In-house three-dimensional printing for surgical planning: learning curve from a case series of temporomandibular joint and related disorders
Three-dimensional (3D) printed models can improve the understanding of the structural anatomic changes in cases of temporomandibular joint ankylosis and pseudoankylosis leading to closed jaw locking. Their use in pre-surgical planning and intraoperative guidance has been reported, contributing to th...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-02-01
|
| Series: | Frontiers in Veterinary Science |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fvets.2024.1347107/full |
| _version_ | 1797323650024603648 |
|---|---|
| author | Miguel R. Godinho Lisa A. Mestrinho Lisa A. Mestrinho Lisa A. Mestrinho |
| author_facet | Miguel R. Godinho Lisa A. Mestrinho Lisa A. Mestrinho Lisa A. Mestrinho |
| author_sort | Miguel R. Godinho |
| collection | DOAJ |
| description | Three-dimensional (3D) printed models can improve the understanding of the structural anatomic changes in cases of temporomandibular joint ankylosis and pseudoankylosis leading to closed jaw locking. Their use in pre-surgical planning and intraoperative guidance has been reported, contributing to the predictability and success of these surgery procedures, which can be quite complex, especially in small animal patients. The use and production of 3D tools and models remain challenging and are so far limited to institutions with high (economical and human) resources. This study aims to propose simplified workflows using open-source software to facilitate an in-house 3D printing process. To illustrate this, three cases of temporomandibular joint ankylosis and one of pseudoankylosis were reviewed, where in-house 3D printed models were used for client communication and surgical management. The 3D models were segmented from computed tomography and printed via stereolithography. They were used to support discussion with clients (n = 4), to allow surgeons to pre-surgical plan and practice (n = 4) and for intraoperative guidance during surgery (n = 2). Surgical cutting guides were produced in one case to improve precision and define more accurately osteotomy lines. It is essential to consider the initial time and financial investment required for establishing an in-house 3D printing production, particularly when there is a need to produce biocompatible tools, such as surgical cutting guides. However, efficient and streamlined workflows encourage the integration of this technology, by accelerating the printing process and reducing the steep learning curves, while open-source software enhances accessibility to these resources. |
| first_indexed | 2024-03-08T05:31:39Z |
| format | Article |
| id | doaj.art-06a4a317dcfb4f4c9f06820492a09e2e |
| institution | Directory Open Access Journal |
| issn | 2297-1769 |
| language | English |
| last_indexed | 2024-03-08T05:31:39Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Veterinary Science |
| spelling | doaj.art-06a4a317dcfb4f4c9f06820492a09e2e2024-02-06T04:43:29ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692024-02-011110.3389/fvets.2024.13471071347107In-house three-dimensional printing for surgical planning: learning curve from a case series of temporomandibular joint and related disordersMiguel R. Godinho0Lisa A. Mestrinho1Lisa A. Mestrinho2Lisa A. Mestrinho3Faculty of Veterinary Medicine, University of Lisbon, Lisbon, PortugalFaculty of Veterinary Medicine, University of Lisbon, Lisbon, PortugalCentre for Interdisciplinary Research in Animal Health (CIISA), Faculty of Veterinary Medicine, University of Lisbon, Lisbon, PortugalLaboratório Associado para Ciência Animal e Veterinária (AL4AnimalS), Lisbon, PortugalThree-dimensional (3D) printed models can improve the understanding of the structural anatomic changes in cases of temporomandibular joint ankylosis and pseudoankylosis leading to closed jaw locking. Their use in pre-surgical planning and intraoperative guidance has been reported, contributing to the predictability and success of these surgery procedures, which can be quite complex, especially in small animal patients. The use and production of 3D tools and models remain challenging and are so far limited to institutions with high (economical and human) resources. This study aims to propose simplified workflows using open-source software to facilitate an in-house 3D printing process. To illustrate this, three cases of temporomandibular joint ankylosis and one of pseudoankylosis were reviewed, where in-house 3D printed models were used for client communication and surgical management. The 3D models were segmented from computed tomography and printed via stereolithography. They were used to support discussion with clients (n = 4), to allow surgeons to pre-surgical plan and practice (n = 4) and for intraoperative guidance during surgery (n = 2). Surgical cutting guides were produced in one case to improve precision and define more accurately osteotomy lines. It is essential to consider the initial time and financial investment required for establishing an in-house 3D printing production, particularly when there is a need to produce biocompatible tools, such as surgical cutting guides. However, efficient and streamlined workflows encourage the integration of this technology, by accelerating the printing process and reducing the steep learning curves, while open-source software enhances accessibility to these resources.https://www.frontiersin.org/articles/10.3389/fvets.2024.1347107/full3D printingtemporomandibular joint ankylosisstereolithographysurgical cutting guideworkfloworomaxillofacial surgery |
| spellingShingle | Miguel R. Godinho Lisa A. Mestrinho Lisa A. Mestrinho Lisa A. Mestrinho In-house three-dimensional printing for surgical planning: learning curve from a case series of temporomandibular joint and related disorders Frontiers in Veterinary Science 3D printing temporomandibular joint ankylosis stereolithography surgical cutting guide workflow oromaxillofacial surgery |
| title | In-house three-dimensional printing for surgical planning: learning curve from a case series of temporomandibular joint and related disorders |
| title_full | In-house three-dimensional printing for surgical planning: learning curve from a case series of temporomandibular joint and related disorders |
| title_fullStr | In-house three-dimensional printing for surgical planning: learning curve from a case series of temporomandibular joint and related disorders |
| title_full_unstemmed | In-house three-dimensional printing for surgical planning: learning curve from a case series of temporomandibular joint and related disorders |
| title_short | In-house three-dimensional printing for surgical planning: learning curve from a case series of temporomandibular joint and related disorders |
| title_sort | in house three dimensional printing for surgical planning learning curve from a case series of temporomandibular joint and related disorders |
| topic | 3D printing temporomandibular joint ankylosis stereolithography surgical cutting guide workflow oromaxillofacial surgery |
| url | https://www.frontiersin.org/articles/10.3389/fvets.2024.1347107/full |
| work_keys_str_mv | AT miguelrgodinho inhousethreedimensionalprintingforsurgicalplanninglearningcurvefromacaseseriesoftemporomandibularjointandrelateddisorders AT lisaamestrinho inhousethreedimensionalprintingforsurgicalplanninglearningcurvefromacaseseriesoftemporomandibularjointandrelateddisorders AT lisaamestrinho inhousethreedimensionalprintingforsurgicalplanninglearningcurvefromacaseseriesoftemporomandibularjointandrelateddisorders AT lisaamestrinho inhousethreedimensionalprintingforsurgicalplanninglearningcurvefromacaseseriesoftemporomandibularjointandrelateddisorders |