[3D 打印中鼻甲夹板的开发和安全性研究]。

Q3 Medicine
A I Kryukov, A S Tovmasyan, A E Kishinevskii, V V Mosin, P L Chumakov, V V Yanovsky, N V Shvedov
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引用次数: 0

摘要

中鼻甲与鼻腔侧壁粘连和中鼻道合流是慢性鼻窦炎手术治疗失败的常见原因之一。使用特殊形状的鼻内夹板可以解决术后预防鼻中隔缺损的问题。为了防止这类并发症的发生,人们提出了许多不同的装置和方法。本研究提出了一种解剖型中鼻甲夹板,该夹板采用三维计算机建模技术开发,然后在 Formlabs 3BL 三维打印机上用生物相容性弹性材料打印而成。夹板的形状和大小是根据对 50 名成年患者的计算机断层扫描数据分析后确定的。在 20 名志愿者中对所开发装置的安全性进行了研究,并在双侧手术后将所开发的夹板安装在一侧鼻腔内 2 周。根据内窥镜检查和患者问卷调查,所开发的夹板不会引起局部或全身过敏反应,也不会在术后给患者带来额外的不适。安装夹板有助于防止鞘膜积液的形成。不过,要确定临床效果,还需要对更多的患者样本进行研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Development and safety study of a 3D printed middle turbinate splint].

Adhesion of the middle turbinate to the lateral wall of the nasal cavity and synechia of the middle meatus are one of the common reasons for the failure of surgical interventions for chronic sinusitis. The use of specially shaped intranasal splints can solve the problem of preventing synechiae in the postoperative period. Many different devices and approaches have been proposed to prevent the development of this category of complications. This study proposes an anatomical version of the splint for the middle turbinate, developed using 3D computer modeling technologies followed by printing from a biocompatible elastic material on a Formlabs 3BL 3D printer. The shape and size of the splint were developed based on the analysis of computed tomography data of 50 adult patients. The safety of the developed device was studied in a group of 20 volunteers in whom the developed splint was installed on one side of the nasal cavity for 2 weeks after bilateral surgery. According to endoscopic examination and patient questionnaires, the developed splint did not cause local or systemic allergic reactions and did not create additional discomfort for the patient in the postoperative period. Installing a splint helped prevent the formation of synechiae. However, to determine clinical effectiveness, a study with a larger sample of patients is required.

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来源期刊
Vestnik otorinolaringologii
Vestnik otorinolaringologii Medicine-Otorhinolaryngology
CiteScore
0.80
自引率
0.00%
发文量
69
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