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Patient specific mandibular implant for maxillofacial surgery using additive manufacturing

机译:使用增材制造技术的患者特定颌骨植入物,用于颌面外科手术

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The reconstruction of mandible bone defects by the intraoperative planning of design implant results in the aesthetic and cosmetic deviation leading to increase surgical time and implant revision. The maxillofacial surgery can be improved using advanced manufacturing technique such as additive manufacturing technology with the medical modeling software to design patient specific implant which can custom fit the patient's jaw precisely and accurately. The commercial produced mandible reconstruction implants are of standard size and shape which needs manual bending before surgery, using trial and error method to custom fit the patient's jaw. Even a slight mismatch between the bone-plate interface results in the implant loosening and failure. With the integration of computer aided design (CAD), additive manufacturing, and advanced imaging systems (CT or MRI), the patient CT scan images are analyzed and processed using medical modeling software into a 3D format to produce a customized or patient specific design implant via additive manufacturing technique, such as fused deposition modeling and Electron beam melting technology. The produced customized implant fits accurately onto the patient's jaw, thus reducing the implant revision and surgery time. The customized mandible implant design and its fabrication using Additive manufacturing is an effective method in the mandible reconstruction surgery. In this study, a digital design route for patient specific mandible implant is proposed.
机译:通过设计植入物的术中计划来修复下颌骨缺损,会导致美学和外观上的偏差,从而增加手术时间和植入物翻修。可以使用先进的制造技术(例如增材制造技术)和医学建模软件来改进颌面外科手术,以设计特定于患者的植入物,从而可以精确,准确地定制适合患者的下颌。商业生产的下颌骨重建植入物具有标准尺寸和形状,需要在手术前手动弯曲,使用试错法定制适合患者的下颌。骨板界面之间即使略有不匹配也会导致植入物松动和失效。通过集成计算机辅助设计(CAD),增材制造和先进的成像系统(CT或MRI),可以使用医学建模软件将患者的CT扫描图像进行分析和处理为3D格式,以生成定制的或特定于患者的设计植入物通过增材制造技术,例如熔融沉积建模和电子束熔化技术。所生产的定制植入物可以准确地贴在患者的颌骨上,从而减少了植入物的翻修和手术时间。定制的下颌骨植入物设计及其使用增材制造的方法是下颌骨重建手术中的一种有效方法。在这项研究中,提出了针对患者特定的下颌骨植入物的数字设计路线。

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