In-house 3D-printed surgical guides for osseous lesions of the lower jaw: an experimental study.

3D-printed bone model 3D-printed surgical guide Biopsy Computer-assisted surgery Computer-guided surgery Stereolithography

Journal

European journal of medical research
ISSN: 2047-783X
Titre abrégé: Eur J Med Res
Pays: England
ID NLM: 9517857

Informations de publication

Date de publication:
15 Mar 2021
Historique:
received: 18 12 2020
accepted: 02 03 2021
entrez: 16 3 2021
pubmed: 17 3 2021
medline: 20 11 2021
Statut: epublish

Résumé

The accuracy of computer-assisted biopsies at the lower jaw was compared to the accuracy of freehand biopsies. Patients with a bony lesion of the lower jaw with an indication for biopsy were prospectively enrolled. Two customized bone models per patient were produced using a 3D printer. The models of the lower jaw were fitted into a phantom head model to simulate operation room conditions. Biopsies for the study group were taken by means of surgical guides and freehand biopsies were performed for the control group. The deviation of the biopsy axes from the planning was significantly less when using templates. It turned out to be 1.3 ± 0.6 mm for the biopsies with a surgical guide and 3.9 ± 1.1 mm for the freehand biopsies. Surgical guides allow significantly higher accuracy of biopsies. The preliminary results are promising, but clinical evaluation is necessary.

Sections du résumé

BACKGROUND BACKGROUND
The accuracy of computer-assisted biopsies at the lower jaw was compared to the accuracy of freehand biopsies.
METHODS METHODS
Patients with a bony lesion of the lower jaw with an indication for biopsy were prospectively enrolled. Two customized bone models per patient were produced using a 3D printer. The models of the lower jaw were fitted into a phantom head model to simulate operation room conditions. Biopsies for the study group were taken by means of surgical guides and freehand biopsies were performed for the control group.
RESULTS RESULTS
The deviation of the biopsy axes from the planning was significantly less when using templates. It turned out to be 1.3 ± 0.6 mm for the biopsies with a surgical guide and 3.9 ± 1.1 mm for the freehand biopsies.
CONCLUSIONS CONCLUSIONS
Surgical guides allow significantly higher accuracy of biopsies. The preliminary results are promising, but clinical evaluation is necessary.

Identifiants

pubmed: 33722284
doi: 10.1186/s40001-021-00495-w
pii: 10.1186/s40001-021-00495-w
pmc: PMC7958719
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

25

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Auteurs

Lukas Postl (L)

Department of Oral and Maxillofacial Surgery, Kepler University Hospital GmbH, Johannes Kepler University Linz, Krankenhausstr. 9, 4021, Linz, Austria. lukas.postl@lmu.de.
NumBioLab, Ludwig-Maximilians University of Munich, Munich, Germany. lukas.postl@lmu.de.
Department of Oral and Maxillo-Facial Surgery, Klinikum rechts der Isar, Technische Universitaet Muenchen, Munich, Germany. lukas.postl@lmu.de.

Thomas Mücke (T)

Department of Oral and Maxillo-Facial Surgery, Klinikum rechts der Isar, Technische Universitaet Muenchen, Munich, Germany.

Stefan Hunger (S)

Department of Oral and Maxillofacial Surgery, Kepler University Hospital GmbH, Johannes Kepler University Linz, Krankenhausstr. 9, 4021, Linz, Austria.

Oliver Bissinger (O)

Department of Oral and Maxillofacial Surgery, Medizinische Universitaet Innsbruck, Innsbruck, Austria.

Michael Malek (M)

Department of Oral and Maxillofacial Surgery, Kepler University Hospital GmbH, Johannes Kepler University Linz, Krankenhausstr. 9, 4021, Linz, Austria.

Svenia Holberg (S)

NumBioLab, Ludwig-Maximilians University of Munich, Munich, Germany.

Rainer Burgkart (R)

Department of Orthopaedics and Sports Orthopedics, Klinikum rechts der Isar, Technische Universitaet Muenchen, Munich, Germany.

Stefan Krennmair (S)

Department of Oral and Maxillofacial Surgery, Kepler University Hospital GmbH, Johannes Kepler University Linz, Krankenhausstr. 9, 4021, Linz, Austria.
NumBioLab, Ludwig-Maximilians University of Munich, Munich, Germany.

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Classifications MeSH