Combined use of 3D printing and computer-assisted navigation in the clinical treatment of multiple maxillofacial fractures
Objectives: In the field of computer-assisted surgery, 3D printing technology and computer-aided navigation (CAN) technology have led to advances in craniofacial surgery. However, the application of these two techniques in maxillofacial fractures is mostly limited to unilateral zygomatic bone and zy...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958422013744 |
| _version_ | 1797816051159793664 |
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| author | Honghao Wang Yifan Chi Hanxiao Huang Shiheng Su Haowei Xue Jun Hou |
| author_facet | Honghao Wang Yifan Chi Hanxiao Huang Shiheng Su Haowei Xue Jun Hou |
| author_sort | Honghao Wang |
| collection | DOAJ |
| description | Objectives: In the field of computer-assisted surgery, 3D printing technology and computer-aided navigation (CAN) technology have led to advances in craniofacial surgery. However, the application of these two techniques in maxillofacial fractures is mostly limited to unilateral zygomatic bone and zygomatic arch fractures, and few studies have investigated their use for multiple maxillofacial fractures. This study summarizes the combined application of 3D printing technology and CAN for complex maxillofacial fractures to guide clinical practice. Materials and methods: Twenty-six patients with multiple maxillofacial fractures from 09/2017 to 03/2021 were retrospectively studied and divided according to surgical method into an experimental group (navigation-aided surgery combined with a 3D-printed guide) and a control group (navigation-aided surgery only). The surgical time was compared between the groups, and posttreatment computed tomography and follow-up visits were conducted at 1 week and 3 months, respectively, to compare the quality of treatment in terms of infection, occlusal disorder, restricted mouth opening, midline displacement, and bilateral asymmetry. Results: According to our results, the combined use of CAN and 3D printing significantly improved the treatment results of double-sided maxillofacial fractures (rs = 0.448, P < 0.05). The surgical time of the experimental group was significantly shorter than that of the control group (Z = −2.083, P < 0.05). Conclusions: This study broadens our understanding of the treatment of multiple maxillofacial fractures. The combined use of 3D printing technology and CAN effectively shortened the operation time and achieved a better therapeutic effect. |
| first_indexed | 2024-03-13T08:31:57Z |
| format | Article |
| id | doaj.art-67fd606b33254ff28e8ad76ff32027e1 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-03-13T08:31:57Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-67fd606b33254ff28e8ad76ff32027e12023-05-31T04:43:12ZengElsevierAsian Journal of Surgery1015-95842023-06-0146622842292Combined use of 3D printing and computer-assisted navigation in the clinical treatment of multiple maxillofacial fracturesHonghao Wang0Yifan Chi1Hanxiao Huang2Shiheng Su3Haowei Xue4Jun Hou5Department of Stomatology, 218 Jixilu Rd, First Affiliated Hospital of Anhui Medical University, Hefei, 230022, ChinaDepartment of Stomatology, 218 Jixilu Rd, First Affiliated Hospital of Anhui Medical University, Hefei, 230022, ChinaDepartment of Stomatology, 218 Jixilu Rd, First Affiliated Hospital of Anhui Medical University, Hefei, 230022, ChinaDepartment of Stomatology, 218 Jixilu Rd, First Affiliated Hospital of Anhui Medical University, Hefei, 230022, ChinaDepartment of Stomatology, 218 Jixilu Rd, First Affiliated Hospital of Anhui Medical University, Hefei, 230022, ChinaCorresponding author.; Department of Stomatology, 218 Jixilu Rd, First Affiliated Hospital of Anhui Medical University, Hefei, 230022, ChinaObjectives: In the field of computer-assisted surgery, 3D printing technology and computer-aided navigation (CAN) technology have led to advances in craniofacial surgery. However, the application of these two techniques in maxillofacial fractures is mostly limited to unilateral zygomatic bone and zygomatic arch fractures, and few studies have investigated their use for multiple maxillofacial fractures. This study summarizes the combined application of 3D printing technology and CAN for complex maxillofacial fractures to guide clinical practice. Materials and methods: Twenty-six patients with multiple maxillofacial fractures from 09/2017 to 03/2021 were retrospectively studied and divided according to surgical method into an experimental group (navigation-aided surgery combined with a 3D-printed guide) and a control group (navigation-aided surgery only). The surgical time was compared between the groups, and posttreatment computed tomography and follow-up visits were conducted at 1 week and 3 months, respectively, to compare the quality of treatment in terms of infection, occlusal disorder, restricted mouth opening, midline displacement, and bilateral asymmetry. Results: According to our results, the combined use of CAN and 3D printing significantly improved the treatment results of double-sided maxillofacial fractures (rs = 0.448, P < 0.05). The surgical time of the experimental group was significantly shorter than that of the control group (Z = −2.083, P < 0.05). Conclusions: This study broadens our understanding of the treatment of multiple maxillofacial fractures. The combined use of 3D printing technology and CAN effectively shortened the operation time and achieved a better therapeutic effect.http://www.sciencedirect.com/science/article/pii/S1015958422013744Multiple maxillofacial fractures3D-printed guideComputer-assisted navigationThree-dimensional reconstruction |
| spellingShingle | Honghao Wang Yifan Chi Hanxiao Huang Shiheng Su Haowei Xue Jun Hou Combined use of 3D printing and computer-assisted navigation in the clinical treatment of multiple maxillofacial fractures Asian Journal of Surgery Multiple maxillofacial fractures 3D-printed guide Computer-assisted navigation Three-dimensional reconstruction |
| title | Combined use of 3D printing and computer-assisted navigation in the clinical treatment of multiple maxillofacial fractures |
| title_full | Combined use of 3D printing and computer-assisted navigation in the clinical treatment of multiple maxillofacial fractures |
| title_fullStr | Combined use of 3D printing and computer-assisted navigation in the clinical treatment of multiple maxillofacial fractures |
| title_full_unstemmed | Combined use of 3D printing and computer-assisted navigation in the clinical treatment of multiple maxillofacial fractures |
| title_short | Combined use of 3D printing and computer-assisted navigation in the clinical treatment of multiple maxillofacial fractures |
| title_sort | combined use of 3d printing and computer assisted navigation in the clinical treatment of multiple maxillofacial fractures |
| topic | Multiple maxillofacial fractures 3D-printed guide Computer-assisted navigation Three-dimensional reconstruction |
| url | http://www.sciencedirect.com/science/article/pii/S1015958422013744 |
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