3D printing for surgical planning in bone grafts for cleft-palate: a case report
DOI:
https://doi.org/10.18203/2320-6012.ijrms20230186Keywords:
3D-Printing, Cleft palate, Plastic surgery, Bone graftsAbstract
3D printing has been used for teaching purposes. Creating models for simulating surgeries. Gong et al presented a workflow for digital planning for surgery and Rendon et al previously presented a low-cost method with acceptable precision. This paper aims to present a case where 3D printing surgical planning was applied for bone graft shape and dimensions. A 16-year-old female patient with a history of bilateral cleft lip and palate has received 6 surgical interventions to treat her congenital pathology. She begins orthodontic management at the age of 6 years and is referred to the plastic surgery service 10 years later, presenting oral and nasal fistula on the nasal floor with mainly liquid leakage. A bone graft was taken and applied from the patient's left iliac crest. the iliac crest is taken and the bone graft is molded Assisted with 3D printed model which is fixed in the premaxilla with a 14-hole linear plate. We proposed a new application for low-cost 3D printed models. Patient specific models have applications in cleft palate bone grafting. We present a case and more studies are required to measure variables as time, graft integration, and patient satisfaction.
References
González-Osorio CA, Medina-Solís CE, Pontigo-Loyola AP, Casanova-Rosado JF, Escoffié-Ramírez M, Corona-Tabares MG et al. Estudio ecológico en México (2003-2009) sobre labio y/o paladar hendido y factores sociodemográficos, socioeconómicos y de contaminación asociados. An Pediatr (Barc). 2011;74(6):377-87.
Parada C, Chai Y. Roles of BMP signaling pathway in lip and palate development. Front Oral Biol. 2012;16:60-70.
Weissler EH, Paine KM, Ahmed MK, Taub PJ. Alveolar bone grafting and cleft lip and palate: A review: A review. Plast Reconstr Surg. 2016;138(6):1287-95.
Tresserra Llaurado L. Labio leporino: evolución histórica. Raco.cat. Available at: https://www.raco.cat/index.php/revistaramb/article/download/71297/91054. Accessed on 25 Nov, 2022.
Ma KW. Hare-lip surgery in the history of traditional Chinese medicine. Med Hist. 2000;44(4):489-512
Mossey PA, Modell B. Epidemiology of oral clefts 2012: an international perspective. Front Oral Biol. 2012;16:1-18
Dixon MJ, Marazita ML, Beaty TH, Murray JC. Cleft lip and palate: understanding genetic and environmental influences. Nat Rev Genet. 2011;12(3):167-78.
Navarrete HE, Canún SS, Reyes PA, Sierra RM, Valdés HJ. Prevalencia de malformaciones congénitas registradas en el certificado de nacimiento y de muerte fetal: México, 2009-2010. Bol Med Hosp Infant Mex. 2013;70(6):499-505
Serrano SC, Hernández EN, Pablo AE, Hernández JV. Prevalencia de malformaciones congénitas de herencia multifactorial de acuerdo con los certificados de nacimiento y muerte fetal. México, 2008-2012. Boletín Médico del Hospital Infantil de México. 2015;72(4):290-94.
Navarrete-Hernández E, Canún-Serrano S, Valdés-Hernández J. Prevalencia de labio hendido con o sin paladar hendido en recién nacidos vivos. México, 2008-2014. Rev Mex Pediatr. 2017;84(3):101-10.
Habbaby AN. Enfoque integral del niño con fisura labiopalatina. Médica Panamericana, Buenos Aires; México. 2000: 9-197.
Riedle H, Burkhardt AE, Seitz V. Design and fabrication of a generic 3D-printed silicone unilateral cleft lip and palate model. J Plast Reconstr Aesthetic Surg. 2019;72(10):1669-74.
Al Ali AB, Griffin MF, Calonge WM, Butler PE. Evaluating the Use of Cleft Lip and Palate 3D-Printed Models as a Teaching Aid. J Surg Educ. 2018;75(1):200-8.
Gong X, Dang R, Xu T, Yu Q, Zheng J. Full Digital Workflow of Nasoalveolar Molding Treatment in Infants With Cleft Lip and Palate. J Craniofac Surg. 2020;31(2):367-71.
Rendón-Medina MA, Andrade-Delgado L, Telich-Tarriba JE, Fuente-del-Campo A, Altamirano-Arcos CA. Dimensional Error in Rapid Prototyping with Open Source Software and Low-cost 3D-printer. Plast Reconstr Surg- Glob Open. 2018;6(1):e1646.
Abd El-Ghafour M, Aboulhassan MA, Fayed MMS. Effectiveness of a Novel 3D-Printed Nasoalveolar Molding Appliance (D-NAM) on Improving the Maxillary Arch Dimensions in Unilateral Cleft Lip and Palate Infants: A Randomized Controlled Trial. Cleft Palate-Craniofacial J. 2020;57(12):1370-81.
Shen C, Yao CA, Magee W, Chai G, Zhang Y. Presurgical Nasoalveolar Molding for Cleft Lip and Palate: The Application of Digitally Designed Molds. Plast Reconstr Surg. 2015;135(6):1007e-15.
Mankovich NJ, Cheeseman AM, Stoker NG. The display of three-dimensional anatomy with stereolithographic models. J Digit Imaging. 1990;3(3):200-3.
Ortega-hernandez E. Aplicaciones de la impresión 3D en cirugía plástica reconstructiva. 2020;68(4):603-7.
Rendón-Medina MA, Hanson-Viana E, Montoya-García SC, Vázquez-Morales HL, Pacheco-López RC. Time Reduction by Prebending Osteosynthesis Plates Using 3D-Printed Anatomical Models, In Patients Treated With Open Reduction and Internal Fixation. J Craniofac Surg. 2021;32(4):1491-3.
