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Copyright (c) 2022 Diana Carolina Navarro León, Genny Lilina Meléndez Flórez, Clara Isabel López Gualdrón
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Perception of the applicability of CAD/CAM technology in craniofacial surgery in a plastic surgery postgraduate program
Corresponding Author(s) : Diana Carolina Navarro León
Ciencia e Innovación en Salud,
2022
Abstract
Abstract: Introduction: Multiple technologies help the development of reconstructive surgical procedures in craniofacial surgery, Surgeon's perception of this type of diagnostic and treatment aids has not been widely studied. Methods and Materials: A workflow is proposed for the management of craniofacial bone defects, then the results are showed to the staff in charge for the treatment of these patients. A survey was subsequently applied, evaluating the degree of satisfaction and perception the perception of the staff regarding applicability, usefulness, impact on different process factors of treatment. Descriptive analysis was performed. Results: 30 people were interviewed: specialists, residents of surgical specialties, general practitioners, medical students. The majority did not have experience with CAD / CAM technology (77%), but considered useful (67%), the considered disadvantages were: technical difficulty, administrative procedures to access, costs, lack of information, need for specific training. The benefits were: Improvement in diagnosis and treatment accuracy, specificity, help in planning, innovation, and versatility. Discussion: Tools such as 3D printing, CAD / CAM technology, facilitate the process of anatomical understanding, planning of the surgical procedure and execution of surgery, implementing the Survey in our service we could show that the perception of the majority of the participants agrees with these data, where the impact and utility of the application of this technology in the treatment of patients is evident, both for graduate surgeons and those in training. Conclusions: The application of technologies in the practice of medicine is useful, facilitates the technical execution of the procedure precision, reduces surgical time and costs. Information and studies that evaluate the surgeon's perception regarding the applicability of CAD / CAM technology in the treatment of craniofacial bone defects are not enough, which represents a novelty of our study.
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- . Qiu K, Haghiashtiani G, McAlpine M., 3D Printed Organ Models for Surgical Applications, Annu Rev Anal Chem (Palo Alto Calif). 2018 Jun 12;11(1):287-306, doi: 10.1146/annurev-anchem-061417-125935. Epub 2018 Mar 28.
- . Elegbede A, diaconu S, mcnichols C2, et. al., Office-Based Three-Dimensional Printing Workflow for Craniomaxillofacial Fracture Repair, J Craniofac Surg. 2018 Jul; 29(5):e440-e444. doi: 10.1097/SCS.0000000000004460.
- . Ghai S, Sharma Y, Jain N, et al., Use of 3-D printing technologies in craniomaxillofacial surgery: a review, Oral Maxillofac Surg. 2018 Sep; 22(3): 249-259. doi: 10.1007/s10006-018-0704-z. Epub 2018 May 25
- .Bauermeister A., Zuriarrain A, Newman M., Three-Dimensional Printing in Plastic and Reconstructive Surgery: A Systematic Review, Ann Plast Surg. 2016 Nov;77(5): 569-576. doi: 10.1097/SAP.0000000000000671.
- . Ganguli A, Pagan-Diaz G, Grant L., Et. Al., 3D printing for preoperative planning and surgical training: a review, Biomed Microdevices. 2018 Aug 4; 20(3): 65. doi: 10.1007/s10544-018-0301-9.
- . Pencle F., Benny A., Quijada K., Et. al., Utility of Mobile Apps for Video Conferencing to Follow Patients at Home After Outpatient Surgery, J Am Acad Orthop Surg Glob Res Rev. 2018 Dec 6; 2(12): -078. doi: 10.5435/JAAOSGlobal-D-18-00078. eCollection 2018 Dec.
- Marconi S., Pugliese L., Botti M., Et. al., Value of 3D printing for the comprehension of surgical anatomy, Surg Endosc. 2017 Oct; 31(10): 4102-4110. doi: 10.1007/s00464-017-5457-5. Epub 2017 Mar 9.
- . Pauly O., Diotte B., Fallavollita P., et al., Machine learning-based augmented reality for improved surgical scene understanding, Comput Med Imaging Graph. 2015 Apr; 41: 55-60. doi: 10.1016/j.compmedimag.2014.06.007. Epub 2014 Jun 19.
- . Cromeens B., Ray W., Hoehne B., et. Al., Facilitating surgeon understanding of complex anatomy using a three-dimensional printed model, J Surg Res. 2017 Aug; 216: 18-25. doi: 10.1016/j.jss.2017.04.003. Epub 2017 Apr 21.
- . Biglino G., Moharem-Elgamal S., Lee M., et. Al., The Perception of a Three-Dimensional-Printed Heart Model from the Perspective of Different Stakeholders: A Complex Case of Truncus Arteriosus, Front Pediatr. 2017 Sep 28; 5: 209. doi: 10.3389/fped.2017.00209. eCollection 2017.
- . Olivieri L., Su L., Hynes C., Et. Al., “Just-In-Time" Simulation Training Using 3-D Printed Cardiac Models After Congenital Cardiac Surgery, World J Pediatr Congenit Heart Surg. 2016 Mar; 7(2): 164-8. doi: 10.1177/2150135115623961.
- . Tscholl D., Weiss M., Handschin L., Et. Al., User perceptions of avatar-based patient monitoring: a mixed qualitative and quantitative study, BMC Anesthesiol. 2018 Dec 11; 18(1): 188. doi: 10.1186/s12871-018-0650-1.
- . Jaffe T., Hasday S., Knol M., Et. Al., Safety considerations in learning new procedures: a survey of surgeons, J Surg Res. 2017 Oct; 218: 361-366. doi: 10.1016/j.jss.2017.06.058. Epub 2017 Jul 22.
- . Wang T., Zheng B., 3D presentation in surgery: a review of technology and adverse effects, J Robot Surg. 2019 Jun; 13(3): 363-370. doi: 10.1007/s11701-018-00900-3. Epub 2018 Dec 15.
- . Guest W., Forbes D., Schlosser C., Et. al., Imaging-Based 3-Dimensional Printing for Improved Maxillofacial Presurgical Planning: A Single Center Case Series, Canadian Association of Radiologists Journal 70 (2019) 74-82.
- . Logan et al.: Pilot study: evaluation of the use of the convergent interview technique in understanding the perception of surgical design and simulation. Journal of Otolaryngology - Head and Neck Surgery 2013 42:40.
- . Porpiglia F., Bertolo R., Checcucci E., Et. Al., Development and validation of 3D printed virtual models for robot-assisted radical prostatectomy and partial nephrectomy: urologists' and patients' perception, World J Urol. 2018 Feb; 36(2): 201-207. doi: 10.1007/s00345-017-2126-1. Epub 2017 Nov 10.
- . Teishima J., Takayama Y., Iwaguro S., Et. Al., Usefulness of personalized three-dimensional printed model on the satisfaction of preoperative education for patients undergoing robot-assisted partial nephrectomy and their families, Int Urol Nephrol. 2018 Jun; 50(6): 1061-1066. doi: 10.1007/s11255-018-1881-2. Epub 2018 May 9.
- . Lobb D., Cottler P., Dart D., Et. Al., The Use of Patient-Specific Three-Dimensional Printed Surgical Models Enhances Plastic Surgery Resident Education in Craniofacial Surgery, J Craniofac Surg. 2019 Mar/Apr; 30(2): 339-341. doi: 10.1097/SCS.0000000000005322.
- . Legocki A., Duffy-Peter A., Scott A., Benefits and Limitations of Entry-Level 3-Dimensional Printing of Maxillofacial Skeletal Models, JAMA Otolaryngol Head Neck Surg. 2017 Apr 1; 143(4): 389-394. doi: 10.1001/jamaoto.2016.3673.
- . Ganry L, et al. Study of medical education in 3D surgical modeling by surgeons with free open-source software: Example of mandibular reconstruction with fibula free flap and creation of its surgical guides. J Stomatol Oral Maxillofac Surg (2018), https://doi.org/10.1016/j.jormas.2018.02.012
- . Mogali S., Yeong W., Tan H., Et. al., Evaluation by Medical Students of the Educational Value of Multi-Material and Multi-Colored Three-Dimensional Printed Models of the Upper Limb for Anatomical Education, Anat Sci Educ 00:00–00 (2017),DOI 10.1002/ase.1703
References
. Qiu K, Haghiashtiani G, McAlpine M., 3D Printed Organ Models for Surgical Applications, Annu Rev Anal Chem (Palo Alto Calif). 2018 Jun 12;11(1):287-306, doi: 10.1146/annurev-anchem-061417-125935. Epub 2018 Mar 28.
. Elegbede A, diaconu S, mcnichols C2, et. al., Office-Based Three-Dimensional Printing Workflow for Craniomaxillofacial Fracture Repair, J Craniofac Surg. 2018 Jul; 29(5):e440-e444. doi: 10.1097/SCS.0000000000004460.
. Ghai S, Sharma Y, Jain N, et al., Use of 3-D printing technologies in craniomaxillofacial surgery: a review, Oral Maxillofac Surg. 2018 Sep; 22(3): 249-259. doi: 10.1007/s10006-018-0704-z. Epub 2018 May 25
.Bauermeister A., Zuriarrain A, Newman M., Three-Dimensional Printing in Plastic and Reconstructive Surgery: A Systematic Review, Ann Plast Surg. 2016 Nov;77(5): 569-576. doi: 10.1097/SAP.0000000000000671.
. Ganguli A, Pagan-Diaz G, Grant L., Et. Al., 3D printing for preoperative planning and surgical training: a review, Biomed Microdevices. 2018 Aug 4; 20(3): 65. doi: 10.1007/s10544-018-0301-9.
. Pencle F., Benny A., Quijada K., Et. al., Utility of Mobile Apps for Video Conferencing to Follow Patients at Home After Outpatient Surgery, J Am Acad Orthop Surg Glob Res Rev. 2018 Dec 6; 2(12): -078. doi: 10.5435/JAAOSGlobal-D-18-00078. eCollection 2018 Dec.
Marconi S., Pugliese L., Botti M., Et. al., Value of 3D printing for the comprehension of surgical anatomy, Surg Endosc. 2017 Oct; 31(10): 4102-4110. doi: 10.1007/s00464-017-5457-5. Epub 2017 Mar 9.
. Pauly O., Diotte B., Fallavollita P., et al., Machine learning-based augmented reality for improved surgical scene understanding, Comput Med Imaging Graph. 2015 Apr; 41: 55-60. doi: 10.1016/j.compmedimag.2014.06.007. Epub 2014 Jun 19.
. Cromeens B., Ray W., Hoehne B., et. Al., Facilitating surgeon understanding of complex anatomy using a three-dimensional printed model, J Surg Res. 2017 Aug; 216: 18-25. doi: 10.1016/j.jss.2017.04.003. Epub 2017 Apr 21.
. Biglino G., Moharem-Elgamal S., Lee M., et. Al., The Perception of a Three-Dimensional-Printed Heart Model from the Perspective of Different Stakeholders: A Complex Case of Truncus Arteriosus, Front Pediatr. 2017 Sep 28; 5: 209. doi: 10.3389/fped.2017.00209. eCollection 2017.
. Olivieri L., Su L., Hynes C., Et. Al., “Just-In-Time" Simulation Training Using 3-D Printed Cardiac Models After Congenital Cardiac Surgery, World J Pediatr Congenit Heart Surg. 2016 Mar; 7(2): 164-8. doi: 10.1177/2150135115623961.
. Tscholl D., Weiss M., Handschin L., Et. Al., User perceptions of avatar-based patient monitoring: a mixed qualitative and quantitative study, BMC Anesthesiol. 2018 Dec 11; 18(1): 188. doi: 10.1186/s12871-018-0650-1.
. Jaffe T., Hasday S., Knol M., Et. Al., Safety considerations in learning new procedures: a survey of surgeons, J Surg Res. 2017 Oct; 218: 361-366. doi: 10.1016/j.jss.2017.06.058. Epub 2017 Jul 22.
. Wang T., Zheng B., 3D presentation in surgery: a review of technology and adverse effects, J Robot Surg. 2019 Jun; 13(3): 363-370. doi: 10.1007/s11701-018-00900-3. Epub 2018 Dec 15.
. Guest W., Forbes D., Schlosser C., Et. al., Imaging-Based 3-Dimensional Printing for Improved Maxillofacial Presurgical Planning: A Single Center Case Series, Canadian Association of Radiologists Journal 70 (2019) 74-82.
. Logan et al.: Pilot study: evaluation of the use of the convergent interview technique in understanding the perception of surgical design and simulation. Journal of Otolaryngology - Head and Neck Surgery 2013 42:40.
. Porpiglia F., Bertolo R., Checcucci E., Et. Al., Development and validation of 3D printed virtual models for robot-assisted radical prostatectomy and partial nephrectomy: urologists' and patients' perception, World J Urol. 2018 Feb; 36(2): 201-207. doi: 10.1007/s00345-017-2126-1. Epub 2017 Nov 10.
. Teishima J., Takayama Y., Iwaguro S., Et. Al., Usefulness of personalized three-dimensional printed model on the satisfaction of preoperative education for patients undergoing robot-assisted partial nephrectomy and their families, Int Urol Nephrol. 2018 Jun; 50(6): 1061-1066. doi: 10.1007/s11255-018-1881-2. Epub 2018 May 9.
. Lobb D., Cottler P., Dart D., Et. Al., The Use of Patient-Specific Three-Dimensional Printed Surgical Models Enhances Plastic Surgery Resident Education in Craniofacial Surgery, J Craniofac Surg. 2019 Mar/Apr; 30(2): 339-341. doi: 10.1097/SCS.0000000000005322.
. Legocki A., Duffy-Peter A., Scott A., Benefits and Limitations of Entry-Level 3-Dimensional Printing of Maxillofacial Skeletal Models, JAMA Otolaryngol Head Neck Surg. 2017 Apr 1; 143(4): 389-394. doi: 10.1001/jamaoto.2016.3673.
. Ganry L, et al. Study of medical education in 3D surgical modeling by surgeons with free open-source software: Example of mandibular reconstruction with fibula free flap and creation of its surgical guides. J Stomatol Oral Maxillofac Surg (2018), https://doi.org/10.1016/j.jormas.2018.02.012
. Mogali S., Yeong W., Tan H., Et. al., Evaluation by Medical Students of the Educational Value of Multi-Material and Multi-Colored Three-Dimensional Printed Models of the Upper Limb for Anatomical Education, Anat Sci Educ 00:00–00 (2017),DOI 10.1002/ase.1703