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3D printing for chest wall reconstructive surgery
Rapid Prototyping Journal ( IF 3.9 ) Pub Date : 2020-06-17 , DOI: 10.1108/rpj-11-2018-0299
Ranjeet Agarwala , Carlos J. Anciano , Joshua Stevens , Robert Allen Chin , Preston Sparks

The purpose of the paper was to present a specific case study of how 3D printing was introduced in the chest wall construction process of a specific patient with unique medical condition. A life-size 3D model of the patient’s chest wall was 3D printed for pre-surgical planning. The intent was to eliminate the need for operative exposure to map the pathological area. The model was used for preoperative visualization and formation of a 1-mm thick titanium plate implant, which was placed in the patient during chest wall reconstructive surgery. The purpose of the surgery was to relive debilitating chronic pain due to right scapular entrapment.,The patient was born with a twisted spine. Over time, it progressed to severe and debilitating scoliosis, which required the use of a thoracic brace. Computerized tomography (CT) data were converted to a 3D printed model. The model was used to size and form a 1-mm thick titanium plate implant. It was also used to determine the ideal location for placement of the plate during thoracotomy preoperatively.,The surgery, aided by the model, was successful and resulted in a significantly smaller incision. The techniques reduced invasiveness and enabled the doctors to conduct the procedure efficiently and decreased surgery time. The patient experienced relief of the chronic debilitating pain and no longer need the thoracic brace.,The 3D model facilitated pre-operative planning and modeling of the implant. It also enabled accurate incision locations of the thoracotomy site and placement of the implant. Although chest wall reconstruction surgeries have been undertaken, this paper documents a specific case study of chest wall construction fora specific patient with unique pathological conditions.

中文翻译:

用于胸壁重建手术的 3D 打印

该论文的目的是展示一个具体的案例研究,研究如何在具有独特医疗状况的特定患者的胸壁构建过程中引入 3D 打印。患者胸壁的真人大小的 3D 模型是 3D 打印的,用于术前计划。其目的是消除对病理区域进行手术曝光的需要。该模型用于术前可视化和形成 1 毫米厚的钛板植入物,该植入物在胸壁重建手术期间放置在患者体内。手术的目的是缓解因右肩胛骨受压引起的慢性疼痛。,患者出生时脊柱扭曲。随着时间的推移,它发展为严重且使人衰弱的脊柱侧弯,这需要使用胸支架。计算机断层扫描 (CT) 数据被转换为 3D 打印模型。该模型用于确定尺寸并形成 1 毫米厚的钛板植入物。它还用于在术前开胸手术期间确定放置钢板的理想位置。在模型的帮助下,手术成功并导致切口明显更小。这些技术减少了侵入性,使医生能够有效地进行手术并减少手术时间。患者经历了慢性衰弱疼痛的缓解,不再需要胸支架。3D 模型有助于植入物的术前规划和建模。它还能够实现开胸手术部位的准确切口位置和植入物的放置。虽然已经进行了胸壁重建手术,
更新日期:2020-06-17
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