Geniş Kranioplasti Defektlerinde 3 Boyutlu Baskı Teknolojisi ve Düşük Maliyetli Alternatifler
Özet
Bu çalışmada, geniş kraniyal defektlerin onarımında 3 boyutlu (3B) rekonstrüksiyon ve 3B yazıcı teknolojisinin kullanımı ve düşük maliyetli, erişilebilir çözüm yöntemleri ele alınmıştır. Çalışmada, ücretsiz yazılımlar ve ev tipi bir 3B yazıcı kullanılarak kişiye özel bir implant hazırlanmış ve ameliyatta başarılı bir şekilde kullanılmıştır. Bu yaklaşım, sadece cerrahi sonuçları iyileştirmekle kalmayıp, maliyetleri önemli ölçüde düşürmüş ve hasta memnuniyetini artırmıştır. Aynı zamanda dış hizmet sağlayıcılarından alınan hizmetlere bağımlılığı azaltarak, sürecin daha hızlı ve verimli işlemesini sağlamıştır. Sonuç olarak, 3B baskı teknolojisinin gelecekte kranioplasti gibi cerrahi işlemlerde daha yaygın olarak kullanılarak kişiye özel çözümler geliştirme potansiyeline sahip olduğu gösterilmiştir.
This study addresses the use of 3D reconstruction and 3D printing technology in the repair of large cranial defects, focusing on cost-effective and accessible solutions. In the study, a custom implant was designed using free software and a home-based 3D printer, and successfully applied during surgery. This approach not only improved surgical outcomes but also significantly reduced costs and increased patient satisfaction. Additionally, it minimized dependency on external service providers, making the process more efficient and faster. As a result, it is shown that 3D printing technology has the potential to be more widely used in future cranioplasty and similar surgical procedures, enabling personalized solutions.
Referanslar
Czyżewski W, Jachimczyk J, Hoffman Z, et al. Low-Cost Cranioplasty-A Systematic Review of 3D Printing in Medicine. Materials (Basel). 2022;15(14):4731. Published 2022 Jul 6. doi:10.3390/ma15144731
Gerstl JVE, Rendon LF, Burke SM, Doucette J, Mekary RA, Smith TR. Complications and cosmetic outcomes of materials used in cranioplasty following decompressive craniectomy-a systematic review, pairwise meta-analysis, and network meta-analysis. Acta Neurochir (Wien). 2022;164(12):3075-3090. doi:10.1007/s00701-022-05251-5
Kazemzadeh K, Akhlaghdoust M, Zali A. Advances in artificial intelligence, robotics, augmented and virtual reality in neurosurgery. Front Surg. 2023;10:1241923. Published 2023 Aug 24. doi:10.3389/fsurg.2023.1241923
Doğu H, Abdallah A, Muçuoğlu AO, Demirel N, Elmadağ NM. Comparing Three-dimensional and Two-dimensional Preoperative Planning for Lumbar Transpedicular Screw Placement: A Retrospective Study. J Neurol Surg A Cent Eur Neurosurg. Published online December 19, 2023. doi:10.1055/a-2175-3215
Gurkan G. Husemoglu R.B., Yüceer N., Polymethylmethacrylate cranioplasty implant customized using a polylactic acid mold and prepared with a 3D printer: an example case, Journal of Medical Innovation and Technology, 2021; 3 (1):14-17 doi: 10.51934/ jomit.958365
Selvaraj S, Dorairaj J, Shivasankar N. 3d cranial reconstruction using titanium implant - a case report. Afr Health Sci. 2022;22(3):383-390. doi:10.4314/ahs.v22i3.41
Spennato, P., Canella, V., Aliberti, F. et al. Hydroxyapatite ceramic implants for cranioplasty in children: a retrospective evaluation of clinical outcome and osteointegration. Childs Nerv Syst 36, 551–558 (2020). https://doi.org/10.1007/s00381-019-04423-6
da Silva Júnior EB, de Aragão AH, de Paula Loureiro M, et al. Cranioplasty with three-dimensional customised mould for polymethylmethacrylate implant: a series of 16 consecutive patients with cost-effectiveness consideration. 3D Print Med. 2021;7(1):4. Published 2021 Feb 6. doi:10.1186/s41205-021-00096-7
Obaeed, N.H., Hamdan, W.K. Reconstruction and evaluation of 3D Printing PMMA cranioplasty implants. Int J Interact Des Manuf 18, 4233–4245 (2024). https://doi.org/10.1007/s12008-024-01979-9
Morales-Gómez JA, Garcia-Estrada E, Leos-Bortoni JE, et al. Cranioplasty with a low-cost customized polymethylmethacrylate implant using a desktop 3D printer. J Neurosurg. 2018;130(5):1721-1727. Published 2018 Jun 15. doi:10.3171/2017.12.JNS172574
Referanslar
Czyżewski W, Jachimczyk J, Hoffman Z, et al. Low-Cost Cranioplasty-A Systematic Review of 3D Printing in Medicine. Materials (Basel). 2022;15(14):4731. Published 2022 Jul 6. doi:10.3390/ma15144731
Gerstl JVE, Rendon LF, Burke SM, Doucette J, Mekary RA, Smith TR. Complications and cosmetic outcomes of materials used in cranioplasty following decompressive craniectomy-a systematic review, pairwise meta-analysis, and network meta-analysis. Acta Neurochir (Wien). 2022;164(12):3075-3090. doi:10.1007/s00701-022-05251-5
Kazemzadeh K, Akhlaghdoust M, Zali A. Advances in artificial intelligence, robotics, augmented and virtual reality in neurosurgery. Front Surg. 2023;10:1241923. Published 2023 Aug 24. doi:10.3389/fsurg.2023.1241923
Doğu H, Abdallah A, Muçuoğlu AO, Demirel N, Elmadağ NM. Comparing Three-dimensional and Two-dimensional Preoperative Planning for Lumbar Transpedicular Screw Placement: A Retrospective Study. J Neurol Surg A Cent Eur Neurosurg. Published online December 19, 2023. doi:10.1055/a-2175-3215
Gurkan G. Husemoglu R.B., Yüceer N., Polymethylmethacrylate cranioplasty implant customized using a polylactic acid mold and prepared with a 3D printer: an example case, Journal of Medical Innovation and Technology, 2021; 3 (1):14-17 doi: 10.51934/ jomit.958365
Selvaraj S, Dorairaj J, Shivasankar N. 3d cranial reconstruction using titanium implant - a case report. Afr Health Sci. 2022;22(3):383-390. doi:10.4314/ahs.v22i3.41
Spennato, P., Canella, V., Aliberti, F. et al. Hydroxyapatite ceramic implants for cranioplasty in children: a retrospective evaluation of clinical outcome and osteointegration. Childs Nerv Syst 36, 551–558 (2020). https://doi.org/10.1007/s00381-019-04423-6
da Silva Júnior EB, de Aragão AH, de Paula Loureiro M, et al. Cranioplasty with three-dimensional customised mould for polymethylmethacrylate implant: a series of 16 consecutive patients with cost-effectiveness consideration. 3D Print Med. 2021;7(1):4. Published 2021 Feb 6. doi:10.1186/s41205-021-00096-7
Obaeed, N.H., Hamdan, W.K. Reconstruction and evaluation of 3D Printing PMMA cranioplasty implants. Int J Interact Des Manuf 18, 4233–4245 (2024). https://doi.org/10.1007/s12008-024-01979-9
Morales-Gómez JA, Garcia-Estrada E, Leos-Bortoni JE, et al. Cranioplasty with a low-cost customized polymethylmethacrylate implant using a desktop 3D printer. J Neurosurg. 2018;130(5):1721-1727. Published 2018 Jun 15. doi:10.3171/2017.12.JNS172574
