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Pituitary

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Open Access 01-02-2019

A small 3D-printing model of macroadenomas for endoscopic endonasal surgery

Authors: Xing Huang, Zhen Liu, Xuan Wang, Xu-dong Li, Kai Cheng, Yan Zhou, Xiao-bing Jiang

Published in: Pituitary | Issue 1/2019

Abstract

Purpose

This paper examines the application of 3D printing technology in the endoscopic endonasal approach for the treatment of macroadenomas.

Methods

We have retrospectively analysed 20 patients who diagnosed with macroadenoma underwent endoscopic transsphenoidal surgery in Wuhan Union hospital from January 2017 to May 2017. Among the 20 patients, 10 patients received the service of 3D printing technology preoperatively. The data of 3D processing and clinical result were recorded for further evaluation.

Results

The 10 patients who received the service had a successful 3D printed model of their tumors, it shows the anatomy of sphenoid sinus, tumor location which were in good agreement with our intraoperative observations. The 10 patients who received the service had a less operation time (127.0 ± 15.53 vs. 143.40 ± 17.89), blood loss (159.90 ± 12.31 vs. 170.00 ± 29.06) and less postoperative complication rate (20% vs. 40%). the design time of the 3D images varies 2 h 10 min to 4 h 32 min. the printing time of the 3D models varies 10 h 12 min to 22 h 34 min.

Conclusions

The use of 3D printing technology has unquestionable potential applications to endoscopic endonasal approach for macroadenomas, in particular reflecting the complicated anatomy of sphenoid sinus and tumor location. Owing to the advantages of 3D printing technology, it may help the patients get a good prognosis.

Gondim JA, Schops M, de Almeida JP, de Albuquerque LA, Gomes E, Ferraz T, Barroso FA (2010) Endoscopic endonasal transsphenoidal surgery: surgical results of 228 pituitary adenomas treated in a pituitary center. Pituitary 13(1):68–77. https://doi.org/10.1007/s11102-009-0195-x CrossRefPubMed

Gui S, Zong X, Wang X, Li C, Zhao P, Cao L, Zhang Y (2016) Classification and surgical approaches for transnasal endoscopic skull base chordoma resection: a 6-year experience with 161 cases. Neurosurg Rev 39(2):321–323. https://doi.org/10.1007/s10143-015-0696-1 CrossRefPubMed

Solari D, Cavallo LM, Somma T, Chiaramonte C, Esposito F, Del Basso De Caro M, Cappabianca P (2015) Endoscopic endonasal approach in the management of rathke’s cleft cysts. PLoS ONE 10(10):e0139609. https://doi.org/10.1371/journal.pone.0139609 CrossRefPubMedPubMedCentral

Lee JYK, Bohman L-E, Bergsneider M (2014) Contemporary neurosurgical techniques for pituitary tumor resection. J Neurooncol 117(3):437–444. https://doi.org/10.1007/s11060-013-1315-z CrossRefPubMed

Catapano D, Sloffer CA, Frank G, Pasquini E, D’Angelo VA, Lanzino G (2006) Comparison between the microscope and endoscope in the direct endonasal extended transsphenoidal approach: anatomical study. J Neurosurg 104(3):419–425. https://doi.org/10.3171/jns.2006.104.3.419 CrossRefPubMed

de Divitiis E, Laws ER, Giani U, Iuliano SL, de Divitiis O, Apuzzo MLJ (2015) The current status of endoscopy in transsphenoidal surgery: an international survey. World Neurosurg 83(4):447–454. https://doi.org/10.1016/j.wneu.2014.12.029 CrossRefPubMed

Thomas JG, Gadgil N, Samson SL, Takashima M, Yoshor D (2014) Prospective trial of a short hospital stay protocol after endoscopic endonasal pituitary adenoma surgery. World Neurosurg 81(3–4):576–583. https://doi.org/10.1016/j.wneu.2013.11.014 CrossRefPubMed

Bander ED, Singh H, Ogilvie CB, Cusic RC, Pisapia DJ, Tsiouris AJ, Anand VK, Schwartz TH (2018) Endoscopic endonasal versus transcranial approach to tuberculum sellae and planum sphenoidale meningiomas in a similar cohort of patients. J Neurosurg 128(1):40–48. https://doi.org/10.3171/2016.9.JNS16823 CrossRefPubMed

Kasemsiri P, Carrau RL, Ditzel Filho LF, Prevedello DM, Otto BA, Old M, de Lara D, Kassam AB (2014) Advantages and limitations of endoscopic endonasal approaches to the skull base. World Neurosurg 82(6 Suppl):S12–S21. https://doi.org/10.1016/j.wneu.2014.07.022 CrossRefPubMed

10.

Cavallo LM, Messina A, Cappabianca P, Esposito F, de Divitiis E, Gardner P, Tschabitscher M (2005) Endoscopic endonasal surgery of the midline skull base: anatomical study and clinical considerations. Neurosurg Focus 19(1):E2PubMed

11.

Juraschka K, Khan OH, Godoy BL, Monsalves E, Kilian A, Krischek B, Ghare A, Vescan A, Gentili F, Zadeh G (2014) Endoscopic endonasal transsphenoidal approach to large and giant pituitary adenomas: institutional experience and predictors of extent of resection. J Neurosurg 121(1):75–83. https://doi.org/10.3171/2014.3.JNS131679 CrossRefPubMed

12.

Nunes RH, Abello AL, Zanation AM, Sasaki-Adams D, Huang BY (2016) Imaging in endoscopic cranial skull base and pituitary surgery. Otolaryngol Clin North Am 49(1):33–62. https://doi.org/10.1016/j.otc.2015.09.003 CrossRefPubMed

13.

Gardner PA, Kassam AB, Rothfus WE, Snyderman CH, Carrau RL (2008) Preoperative and intraoperative imaging for endoscopic endonasal approaches to the skull base. Otolaryngol Clin North Am 41(1):215–230. https://doi.org/10.1016/j.otc.2007.10.010 vii.CrossRefPubMed

14.

Linsler S, Antes S, Senger S, Oertel J (2016) The use of intraoperative computed tomography navigation in pituitary surgery promises a better intraoperative orientation in special cases. J Neurosci Rural Pract 7(4):598–602. https://doi.org/10.4103/0976-3147.186977 CrossRefPubMedPubMedCentral

15.

Moses ZB, Mayer RR, Strickland BA, Kretzer RM, Wolinsky JP, Gokaslan ZL, Baaj AA (2013) Neuronavigation in minimally invasive spine surgery. Neurosurg Focus 35(2):E12. https://doi.org/10.3171/2013.5.FOCUS13150 CrossRefPubMed

16.

Malik HH, Darwood AR, Shaunak S, Kulatilake P, El-Hilly AA, Mulki O, Baskaradas A (2015) Three-dimensional printing in surgery: a review of current surgical applications. J Surg Res 199(2):512–522. https://doi.org/10.1016/j.jss.2015.06.051 CrossRef

17.

Zadpoor AA, Malda J (2017) Additive manufacturing of biomaterials, tissues, and organs. Ann Biomed Eng 45(1):1–11. https://doi.org/10.1007/s10439-016-1719-y CrossRefPubMed

18.

Park EK, Lim JY, Yun IS, Kim JS, Woo SH, Kim DS, Shim KW (2016) Cranioplasty enhanced by three-dimensional printing: custom-made three-dimensional-printed titanium implants for skull defects. J Craniofac Surg 27(4):943–949. https://doi.org/10.1097/SCS.0000000000002656 CrossRefPubMed

19.

Muelleman TJ, Peterson J, Chowdhury NI, Gorup J, Camarata P, Lin J (2016) Individualized surgical approach planning for petroclival tumors using a 3D printer. J Neurol Surg B 77(3):243–248. https://doi.org/10.1055/s-0035-1566253 CrossRef

20.

Anderson JR, Thompson WL, Alkattan AK, Diaz O, Klucznik R, Zhang YJ, Britz GW, Grossman RG, Karmonik C (2016) Three-dimensional printing of anatomically accurate, patient specific intracranial aneurysm models. J Neurointerv Surg 8(5):517–520. https://doi.org/10.1136/neurintsurg-2015-011686 CrossRefPubMed

21.

Conti A, Pontoriero A, Iati G, Marino D, La Torre D, Vinci S, Germano A, Pergolizzi S, Tomasello F (2016) 3D-printing of arteriovenous malformations for radiosurgical treatment: pushing anatomy understanding to real boundaries. Cureus 8(4):e594. https://doi.org/10.7759/cureus.594 CrossRefPubMedPubMedCentral

22.

Spottiswoode BS, van den Heever DJ, Chang Y, Engelhardt S, Du Plessis S, Nicolls F, Hartzenberg HB, Gretschel A (2013) Preoperative three-dimensional model creation of magnetic resonance brain images as a tool to assist neurosurgical planning. Stereotact Funct Neurosurg 91(3):162–169. https://doi.org/10.1159/000345264 CrossRefPubMed

23.

Kawaguchi Y, Nakano M, Yasuda T, Seki S, Hori T, Kimura T (2012) Development of a new technique for pedicle screw and Magerl screw insertion using a 3-dimensional image guide. Spine 37(23):1983–1988. https://doi.org/10.1097/BRS.0b013e31825ab547 CrossRefPubMed

24.

Lu S, Xu YQ, Zhang YZ, Xie L, Guo H, Li DP (2009) A novel computer-assisted drill guide template for placement of C2 laminar screws. Eur Spine J 18(9):1379–1385. https://doi.org/10.1007/s00586-009-1051-4 CrossRefPubMedPubMedCentral

25.

Ryan JR, Almefty KK, Nakaji P, Frakes DH (2016) Cerebral aneurysm clipping surgery simulation using patient-specific 3D printing and silicone casting. World Neurosurg 88:175–181. https://doi.org/10.1016/j.wneu.2015.12.102 CrossRefPubMed

26.

Waran V, Narayanan V, Karuppiah R, Thambynayagam HC, Muthusamy KA, Rahman ZA, Kirollos RW (2015) Neurosurgical endoscopic training via a realistic 3-dimensional model with pathology. Simul Healthc 10(1):43–48. https://doi.org/10.1097/SIH.0000000000000060 CrossRefPubMed

27.

Ploch CC, Mansi C, Jayamohan J, Kuhl E (2016) Using 3D printing to create personalized brain models for neurosurgical training and preoperative planning. World Neurosurg 90:668–674. https://doi.org/10.1016/j.wneu.2016.02.081 CrossRefPubMed

28.

Morales-Gomez JA, Garcia-Estrada E, Leos-Bortoni JE, Delgado-Brito M, Flores-Huerta LE, De La Cruz-Arriaga AA, Torres-Diaz LJ, de Leon ARM (2018) Cranioplasty with a low-cost customized polymethylmethacrylate implant using a desktop 3D printer. J Neurosurg. https://doi.org/10.3171/2017.12 CrossRefPubMed

Title: A small 3D-printing model of macroadenomas for endoscopic endonasal surgery
Authors: Xing Huang
Zhen Liu
Xuan Wang
Xu-dong Li
Kai Cheng
Yan Zhou
Xiao-bing Jiang
Publication date: 01-02-2019
Publisher: Springer US
Published in: Pituitary / Issue 1/2019
Print ISSN: 1386-341X
Electronic ISSN: 1573-7403
DOI: https://doi.org/10.1007/s11102-018-0927-x

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Purpose

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Results

Conclusions

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