected mechanical properties even after washing >1000 times (equivalent to 3 years). Contributing to the wider adoption of digital procedures in dental clinics and coinciding with current market trends toward patient-specific solutions, this study highlights the viability of an efficient, adaptable, and hygienic digital workflow for MADs.
本研究旨在开发一个全数字化的工作流程,用于定制下颌推进装置(MAD)的制造。MADs用于治疗阻塞性睡眠呼吸暂停,通常需要8-10天根据患者的规格制作。目前设计的数字方法将这一时间尺度大大缩短至2-3天,为传统方法提供了一种可行的替代方案。该工艺通过数字光处理技术集成了数字口内扫描、计算机辅助建模和使用DD引导材料的增材制造。随着集成,工作流程还优化扫描精度,打印方向,精度和可用性。利用立体光刻文件对制件进行扫描,验证了制件的精度。均方根值为0.0287 mm,表明所制作的器械在临床精度范围内,可用于下颌前进。此外,分析表明,0°和45°的印刷方向提供更高的精度和表面质量,其中45°被证明是最具成本效益的磨削和后处理。后处理大大降低了表面粗糙度,从而增加了舒适性和卫生性。即使在洗涤1000次(相当于3年)后,制造的MADs的机械性能也未受影响,证明了其耐久性。为了在牙科诊所更广泛地采用数字程序,并与当前针对患者的解决方案的市场趋势相吻合,本研究强调了MADs高效、适应性强、卫生的数字工作流程的可行性。
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引用次数: 0
Virtual surgical planning for mandibular ramus distraction osteogenesis 下颌支牵张成骨的虚拟手术计划
Q3 Medicine Pub Date : 2025-03-27 DOI: 10.1016/j.stlm.2025.100202
Amir Sufian Ismail, Jonathan Rengarajoo, Lee Chee Wei, Md Arad Jelon, Nur Ikram Hanim, Muhammad Adzwin Yahya, Kok Tuck Choon
Virtual surgical planning (VSP) is becoming a standard procedure in managing patient indicated for distraction osteogenesis as part of the surgical management. In general, the use of VSP is not part of the routine treatment protocol due to the high cost and steep learning curve associated with it. In this case report, we would like to share our experience in managing patients with hemi-micrognathia secondary to ankylosed temporomandibular joint via distraction osteogenesis. Preoperatively, the patient's Digital Imaging and Communication in Medicine (DICOM) is used to create a stereoscopic simulation image. The ramus distractors were scanned to create a virtual ramus distractor. All this data is then appended into the software to decide on the osteotomy site as well as vector placement of the distractors virtually. This allows for virtual simulation of the proposed surgical plan. Once the osteotomy site and the vector for the ramus distractor has been finalised, a hybrid guide is created to aid in both osteotomy as well as identifying the vector for the distractor. Post-operatively, distraction devices were activated twice daily until distraction length was achieved followed by a consolidation period. VSP and hybrid guide allows surgeons to better understand the pitfalls of the case, simulate multiple possibilities virtually and also a as a good communication tool during patient consultation.
作为手术管理的一部分,虚拟手术计划(VSP)正在成为管理牵张成骨患者的标准程序。一般来说,由于VSP的高成本和陡峭的学习曲线,它并不是常规治疗方案的一部分。在这个病例报告中,我们想分享我们通过牵张成骨治疗颞下颌关节强直性继发半小颌症的经验。术前,使用患者的数字成像和医学通信(DICOM)来创建立体模拟图像。对支干扰物进行扫描,创建虚拟支干扰物。然后将所有这些数据附加到软件中,以确定截骨位置以及虚拟的牵引器矢量位置。这允许对拟议的手术计划进行虚拟模拟。一旦确定截骨位置和支牵张器的载体,就会创建一个混合指南来帮助截骨和识别牵张器的载体。术后,每天两次激活牵张装置,直到达到牵张长度,然后是巩固期。VSP和混合指南使外科医生能够更好地了解病例的缺陷,虚拟模拟多种可能性,也是患者咨询期间良好的沟通工具。
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Annals of 3D printed medicine
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