Steve Maisi , Mauro Dominguez , Peta Charmaine Gilong , Chung Tze Kiong , Syarfa Hajam , Ahmad Fadhli Ahmad Badruddin , Han Fong Siew , Saravanan Gopalan , Kok Tuck Choon
{"title":"In-house virtual surgical planning for mandibular reconstruction with fibula free flap: Case series and literature review","authors":"Steve Maisi , Mauro Dominguez , Peta Charmaine Gilong , Chung Tze Kiong , Syarfa Hajam , Ahmad Fadhli Ahmad Badruddin , Han Fong Siew , Saravanan Gopalan , Kok Tuck Choon","doi":"10.1016/j.stlm.2023.100109","DOIUrl":"10.1016/j.stlm.2023.100109","url":null,"abstract":"<div><p>The fibula free flap (FFF) surgery has long been used for complicated mandibular reconstruction. Virtual surgical planning (VSP) has been incorporated into the reconstruction planning by surgeons and has been found to reduce operating time and surgeon stress intraoperatively. When compared to traditional reconstruction, VSP enhances accuracy, surgical efficiency, and clinical outcomes. However, VSP on the other hand, need advanced technology such as software and 3D printing equipment, which are not always accessible in all centres. We describe our workflow on VSP reconstruction of the mandible with FFF by using open-source software.</p></div><div><h3>Methods</h3><p>Three patients underwent mandible reconstruction with FFF. VSP was used for all reconstruction planning.</p></div><div><h3>Results</h3><p>The mean operative time was min 765 minutes (range: 615 – 960 minutes), the mean ischemic time was 260 minutes (range: 120 – 355 minutes) and the mean length of stay was 10.7 days (range: 10 – 12 days). There were no flap failures. There were no major complications.</p></div><div><h3>Conclusion</h3><p>VSP is a very viable method that saves time and cost, making surgery more efficient.</p></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"10 ","pages":"Article 100109"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48151387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Novel technique of post mortem cranial bone reconstruction using 3D printed skull clips: Technical note","authors":"L Bilton , S B Harvey , B I'Ons , H Green","doi":"10.1016/j.stlm.2023.100104","DOIUrl":"10.1016/j.stlm.2023.100104","url":null,"abstract":"<div><p>3D printing and its application in both medicine and increasingly in areas of forensic science exists today, however, evidence of its use and application in forensic medicine has been relatively understudied. There is currently no standard method of post mortem reconstruction techniques, especially in situations requiring replacement of skull fragments after trauma or structural repair of these regions after brain retrievals. Current methods can be time consuming and have been observed to lack structure and stability during movement of the deceased following autopsy. The present study investigated the use of 3D printed clips to reconstruct the cranial vault following brain removal. The aim of this new technique is to improve the efficiency of the reconstruction method and stability of the calvarium during reconstruction and post mortem transportation. The 3D printed clips are light weight, can be attached easily and efficiently and produce no observable external evidence of their presence on the patient.</p></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"10 ","pages":"Article 100104"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47419512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Harding , A. Pramanik , A.K. Basak , C. Prakash , S. Shankar
{"title":"Application of additive manufacturing in the biomedical field- A review","authors":"A. Harding , A. Pramanik , A.K. Basak , C. Prakash , S. Shankar","doi":"10.1016/j.stlm.2023.100110","DOIUrl":"10.1016/j.stlm.2023.100110","url":null,"abstract":"<div><p>Three dimensional (3D) bioprinting is a rapidly developing and emerging field in medicine and engineering. It allows for the production of three-dimensional structures that mimic body tissue function, which can be used in drug delivery and medical research such as cancer studies. In addition, bioprinting can provide patients with specific, controlled microstructures that mimic their natural geometries, increasing the rate of take-up with tissue implants and ongoing success. Towards that, a comprehensive review on the development of biomaterials, osseous tissues, bone and the vascular tissue bioprinting was conducted. These provide an insight into the latest research trends, difficulties, and understanding of the technologies used. Before implementation to replicate a human organ, there are variety of limitations to overcome together with the questions of ethics. Though bioprinting is still in its infancy period, it can play a vital role in tissue engineering in near future.</p></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"10 ","pages":"Article 100110"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41710491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yang Sha , Bernadette Quah , Timothy Jie Han Sng , Chee Weng Yong , Intekhab Islam , Raymond Chung Wen Wong
{"title":"Are 3D printed resin surgical splints safe to use in the mouth? A comparative in vitro study","authors":"Yang Sha , Bernadette Quah , Timothy Jie Han Sng , Chee Weng Yong , Intekhab Islam , Raymond Chung Wen Wong","doi":"10.1016/j.stlm.2022.100097","DOIUrl":"https://doi.org/10.1016/j.stlm.2022.100097","url":null,"abstract":"<div><h3>Introduction</h3><p>In orthognathic surgery, surgical splints made of polymethymethacrylate or its variants are used to position the jaws before osteofixation, and occasionally left in-situ for a short duration to guide the occlusion postoperatively. However, allergic reactions can be caused by unreacted dental resin (monomers). Computer aided design/Computer Aided Manufacturing (CADCAM) surgical splints are now more commonly used than the conventionally “handmade” splints. It is unclear if these splints contain uncured residual monomers in any detectable quantity.</p></div><div><h3>Materials and methods</h3><p>CADCAM surgical splints were made from 2 commonly used resins and compared with splints made manually with autopolymerising resin. The splints were immersed in saline at 37°C for 2 weeks to simulate use in the mouth, and the contents were analysed for uncured resin leaching with High Power Liquid Chromatography (HPLC) at different time intervals.</p></div><div><h3>Results</h3><p>Uncured resin content was higher in the conventionally made splint (15,246µg/L on Day 1, 13,539 µg/L on Day 7, and 6,203µg/L on Day 14). One of the CADCAM resins had undetectable monomer quantities, while the other CADCAM resin demonstrated significantly less free monomer compared to the autopolymerising resin (382 µg/L on Day 1, 179 µg/L on Day 7 and 65.2 µg/L on Day 14).</p></div><div><h3>Conclusion</h3><p>CADCAM surgical splints have much lower free monomer content compared to the conventionally made splint, and are safe for clinical use.</p></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"9 ","pages":"Article 100097"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49714335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ángel Martínez-Sahuquillo Rico , Ana Belén Marín Fernández , Elena Bullejos Martínez , Antonio José España López , Ricardo Fernández Valadés , Adoración Martínez Plaza
{"title":"Prosthetic restoration with virtual planned subperiosteal implant in adult patient with cleft lip and palate with severe sequelae","authors":"Ángel Martínez-Sahuquillo Rico , Ana Belén Marín Fernández , Elena Bullejos Martínez , Antonio José España López , Ricardo Fernández Valadés , Adoración Martínez Plaza","doi":"10.1016/j.stlm.2022.100095","DOIUrl":"10.1016/j.stlm.2022.100095","url":null,"abstract":"<div><p>Dental rehabilitation is a major challenge for patients with severe jaw atrophy since the latter hinders the use of conventional dental implants. Virtual planning and CAD/CAM technologies have contributed to developing customized subperiosteal implants (IPS Implants® Pre-prosthetic, KLS Martin), which can be a safe and predictable treatment alternative in these cases. We present maxillary dental rehabilitation using custom subperiosteal implants in a 29-year-old patient with bilateral complete cleft lip and palate along with severe hard and soft tissue atrophy in the premaxilla following primary surgery. Customized subperiosteal implants are an alternative treatment option in cases where conventional dental implants are not possible or where bone augmentation procedures have failed or are not feasible. We therefore propose the use of these implants in patients with cleft lip and palate with complex bone defects.</p></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"9 ","pages":"Article 100095"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46019012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas Daoulas, Hoel Letissier, Frédéric Dubrana, Rémi Di Francia
{"title":"Corrective osteotomy of a distal radius malunion using three-dimensional custom guides","authors":"Thomas Daoulas, Hoel Letissier, Frédéric Dubrana, Rémi Di Francia","doi":"10.1016/j.stlm.2023.100099","DOIUrl":"10.1016/j.stlm.2023.100099","url":null,"abstract":"<div><p>Distal radius malunions are common complications in patients with distal radius fractures. There are several possible therapies; correction must be perfect in all three spatial planes. Planning and three-dimensional (3D) printing aid the surgeon in performing a customized, personalized dorsal-opening osteotomy to correct a distal radius malunion. We report the case of such a patient; surgery was assisted by 3D-printing of guides for correction of the distal radius malunion. The drilling and cutting guides allowed us to perform a standardized intervention, reducing the need for intraoperative fluoroscopy and eliminating all steps that usually require subjective decisions.</p></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"9 ","pages":"Article 100099"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48799289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luciano Vidal , Vincent Biscaccianti , Henri Fragnaud , Jean-Yves Hascoët , Vincent Crenn
{"title":"Semi-automatic segmentation of pelvic bone tumors: Usability testing","authors":"Luciano Vidal , Vincent Biscaccianti , Henri Fragnaud , Jean-Yves Hascoët , Vincent Crenn","doi":"10.1016/j.stlm.2022.100098","DOIUrl":"https://doi.org/10.1016/j.stlm.2022.100098","url":null,"abstract":"<div><p>In this study, we focus on studying inter-user variability of a semi-automatic image processing pipeline used for 3D model production and subsequent PSI design in pelvic tumor resection. Six retrospective cases of pelvic bone tumors were segmented. Three different users (trained engineer (TE), orthopedic student (OS), expert orthopedic surgeon (OE)) performed multimodal semi-automatic segmentation on registered CT and MRI sequences. Inter-user variability was evaluated on the tumor models using the symmetrical Hausdorff distances and the DICE similarity coefficient. The mean symmetrical Hausdorff distance was 1.1 mm between TE and OS, 3.8 mm between TE and OE, and 3.6 mm between OS and OE. The mean values for the DICE similarity coefficient were 0.91 between TE and OS, 0.79 between TE and OE, and 0.82 between OS and OE. In patient 5, the DICE coefficient between TE and OE, and OS and OE dropped to 0.18 and 0.24 respectively. This study suggests that the inter-user variability between two segmentations of the same tumor cannot be overlooked, especially in complex pelvic tumors: OE expertise seems mandatory for tumor segmentation validation. The collaboration between engineers and clinicians also seems crucial for developing this type of pipeline for patient-specific instruments design purposes.</p></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"9 ","pages":"Article 100098"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49734418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kaecee Fitzgerald , Randy Bindra , Sam Canning , Geoff Tansley , David G Lloyd , Minghao Zheng , Alastair Quinn , Jayishni Maharaj , Nataliya Perevoshchikova , David John Saxby
{"title":"A human-centred design approach to hybrid manufacturing of a scapholunate interosseous ligament medical practice rig","authors":"Kaecee Fitzgerald , Randy Bindra , Sam Canning , Geoff Tansley , David G Lloyd , Minghao Zheng , Alastair Quinn , Jayishni Maharaj , Nataliya Perevoshchikova , David John Saxby","doi":"10.1016/j.stlm.2022.100084","DOIUrl":"10.1016/j.stlm.2022.100084","url":null,"abstract":"<div><p>Surgical simulation models are becoming increasingly more prevalent, complex and niche within the medical industry, yet there has been nothing developed to date that focuses specifically on scapholunate interosseous ligament (SLIL) injuries, which are common amongst a large range of ages and demographics. This study seeks to present the design process of a surgical practice rig designed to support care for the ruptured SLIL. The novelty of this practice rig is apparent, because it explores multiple 3D printing technologies in order to evaluate which is the most suitable for a medical practice rig of this nature. User feedback indicated that hybrid manufacturing applications utilising traditional fabrication techniques and 3D printing technologies was superior when accounting for the requisite movement capabilities and modularity the rig needed to process. Throughout the design process, a user-centred approach was used to translate the needs of the surgeon into a functional product. An emergent design methodology was used to incorporate feedback from medical professionals and engineers. These two methodological approaches were used to ensure the end-product fulfilled several functions: aiding surgeons to understand a new surgical implant, providing reasonable bio-fidelity in wrist function to enable surgical practice, and remaining simple enough to be understood by a patient undergoing a complex procedure. Following user tests with a variety of hand and wrist surgeons, we found this rig suitable for several applications. The rig functioned as expected, providing surgeons with a means to experiment with a new surgical implant, and proved an effective tool for patient education.</p></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"9 ","pages":"Article 100084"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47400108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Paving new ways in forensic contexts with virtual osteology applications: csg-toolkit – a 3D osteology package for cross-sectional geometry analysis","authors":"Andreas Bertsatos , Nefeli Garoufi , Mariniki Koliaraki , Maria-Eleni Chovalopoulou","doi":"10.1016/j.stlm.2022.100094","DOIUrl":"10.1016/j.stlm.2022.100094","url":null,"abstract":"<div><p>This work presents the newly updated <em>csg-toolkit</em> package for GNU Octave, a user-friendly virtual osteology software that can compute and visualize the diaphyseal cross-sectional geometric (CSG) properties of the long bones of the lower and upper limbs. The CSG properties of the diaphysis have been extensively used for mechanical loading studies and have recently shown promising results in research topics of forensic anthropology, such as skeletal activity markers, sex estimation, and osteometric sorting. The <em>csg-toolkit</em> optimizes the computation of the CSG properties by integrating existing 3D technologies and novel computational geometry methods in osteology, so that they can be embedded in forensic applications. This new version supports a number of additional options regarding the computation and visualization of those properties, such as placement customization for the cross-sections, automatic registration and identification of the specific bone model and its alignment points, and visual inspection of the cross-sections upon generation. Additional improvements have been made that minimize the effort and time needed for analyzing a long bone. The <em>csg-toolkit</em> is a reliable alternative to the traditional Latex Cast Method. Overall, the <em>csg-toolkit</em> provides a simple, flexible, and computationally accurate method for 3D virtual long bone analysis and its free and open-source implementation can facilitate the utilization of cross-sectional geometry in forensic contexts.</p></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"9 ","pages":"Article 100094"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44764406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A systematic review on materials, design, and manufacturing of swabs","authors":"Vedant Vashist , Neil Banthia , Swapnil Kumar , Prajwal Agrawal","doi":"10.1016/j.stlm.2022.100092","DOIUrl":"10.1016/j.stlm.2022.100092","url":null,"abstract":"<div><p>From simple cleaning to metagenomic studies and now the detection of the SARS-2 virus, swabs are absorbent pads with handles that hold significant promise in several applications and properties. Furthermore, the swab is now used for a wide range of medical purposes, such as the collection of bacteria and other pathogens such as influenza and H1N1. Various designs and materials used for the tip have led to a wide range of applications. In this review, we discuss the characteristics of essential tip materials such as rayon, polyester, nylon, and polyurethane in the context of specimen collection from various substrates. Further, this article reviews swab manufacturing techniques, including injection molding and calendar roll pressing, among others. In recent years, advances in additive manufacturing technology have made it possible to produce swabs in a fast and efficient manner. Furthermore, the design for additive manufacturing (DfAM) is given for the production of swabs. We also examine how 3-D printing of bio-resin swabs has revolutionized the manufacturing process, making it autonomous, quicker, more efficient, and environmentally friendly. Additionally, a shortage of medical devices for testing the SARS-2 virus has zealously motivated the medical industry to revolutionize through additive manufacturing of swabs, thus revolutionizing the medical industry. In conclusion, the limitations of the current techniques and future directions for swabs are discussed.</p></div>","PeriodicalId":72210,"journal":{"name":"Annals of 3D printed medicine","volume":"9 ","pages":"Article 100092"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48988064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}