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Published in: Irish Journal of Medical Science (1971 -) 4/2020

01-11-2020 | Silicone | Original Article

The use of 3D printing technology in the creation of patient-specific facial prostheses

Authors: Ross G. Sherwood, Niall Murphy, Gerard Kearns, Conor Barry

Published in: Irish Journal of Medical Science (1971 -) | Issue 4/2020

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Abstract

Background

Personalised medicine aims to optimise patient outcomes by tailoring treatments and interventions to the individual. While this approach can offer a number of benefits, it can be accompanied by significant overheads in terms of resources. Prostheses exist in order to restore and replicate the normal functions and appearance of the body but if these are not individually tailored to the patient’s needs then a true restoration cannot be fully achieved. Traditionally a labour intensive process, the fabrication of craniofacial prostheses, involves taking a plaster cast of the area to be treated, hand carving wax models of the restoration and multiple meetings with the patient to alter this wax restoration before making a final prosthesis in silicone.

Aims

Utilising the patient’s pre-existing computed tomography (CT) images and 3D printing technology, a patient-specific prosthesis can be created with improved efficiency and accuracy.

Methods

This study demonstrates methods used to create a patient-specific orbital prosthesis using CT images. These images were manipulated in a way which allowed for the intact orbit to be mirrored and used to develop a 3D printed model which acted as the starting point to create a silicone prosthesis.

Results

The benefits of using this method include reduced manufacturing time, decreased outpatient appointments, improved personalised outcomes and a repeatable process allowing multiple prostheses to be made.

Conclusions

3D printing is a valuable tool which can provide significant savings in time and improve patient outcomes by offering a tailored approach to each individual’s treatment.
Literature
1.
go back to reference Bailey LW, Edwards D (1975) Psychological considerations in maxillofacial prosthetics. J Prosthet Dent 34:533–538CrossRef Bailey LW, Edwards D (1975) Psychological considerations in maxillofacial prosthetics. J Prosthet Dent 34:533–538CrossRef
2.
go back to reference Ariani N, Visser A, Van Oort RP et al (2013) Current state of craniofacial prosthetic rehabilitation. Int J Prosthodont 26:57–67CrossRef Ariani N, Visser A, Van Oort RP et al (2013) Current state of craniofacial prosthetic rehabilitation. Int J Prosthodont 26:57–67CrossRef
3.
go back to reference Ruiters S, Sun Y, de Jong S, Politis C, Mombaerts I (2016) Computer-aided design and three-dimensional printing in the manufacturing of an ocular prosthesis. Br J Ophthalmol 100:879–881CrossRef Ruiters S, Sun Y, de Jong S, Politis C, Mombaerts I (2016) Computer-aided design and three-dimensional printing in the manufacturing of an ocular prosthesis. Br J Ophthalmol 100:879–881CrossRef
4.
go back to reference Visser A, Raghoebar GM, van Oort RP et al (2008) Int J Oral Maxillofac Implants:23 Visser A, Raghoebar GM, van Oort RP et al (2008) Int J Oral Maxillofac Implants:23
5.
go back to reference Ciocca L, Fantini M, De Crescenzio F et al (2011) Computer-aided design and manufacturing construction of a surgical template for craniofacial implant positioning to support a definitive nasal prosthesis. Clin Oral Implants Res 22:850–856CrossRef Ciocca L, Fantini M, De Crescenzio F et al (2011) Computer-aided design and manufacturing construction of a surgical template for craniofacial implant positioning to support a definitive nasal prosthesis. Clin Oral Implants Res 22:850–856CrossRef
6.
go back to reference Saadi R, Lighthall JG (2017) Prosthetic reconstruction of the ear. Oper Tech Otolaryngol-Head Neck Surg 28:130–132CrossRef Saadi R, Lighthall JG (2017) Prosthetic reconstruction of the ear. Oper Tech Otolaryngol-Head Neck Surg 28:130–132CrossRef
7.
go back to reference Al Mardini M, Ercoli C, Graser GN (2005) A technique to produce a mirror-image wax pattern of an ear using rapid prototyping technology. J Prosthet Dent 94:195–198CrossRef Al Mardini M, Ercoli C, Graser GN (2005) A technique to produce a mirror-image wax pattern of an ear using rapid prototyping technology. J Prosthet Dent 94:195–198CrossRef
8.
go back to reference Coward TJ, Watson RM, Wilkinson IC (1999) Fabrication of a wax ear by rapid-process modelling using stereolithography. Int J Prosthodont 12 Coward TJ, Watson RM, Wilkinson IC (1999) Fabrication of a wax ear by rapid-process modelling using stereolithography. Int J Prosthodont 12
9.
go back to reference Gross BC, Erkal JL, Lockwood SY, et al (2014) Evaluation of 3D printing and its potential impact on biotechnology and the chemical sciences. ACS Publications Gross BC, Erkal JL, Lockwood SY, et al (2014) Evaluation of 3D printing and its potential impact on biotechnology and the chemical sciences. ACS Publications
10.
go back to reference Hull CW (1986) Apparatus for production of three-dimensional objects by stereolithography. Google Patents Hull CW (1986) Apparatus for production of three-dimensional objects by stereolithography. Google Patents
11.
go back to reference He Y, Xue G, Fu J (2014) Fabrication of low cost soft tissue prostheses with the desktop 3D printer. Sci Rep 4:6973CrossRef He Y, Xue G, Fu J (2014) Fabrication of low cost soft tissue prostheses with the desktop 3D printer. Sci Rep 4:6973CrossRef
12.
go back to reference Eggbeer D, Bibb R, Evans P, Ji L (2012) Evaluation of direct and indirect additive manufacture of maxillofacial prostheses. Proc Inst Mech Eng 226:718–728CrossRef Eggbeer D, Bibb R, Evans P, Ji L (2012) Evaluation of direct and indirect additive manufacture of maxillofacial prostheses. Proc Inst Mech Eng 226:718–728CrossRef
13.
go back to reference Ciocca L, Scotti R (2004) CAD-CAM generated ear cast by means of a laser scanner and rapid prototyping machine. J Prosthet Dent 92:591–595CrossRef Ciocca L, Scotti R (2004) CAD-CAM generated ear cast by means of a laser scanner and rapid prototyping machine. J Prosthet Dent 92:591–595CrossRef
14.
go back to reference Polo M-E, Felicísimo ÁM (2012) Analysis of uncertainty and repeatability of a low-cost 3D laser scanner. Sensors 12:9046–9054CrossRef Polo M-E, Felicísimo ÁM (2012) Analysis of uncertainty and repeatability of a low-cost 3D laser scanner. Sensors 12:9046–9054CrossRef
15.
go back to reference Rengier F, Mehndiratta A, Von Tengg-Kobligk H et al (2010) 3D printing based on imaging data: review of medical applications. Int J Comput Assist Radiol Surg 5:335–341CrossRef Rengier F, Mehndiratta A, Von Tengg-Kobligk H et al (2010) 3D printing based on imaging data: review of medical applications. Int J Comput Assist Radiol Surg 5:335–341CrossRef
16.
go back to reference Mildenberger P, Eichelberg M, Martin E (2002) Introduction to the DICOM standard. Eur Radiol 12:920–927CrossRef Mildenberger P, Eichelberg M, Martin E (2002) Introduction to the DICOM standard. Eur Radiol 12:920–927CrossRef
17.
go back to reference Graham RN, Perriss RW, Scarsbrook AF (2005) DICOM demystified: a review of digital file formats and their use in radiological practice. Clin Radiol 60:1133–1140CrossRef Graham RN, Perriss RW, Scarsbrook AF (2005) DICOM demystified: a review of digital file formats and their use in radiological practice. Clin Radiol 60:1133–1140CrossRef
18.
go back to reference Kikinis R, Pieper SD, Vosburgh KG (2014) 3D slicer: a platform for subject-specific image analysis, visualization, and clinical support. In: Intraoperative imaging and image-guided therapy. Springer, pp 277–289 Kikinis R, Pieper SD, Vosburgh KG (2014) 3D slicer: a platform for subject-specific image analysis, visualization, and clinical support. In: Intraoperative imaging and image-guided therapy. Springer, pp 277–289
19.
go back to reference Pieper S, Halle M, Kikinis R (2004) 3D slicer. In: 2004 2nd IEEE international symposium on biomedical imaging: nano to macro (IEEE Cat No. 04EX821). IEEE, pp. 632–635 Pieper S, Halle M, Kikinis R (2004) 3D slicer. In: 2004 2nd IEEE international symposium on biomedical imaging: nano to macro (IEEE Cat No. 04EX821). IEEE, pp. 632–635
20.
go back to reference Schmidt R, Ratto M (2013) Design-to-fabricate: maker hardware requires maker software. IEEE Comput Graph Appl 33:26–34CrossRef Schmidt R, Ratto M (2013) Design-to-fabricate: maker hardware requires maker software. IEEE Comput Graph Appl 33:26–34CrossRef
21.
go back to reference McMenamin PG, Quayle MR, McHenry CR et al (2014) The production of anatomical teaching resources using three-dimensional (3D) printing technology. Anat Sci Educ 7:479–486CrossRef McMenamin PG, Quayle MR, McHenry CR et al (2014) The production of anatomical teaching resources using three-dimensional (3D) printing technology. Anat Sci Educ 7:479–486CrossRef
Metadata
Title
The use of 3D printing technology in the creation of patient-specific facial prostheses
Authors
Ross G. Sherwood
Niall Murphy
Gerard Kearns
Conor Barry
Publication date
01-11-2020
Publisher
Springer London
Keyword
Silicone
Published in
Irish Journal of Medical Science (1971 -) / Issue 4/2020
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-020-02248-w

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