Albert Hülsbeck, Lisa-Marie Northoff, Bärbel Kahl-Nieke
{"title":"[Digital Concepts for the Care of Newborns with Craniofacial Anomalies].","authors":"Albert Hülsbeck, Lisa-Marie Northoff, Bärbel Kahl-Nieke","doi":"10.1055/a-2267-4555","DOIUrl":null,"url":null,"abstract":"<p><p>The treatment of newborns with craniofacial abnormalities such as cleft lip and/or palate poses special challenges for healthcare providers. Often, the collaboration of an interdisciplinary team of pediatricians, orthodontists, and oral and maxillofacial surgeons is necessary. Therapy using feeding or stimulation plates can improve feeding and strengthen orofacial muscle tone. The treatment of patients with cleft lip and palate using conventionally manufactured feeding plates as well as the treatment of patients with reduced orofacial muscle tone through stimulation plates therapy are established and widely used methods. The conventional production of these plate appliances can lead to serious complications such as swallowing of impression material and airway obstruction due to aspiration. Through an innovative, entirely digital workflow using computer-assisted design and manufacturing of the appliances in a 3D printer, risks can be minimized and time and costs can be saved. This article aims to explain the digital workflow of treating newborns with 3D CAD/CAM feeding and stimulation plates through two case studies.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zeitschrift fur Geburtshilfe und Neonatologie","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2267-4555","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/3/22 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
The treatment of newborns with craniofacial abnormalities such as cleft lip and/or palate poses special challenges for healthcare providers. Often, the collaboration of an interdisciplinary team of pediatricians, orthodontists, and oral and maxillofacial surgeons is necessary. Therapy using feeding or stimulation plates can improve feeding and strengthen orofacial muscle tone. The treatment of patients with cleft lip and palate using conventionally manufactured feeding plates as well as the treatment of patients with reduced orofacial muscle tone through stimulation plates therapy are established and widely used methods. The conventional production of these plate appliances can lead to serious complications such as swallowing of impression material and airway obstruction due to aspiration. Through an innovative, entirely digital workflow using computer-assisted design and manufacturing of the appliances in a 3D printer, risks can be minimized and time and costs can be saved. This article aims to explain the digital workflow of treating newborns with 3D CAD/CAM feeding and stimulation plates through two case studies.
新生儿颅面畸形(如唇裂和/或腭裂)的治疗给医疗服务提供者带来了特殊的挑战。通常情况下,需要由儿科医生、正畸医生和口腔颌面外科医生组成的跨学科团队通力合作。使用喂食板或刺激板进行治疗可以改善进食情况,增强口面部肌肉张力。使用传统制造的喂食板治疗唇腭裂患者,以及通过刺激板治疗口面肌张力减弱的患者,都是成熟且广泛使用的方法。这些托板装置的传统制作方法可能会导致严重的并发症,例如吞咽印模材料和吸入导致的气道阻塞。通过创新的全数字化工作流程,使用计算机辅助设计和 3D 打印机制造这些器具,可以最大限度地降低风险,节省时间和成本。本文旨在通过两个案例研究,解释使用 3D CAD/CAM 喂食板和刺激板治疗新生儿的数字化工作流程。