Abstract:
This paper provides an overview on the use of virtual surgical planning (VSP) and point-of-care 3D printing (POC 3DP) in oral and cranio-maxillofacial (CMF) surgery based on a literature review. The authors searched PubMed, Web of Science, and Embase to find papers published between January 2015 and February 2022 in English, which describe human applications of POC 3DP in CMF surgery, resulting in 63 articles being included. The main review findings were as follows: most used clinical applications were anatomical models and cutting guides; production took place in-house or as \"in-house-outsourced\" workflows; the surgeon alone was involved in POC 3DP in 36 papers; the use of free versus paid planning software was balanced (50.72% vs. 49.27%); average planning time was 4.44 h; overall operating time decreased and outcomes were favorable, though evidence-based studies were limited; and finally, the heterogenous cost reports made a comprehensive financial analysis difficult. Overall, the development of in-house 3D printed devices supports CMF surgery, and encouraging results indicate that the technology has matured considerably.
摘要:
本文在文献综述的基础上,对虚拟手术计划(VSP)和即时3D打印(POC3DP)在口腔和颅颌面(CMF)手术中的使用进行了概述。作者搜索PubMed,WebofScience,和Embase查找2015年1月至2022年2月之间以英语发表的论文,描述了POC3DP在CMF手术中的人类应用,共纳入63篇文章。主要审查结果如下:大多数使用的临床应用是解剖模型和切割指南;生产在内部进行或作为“内部外包”工作流程进行;仅外科医生就在36篇论文中参与了POC3DP;使用免费与付费计划软件是平衡的(50.72%与49.27%);平均计划时间4.44h;总体手术时间减少,结局良好,尽管循证研究有限;最后,异质性的成本报告给全面的财务分析带来了困难。总的来说,内部3D打印设备的开发支持CMF手术,令人鼓舞的结果表明,该技术已经相当成熟。