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Simulation Surgery Using 3D 3-layer Models for Congenital Anomaly
We made realistic, three-dimensional, computer-assisted 3-layered elastic models of the face. The surface layer is made of polyurethane, the intermediate layer is silicone, and the deep layer is salt, representing the skin, subcutaneous tissue, and the bone. We have applied these 3-layer models to c...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489633/ https://www.ncbi.nlm.nih.gov/pubmed/32983813 http://dx.doi.org/10.1097/GOX.0000000000003072 |
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author | Ueda, Koichi Kino, Hiromi Katayama, Misato Hirota, Yuka |
author_facet | Ueda, Koichi Kino, Hiromi Katayama, Misato Hirota, Yuka |
author_sort | Ueda, Koichi |
collection | PubMed |
description | We made realistic, three-dimensional, computer-assisted 3-layered elastic models of the face. The surface layer is made of polyurethane, the intermediate layer is silicone, and the deep layer is salt, representing the skin, subcutaneous tissue, and the bone. We have applied these 3-layer models to congenital anomaly cases and have understood that these models have a lot of advantages for simulation surgery. METHODS: We made 8 models. The models consisted of 2 models of 2 cases with Crouzon disease, 1 model of Binder syndrome, 1 model of facial cleft, 2 models of one case with Goldenhar syndrome, 1 model of cleft lip and palate, and 1 model of the hemifacial macrosomia. RESULTS: We could try several methods, could recognize whether the graft size is adequate, and could visualize the change of the facial contour. We could analyze how to approach the osteotomy line and actually perform osteotomy. The changes of the lower facial contour can be observed. We grafted the models of the graft and confirmed that the incisions could be closed well. We were able to visualize the change in the soft tissue contour by simulating distraction. CONCLUSIONS: The most versatile merit of our models is that we could visualize the change of the soft tissue by movement of the hard tissue with bone graft, distraction osteogenesis, and so on. We must improve the model further to make it more realistic. |
format | Online Article Text |
id | pubmed-7489633 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-74896332020-09-24 Simulation Surgery Using 3D 3-layer Models for Congenital Anomaly Ueda, Koichi Kino, Hiromi Katayama, Misato Hirota, Yuka Plast Reconstr Surg Glob Open Pediatric/Craniofacial We made realistic, three-dimensional, computer-assisted 3-layered elastic models of the face. The surface layer is made of polyurethane, the intermediate layer is silicone, and the deep layer is salt, representing the skin, subcutaneous tissue, and the bone. We have applied these 3-layer models to congenital anomaly cases and have understood that these models have a lot of advantages for simulation surgery. METHODS: We made 8 models. The models consisted of 2 models of 2 cases with Crouzon disease, 1 model of Binder syndrome, 1 model of facial cleft, 2 models of one case with Goldenhar syndrome, 1 model of cleft lip and palate, and 1 model of the hemifacial macrosomia. RESULTS: We could try several methods, could recognize whether the graft size is adequate, and could visualize the change of the facial contour. We could analyze how to approach the osteotomy line and actually perform osteotomy. The changes of the lower facial contour can be observed. We grafted the models of the graft and confirmed that the incisions could be closed well. We were able to visualize the change in the soft tissue contour by simulating distraction. CONCLUSIONS: The most versatile merit of our models is that we could visualize the change of the soft tissue by movement of the hard tissue with bone graft, distraction osteogenesis, and so on. We must improve the model further to make it more realistic. Lippincott Williams & Wilkins 2020-08-19 /pmc/articles/PMC7489633/ /pubmed/32983813 http://dx.doi.org/10.1097/GOX.0000000000003072 Text en Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Pediatric/Craniofacial Ueda, Koichi Kino, Hiromi Katayama, Misato Hirota, Yuka Simulation Surgery Using 3D 3-layer Models for Congenital Anomaly |
title | Simulation Surgery Using 3D 3-layer Models for Congenital Anomaly |
title_full | Simulation Surgery Using 3D 3-layer Models for Congenital Anomaly |
title_fullStr | Simulation Surgery Using 3D 3-layer Models for Congenital Anomaly |
title_full_unstemmed | Simulation Surgery Using 3D 3-layer Models for Congenital Anomaly |
title_short | Simulation Surgery Using 3D 3-layer Models for Congenital Anomaly |
title_sort | simulation surgery using 3d 3-layer models for congenital anomaly |
topic | Pediatric/Craniofacial |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489633/ https://www.ncbi.nlm.nih.gov/pubmed/32983813 http://dx.doi.org/10.1097/GOX.0000000000003072 |
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