关键词: 3D printing Benign jaw tumor Guided surgery Jaw cyst Virtual surgical planning

Mesh : Humans Printing, Three-Dimensional Mandible Mandibular Neoplasms / surgery Osteotomy / methods Cysts

来  源:   DOI:10.1016/j.jormas.2023.101433

Abstract:
Three-dimensional (3D) printing is now a widely recognized surgical tool in oral and maxillofacial surgery. However, little is known about its benefits for the surgical management of benign maxillary and mandibular tumors and cysts.
The objective of this systematic review was to assess the contribution of 3D printing in the management of benign jaw lesions.
A systematic review, registered in PROSPERO, was conducted using PubMed and Scopus databases, up to December 2022, by following PRISMA guidelines. Studies reporting 3D printing applications for the surgical management of benign jaw lesions were considered.
This review included thirteen studies involving 74 patients. The principal use of 3D printing was to produce anatomical models, intraoperative surgical guides, or both, allowing for the successful removal of maxillary and mandibular lesions. The greatest reported benefits of printed models were the visualization of the lesion and its anatomical relationships to anticipate intraoperative risks. Surgical guides were designed as drilling locating guides or osteotomy cutting guides and contributed to decreasing operating time and improving the accuracy of the surgery.
Using 3D printing technologies to manage benign jaw lesions results in less invasive procedures by facilitating precise osteotomies, reducing operating times, and complications. More studies with higher levels of evidence are needed to confirm our results.
摘要:
背景:三维(3D)打印现在是口腔颌面外科中广泛认可的手术工具。然而,对于上颌骨和下颌骨良性肿瘤和囊肿的手术治疗,其益处知之甚少。
目的:本系统评价的目的是评估3D打印在颌骨良性病变治疗中的作用。
方法:系统综述,在PROSPERO注册,是使用PubMed和Scopus数据库进行的,截至2022年12月,按照PRISMA指南。考虑了报告3D打印应用于良性颌骨病变手术治疗的研究。
结果:本综述包括13项研究,涉及74例患者。3D打印的主要用途是制作解剖模型,术中手术指南,或者两者兼而有之,允许成功切除上颌骨和下颌骨病变。据报道,打印模型的最大好处是可视化病变及其解剖关系,以预测术中风险。手术导向器被设计为钻孔定位导向器或截骨切割导向器,有助于减少手术时间并提高手术准确性。
结论:使用3D打印技术来管理良性颌骨病变,通过促进精确截骨术,可以减少侵入性。减少操作时间,和并发症。需要更多具有更高水平证据的研究来证实我们的结果。
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