دورية أكاديمية
3D Printing as a Planning Tool to Optimize Sinonasal Irrigation.
| العنوان: | 3D Printing as a Planning Tool to Optimize Sinonasal Irrigation. |
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| المؤلفون: | Lepley TJ; Department of Otolaryngology-Head & Neck Surgery, The Ohio State University, Columbus, OH, USA., Kim K; Department of Otolaryngology-Head & Neck Surgery, The Ohio State University, Columbus, OH, USA.; Department of Biomedical Engineering, The Ohio State University, Columbus, OH, USA., Ardizzone M; Department of Otolaryngology-Head & Neck Surgery, The Ohio State University, Columbus, OH, USA., Kelly KM; Department of Otolaryngology-Head & Neck Surgery, The Ohio State University, Columbus, OH, USA., Otto BA; Department of Otolaryngology-Head & Neck Surgery, The Ohio State University, Columbus, OH, USA., Zhao K; Department of Otolaryngology-Head & Neck Surgery, The Ohio State University, Columbus, OH, USA.; Department of Biomedical Engineering, The Ohio State University, Columbus, OH, USA. |
| المصدر: | The Annals of otology, rhinology, and laryngology [Ann Otol Rhinol Laryngol] 2023 Nov; Vol. 132 (11), pp. 1306-1313. Date of Electronic Publication: 2023 Jan 26. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Country of Publication: United States NLM ID: 0407300 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1943-572X (Electronic) Linking ISSN: 00034894 NLM ISO Abbreviation: Ann Otol Rhinol Laryngol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2014- : Los Angeles : Sage Original Publication: St. Louis : Annals Publishing Co |
| مواضيع طبية MeSH: | Nasal Cavity*/surgery , Frontal Sinus*/surgery, Humans ; Maxillary Sinus ; Sphenoid Bone ; Printing, Three-Dimensional ; Therapeutic Irrigation |
| مستخلص: | Background: Topical sinus irrigation plays a critical role in the management of sinonasal diseases. Yet, the penetration of irrigant to targeted sinuses may be highly variable and difficult to predict. Here, we investigate the use of 3D printing as a planning tool to optimize outcomes. Methods: Eight post-operative models were 3D printed with a FormLabs Form3 printer based on individual CT scans. Irrigations were performed and video recorded with a squeeze bottle attached via silicon water-tight seal, in 4 head positions: 45° to-the-side, 90° to-the-side, 45° forward and 45° to-the-side, and 90° forward, with irrigation fluid entering the upper (conventional) or lower (backfill) nostrils. Results: Significant individual variations were observed in sinus penetration as a function of head position. In general, the maxillary sinus was the easiest to irrigate in most head positions ( P < .05), followed by frontal and ethmoid, with sphenoid being the most difficult. Both the 90°-to-the-side and the 90°-forward positions were significantly more effective than the others ( P < .05), with 90°-forward better for frontal sinuses and 90°-to-the-side superior for all other sinuses. The backfill was significantly superior to conventional technique in head positions involving a side tilt ( P < .05). Conclusion: Variations in technique and position significantly impacted irrigation outcome. Backfill irrigation that pushes fluid against gravity to pool around the ostium, seems to provide overall better outcomes. This study demonstrates the advantage of 3D printing as a rapid planning tool to guide irrigation strategies. |
| معلومات مُعتمدة: | R01 DC013626 United States DC NIDCD NIH HHS; R01 DC020302 United States DC NIDCD NIH HHS; R21 DC017530 United States DC NIDCD NIH HHS |
| فهرسة مساهمة: | Keywords: 3D modeling; irrigation; rhinosinusitis |
| تواريخ الأحداث: | Date Created: 20230127 Date Completed: 20230913 Latest Revision: 20230929 |
| رمز التحديث: | 20230929 |
| مُعرف محوري في PubMed: | PMC10368789 |
| DOI: | 10.1177/00034894221149242 |
| PMID: | 36704822 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1943-572X |
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| DOI: | 10.1177/00034894221149242 |