3D Printed Individualized Frontal Neo-Ostium Implant in Endoscopic Sinus Surgery – a Proof of Concept Study

3D-printing paves the way for personalized drug therapy via implants individualized for the patient specific anatomy in chronic paranasal sinus diseases. This study brings together the workflow of modeling, manufacturing, and sterilization of 3D-printed individualized frontal neo-ostium implants (FO...

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Main Authors: Gao Ziwen, Matin Farnaz, Wei Chunjiang, Lenarz Thomas, Weber Constantin, John Samuel, Scheper Verena
Format: Article
Language:English
Published: De Gruyter 2021-10-01
Series:Current Directions in Biomedical Engineering
Subjects:
Online Access:https://doi.org/10.1515/cdbme-2021-2103
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author Gao Ziwen
Matin Farnaz
Wei Chunjiang
Lenarz Thomas
Weber Constantin
John Samuel
Scheper Verena
author_facet Gao Ziwen
Matin Farnaz
Wei Chunjiang
Lenarz Thomas
Weber Constantin
John Samuel
Scheper Verena
author_sort Gao Ziwen
collection DOAJ
description 3D-printing paves the way for personalized drug therapy via implants individualized for the patient specific anatomy in chronic paranasal sinus diseases. This study brings together the workflow of modeling, manufacturing, and sterilization of 3D-printed individualized frontal neo-ostium implants (FOI) for optimization of Endoscopic Sinus Surgery (ESS) and validates the implantability of the printed devices. The study sample consisted of six adult human cadavers. Digital volume tomography (DVT) images were taken before and after ESS. The FOI models were based on the post-ESS anatomy. The area to be implanted was analysed in the preand post-ESS DVT images for volume and surface area. A specialized surgeon in rhinology judged the implantability of the 3D-printed FOI. The mean values of volume and surface area tended to be larger in the post-operation situs than in preoperation DVT images and we are therefore not yet convinced that pre-operation images will reflect the correct anatomy for the personalization of the FOI. The workflow of manufacturing and implantation of individualized 3D-printed sterile FOI is established but future studies are needed for further improvement.
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spelling doaj.art-b986b8135eb74eb68e8a54319c37a8092022-12-22T02:25:32ZengDe GruyterCurrent Directions in Biomedical Engineering2364-55042021-10-017240741010.1515/cdbme-2021-21033D Printed Individualized Frontal Neo-Ostium Implant in Endoscopic Sinus Surgery – a Proof of Concept StudyGao Ziwen0Matin Farnaz1Wei Chunjiang2Lenarz Thomas3Weber Constantin4John Samuel5Scheper Verena6Hannover Medical School, Carl-Neuberg Str.1, 30625Hannover, GermanyDepartment of Otolaryngology Hannover Medical School,Hannover, GermanyDepartment of Otolaryngology Hannover Medical School,Hannover, GermanyDepartment of Otolaryngology Hannover Medical School,Hannover, GermanyCluster of Excellence”Hearing4all” EXC 1077/1, Oldenburg/Hannover, German Research Foundation,Bonn, GermanyHörSys,Hannover, GermanyHannover Medical School, Carl-Neuberg Str.1, 30625Hannover, Germany3D-printing paves the way for personalized drug therapy via implants individualized for the patient specific anatomy in chronic paranasal sinus diseases. This study brings together the workflow of modeling, manufacturing, and sterilization of 3D-printed individualized frontal neo-ostium implants (FOI) for optimization of Endoscopic Sinus Surgery (ESS) and validates the implantability of the printed devices. The study sample consisted of six adult human cadavers. Digital volume tomography (DVT) images were taken before and after ESS. The FOI models were based on the post-ESS anatomy. The area to be implanted was analysed in the preand post-ESS DVT images for volume and surface area. A specialized surgeon in rhinology judged the implantability of the 3D-printed FOI. The mean values of volume and surface area tended to be larger in the post-operation situs than in preoperation DVT images and we are therefore not yet convinced that pre-operation images will reflect the correct anatomy for the personalization of the FOI. The workflow of manufacturing and implantation of individualized 3D-printed sterile FOI is established but future studies are needed for further improvement.https://doi.org/10.1515/cdbme-2021-21033d printingendoscopic sinus surgeryindividualized neo-ostium implantsuv-siliconeindividualized therapypersonalized medicinedrug eluting deviceimplantability
spellingShingle Gao Ziwen
Matin Farnaz
Wei Chunjiang
Lenarz Thomas
Weber Constantin
John Samuel
Scheper Verena
3D Printed Individualized Frontal Neo-Ostium Implant in Endoscopic Sinus Surgery – a Proof of Concept Study
Current Directions in Biomedical Engineering
3d printing
endoscopic sinus surgery
individualized neo-ostium implants
uv-silicone
individualized therapy
personalized medicine
drug eluting device
implantability
title 3D Printed Individualized Frontal Neo-Ostium Implant in Endoscopic Sinus Surgery – a Proof of Concept Study
title_full 3D Printed Individualized Frontal Neo-Ostium Implant in Endoscopic Sinus Surgery – a Proof of Concept Study
title_fullStr 3D Printed Individualized Frontal Neo-Ostium Implant in Endoscopic Sinus Surgery – a Proof of Concept Study
title_full_unstemmed 3D Printed Individualized Frontal Neo-Ostium Implant in Endoscopic Sinus Surgery – a Proof of Concept Study
title_short 3D Printed Individualized Frontal Neo-Ostium Implant in Endoscopic Sinus Surgery – a Proof of Concept Study
title_sort 3d printed individualized frontal neo ostium implant in endoscopic sinus surgery a proof of concept study
topic 3d printing
endoscopic sinus surgery
individualized neo-ostium implants
uv-silicone
individualized therapy
personalized medicine
drug eluting device
implantability
url https://doi.org/10.1515/cdbme-2021-2103
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