Pietro Canzi1, Pasquale Capaccio2, Stefania Marconi3, Giorgio Conte4, Lorenzo Preda5,6, Irene Avato7,8, Federico Aprile7, Michele Gaffuri9, Antonio Occhini7, Lorenzo Pignataro9, Ferdinando Auricchio3, Marco Benazzo7. 1. Department of Otorhinolaryngology, University of Pavia, Foundation IRCCS Policlinico "San Matteo", Viale Camillo Golgi, 19, 27100, Pavia, Italy. pietro.canzi@unipv.it. 2. Department of Biomedical, Surgical and Dental Sciences, Foundation IRCCS "Ca' Granda" Ospedale Maggiore Policlinico, University of Milan, Milan, Italy. 3. Department of Civil Engineering and Architecture, University of Pavia, Pavia, Italy. 4. Unit of Neuroradiology, Foundation IRCCS "Ca' Granda" Ospedale Maggiore Policlinico, Milan, Italy. 5. National Centre of Oncological Hadrontherapy (CNAO Foundation), Pavia, Italy. 6. Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy. 7. Department of Otorhinolaryngology, University of Pavia, Foundation IRCCS Policlinico "San Matteo", Viale Camillo Golgi, 19, 27100, Pavia, Italy. 8. PhD in Experimental Medicine, University of Pavia, Pavia, Italy. 9. Department of Clinical Sciences and Community Health, Foundation IRCCS "Ca' Granda" Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
Abstract
PURPOSES: To explore the feasibility of 3D printed salivary duct models for the sialendoscopic skills training. METHODS: Healthy volunteers and patients affected by obstructive salivary gland disorders were submitted to 3 Tesla MR sialography. The MR data underwent an image segmentation process to produce the 3D printed salivary duct prototypes. Sialendoscopies were carried out by three groups of investigators with different levels of endoscopic experience. Realism, usefulness of the training process and potential advantages of the 3D printed models in the preoperative surgical planning were evaluated by means of a specific survey. RESULTS: Four cases were included in our study: one healthy parotid, one submandibular gland, one case of lithiasis and one of stenosis involving the parotid gland. In all cases, the three groups of investigators successfully explored the salivary ducts up to the tertiary branches, detected the cause of obstruction and correctly treated it. Seven untoward events occurred during the operative sialendoscopies. Overall, the questionnaire score was about 79.3%, reflecting a positive impression regarding the models on behalf of all the investigators. CONCLUSIONS: 3D printed salivary duct models resulted feasible for the sialendoscopic skills training. The opportunity to reproduce the patient-specific anatomy may add further information useful in the preoperative decision making. These positive results should be verified by further researches and experiences.
PURPOSES: To explore the feasibility of 3D printed salivary duct models for the sialendoscopic skills training. METHODS: Healthy volunteers and patients affected by obstructive salivary gland disorders were submitted to 3 Tesla MR sialography. The MR data underwent an image segmentation process to produce the 3D printed salivary duct prototypes. Sialendoscopies were carried out by three groups of investigators with different levels of endoscopic experience. Realism, usefulness of the training process and potential advantages of the 3D printed models in the preoperative surgical planning were evaluated by means of a specific survey. RESULTS: Four cases were included in our study: one healthy parotid, one submandibular gland, one case of lithiasis and one of stenosis involving the parotid gland. In all cases, the three groups of investigators successfully explored the salivary ducts up to the tertiary branches, detected the cause of obstruction and correctly treated it. Seven untoward events occurred during the operative sialendoscopies. Overall, the questionnaire score was about 79.3%, reflecting a positive impression regarding the models on behalf of all the investigators. CONCLUSIONS: 3D printed salivary duct models resulted feasible for the sialendoscopic skills training. The opportunity to reproduce the patient-specific anatomy may add further information useful in the preoperative decision making. These positive results should be verified by further researches and experiences.
Entities:
Keywords:
3D printing; Learning curve; MR sialography; Sialendoscopy; Training
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