DESIGNING AND 3D PRINTED PLA BASED IMPLANT USED IN TREATMENT FOR UNILATERAL VOCAL CORD PARALYSIS
Year 2021,
, 416 - 425, 30.12.2021
Fatih Çiftçi
,
Sümeyra Ayan
Cem Ustundag
Abstract
Vocal cord paralysis (VCP) is considered as a closure of glottal cavity during phonation. Vibration impairment in the vocal mucosa to loss of voice is as a result of the glottic space not closing. Many implant biomaterials are used for VCP. These implants, which can be applied to restore the cord function of the paralyzed cord and to improve the sound quality, are applied in Medialization thyroplasty (MT) type 1 surgeon. The aim of this study is to produce customizable poly (lactic-acid) (PLA) based vocal cord (VC), also called as vocal fold, implant by using 3D printer and compare this implant with other biomaterials. This VC 3D PLA implant (VC3DPLAI) biomaterial can be specially designed and manufactured for the individual.
Supporting Institution
Yildiz Technology Transfer Office
Project Number
2018/00167, 2017/21650, 2017/19741
Thanks
We would like to thank Yildiz Technopark and Yildiz Technology Office for their support in the production and patenting of the vocal cord implant.
References
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DESIGNING AND 3D PRINTED PLA BASED IMPLANT USED IN TREATMENT FOR UNILATERAL VOCAL CORD PARALYSIS
Year 2021,
, 416 - 425, 30.12.2021
Fatih Çiftçi
,
Sümeyra Ayan
Cem Ustundag
Abstract
This study aims to develop and demonstrate a new method of creating polymeric vocal cord (VC) models via 3D printing to reduce model production time, increase sound efficiency, and lay the groundwork for future models using more realistic geometric and functional biomaterials. For this purpose, it is to produce a poly (lactic acid) (PLA) based VC implant using a 3D printer as a special design according to the patient's vocal structure. In this study, VC 3D PLA implant (VC3DPLAI), VC stretch piece (measured = 35 mm length), fixed to thyroid cartilage VC (cartilage length = 12 mm) and titanium (Ti64) springs pieces are expected to be produced as a patient-specific implant It is composed of three different biomechanical designs. When you compare this implant with other biomaterials, the VC3DPLAI provides personal convenience compared to complex models and allows unlimited time-cost competition.
Project Number
2018/00167, 2017/21650, 2017/19741
References
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- 5. H. Zavala, B. B. Roby, A. Day, B. Bostrom, J. Sidman, and S. Chinnadurai, “Vincristine-induced vocal cord paresis and paralysis in children,” Int. J. Pediatr. Otorhinolaryngol., Vol. 123, Pages 1-4, 2019.
- 6. G. O. Dahle et al., “Vocal cord function during recurrent laryngeal nerve injury assessed by accelerometry and EMG,” Laryngoscope, Vol. 130, Issue 4, Pages 1090-1096, 2020.
- 7. W. W. Montgomery, “Thyroplasty: A New Approach, Vol. 102, Issue 8,” Pages 571–579, 1993.
- 8. J. Saniasiaya, N. F. H. N. Hassan, and B. S. S. Singh, “Unilateral vocal cord palsy: A never-ending diagnostic dilemma,” Pediatr. i Med. Rodz., Vol. 16, Issue 2, Pages 217-220, 2020.
- 9. M. K. Shah, B. Ghai, N. Bhatia, R. K. Verma, and N. K. Panda, “Comparison of transcutaneous laryngeal ultrasound with video laryngoscope for assessing the vocal cord mobility in patients undergoing thyroid surgery,” Auris Nasus Larynx, Vol. 46, Issue 4, Pages 593-598, 2019.
- 10. L. P. Stoltz, M. L. Fajt, A. A. Petrov, and R. S. Traister, “Vocal Cord Dysfunction: A Review,” Clin. Pulm. Med., Vol. 25, Issue 4, Pages 125-130, 2018.
- 11. X. G. Ni, J. Q. Zhu, Q. Q. Zhang, B. G. Zhang, and G. Q. Wang, “Diagnosis of vocal cord leukoplakia: The role of a novel narrow band imaging endoscopic classification,” Laryngoscope, Vol. 129, Issue 2, Pages 429-434, 2019.
- 12. M. Eddaoudi, S. Rostom, B. Amine, and R. Bahiri, “The involvement of vocal cords in rheumatoid arthritis: A clinical case,” Pan Afr. Med. J., Vol. 34, Pages 102, 2019.
- 13. F. Bertone, E. Robiolio, and C. F. Gervasio, “Vocal cord ulcer following endotracheal intubation for mechanical ventilation in COVID-19 pneumonia: A case report from northern Italy,” Am. J. Case Rep., Vol. 4, Pages 21, 2020.
- 14. J. Il Kim, D. H. Lee, and H. Kim, “Bilateral vocal cord paralysis during emergence from general anesthesia in a patient with Parkinson’s disease,” Saudi J. Anaesth., Vol. 14, Issue 1, Pages 112-114, 2020.
- 15. Q. Duan et al., “Vocal cord paralysis following lithium button battery ingestion in children,” Eur. J. Pediatr., Vol. 180, Issue 4, Pages 1059-1066, 2021.
- 16. Y. Chiche et al., “Bilateral vocal cord paralysis after endoscopic placement of fully covered self-expandable metal stent for palliative treatment of malignant proximal esophageal obstruction: Two case reports,” BMC Gastroenterol., Vol. 20, Pages 153, 2020.
- 17. M. H. R. Raja, M. A. Javed, and A. B. S. Zubairi, “Sarcoidosis presenting as vocal cord palsy: an unusual presentation and literature review,” Respirol. Case Reports, Vol. 9, Issue 2, 2021.
- 18. N. M. Dunn, R. K. Katial, and F. C. L. Hoyte, “Vocal cord dysfunction: a review,” Asthma Res. Pract., Vol. 1, Pages 9, 2015.
- 19. H. Iwatake, J. Iida, S. Minami, S. Sugano, T. Hoshikawa, and I. Takeyama, “Transcutaneous intracordal silicon injection for unilateral vocal cord paralysis,” Acta Oto-Laryngologica, Suppl., Vol. 522, Pages 133-137, 1996.
- 20. I. Ali, O. M. Shafi, F. Khalid, and O. Makhdoomi, “Voice outcome after type-1 thyroplasty for unilateral vocal cord paralysis: our experience at tertiary care hospital,” Int. J. Otorhinolaryngol. Head Neck Surg., Vol. 6, Issue 8, 2020.
- 21. W. Wen, G. Sun, B. Sun, C. Liu, and M. Zhang, “Modified thyroplasty for unilateral vocal fold paralysis using an adjustable titanium implant,” European Archives of Oto-Rhino-Laryngology. Vol. 272, Issue 3, Pages 517-522, 2015.
- 22. N. Maggon, A. Sethi, A. Mishra, and A. Mallick, “Type I thyroplasty for unilateral vocal fold palsy: Silastic or titanium implant?” J. Laryngol. Voice, Vol. 8, Issue 2, Pages 29-35, 2018.
- 23. H. Maeda, M. Tanabe, K. Mizoguchi, K. Yamamoto, and N. Isshiki, “Recent Surgical Technique for Vocal Cord Paralysis: Type I Thyroplasty with Titanium Plate,” Nihon Kikan Shokudoka Gakkai Kaiho, Vol. 62, Issue 2, Pages 206, 2011.
- 24. K. Yan and A. D. Friedman, “Surgical management of calcium hydroxyapatite in the superficial lamina propria of the vocal fold,” Otolaryngol. Case Reports, Vol. 19, Pages 100-292, 2021.
- 25. J. T. Cohen and L. Benyamini, “Voice outcome after vocal fold injection augmentation with carboxymethyl cellulose versus calcium hydroxyapatite,” J. Laryngol. Otol., Vol 135, Issue 3, 2020.
- 26. J. R. Olmos-Zuñiga et al., “Comparison of lyophilized glutaraldehyde-preserved bovine pericardium with different vascular prostheses for use as vocal cords implants: Experimental study,” Biomed Res. Int., Vol. 2015, Pages 9, 2015.
- 27. W. Shi, G. Han, Y. Chang, H. Song, W. Hou, and Q. Chen, “Using Stretchable PPy@PVA Composites as a High-Sensitivity Strain Sensor to Monitor Minute Motion,” ACS Appl. Mater. Interfaces, Vol. 12, Issue 40, Pages 45373-45382, 2020.
- 28. G. Illuminati, F. Schneider, A. Minni, F. G. Calio, G. Pizzardi, and J. B. Ricco, “Resection of recurrent neck cancer with carotid artery replacement,” J. Vasc. Surg., Vol. 63, Issue 5, Pages 1272-1278, 2016.
- 29. O. Butskiy, B. Mistry, and N. K. Chadha, “Surgical interventions for pediatric unilateral vocal cord paralysis: A systematic review,”., Vol. 141, Issue 7, Pages 654-660, 2015.
- 30. W. C. Lin et al., “Radiofrequency ablation for treatment of thyroid follicular neoplasm with low SUV in PET/CT study,” Int. J. Hyperth., Vol. 38. Issue 1, Pages 963-969, 2021.
- 31. J. Xiao, M. Su, and D. Wang, “Endotracheal, Endobronchial, and Vocal Cords Metastases from Lung Cancer Detected by 18F-FDG PET/CT,” Clin. Nucl. Med., Vol. 46, Issue 3, Pages 225-226, 2021.
- 32. T. Uslar et al., “Papillary thyroid carcinoma presenting with pancreatic metastases. Report of one case,” Rev. Med. Chil., Vol. 148, Issue 7, Pages 1025-1030, 2020.
- 33. E. Tseros, F. Riffat, C. E. Palme, H. G. Coleman, and N. P. Singh, “Neville Wran’s voice: How the premier’s teflon-coated vocal cords came unstuck,” Med. J. Aust., Vol. 207, Issue 11, Pages 468-470, 2017.
- 34. R. B. Lewy and D. Millet, “Immediate local tissue reactions to teflon vocal cord implants,” Laryngoscope, Vol. 88, Issue 8, Pages 1339-1342, 1978.
- 35. W. Prasong, P. Muanchan, A. Ishigami, S. Thumsorn, T. Kurose, and H. Ito, “Properties of 3D Printable Poly(lactic acid)/Poly(butylene adipate-co-terephthalate) Blends and Nano Talc Composites,” J. Nanomater., Vol. 2020, Pages 16, 2020.
- 36. S. Zhang, Y. Liang, X. Qian, D. Hui, and K. Sheng, “Pyrolysis kinetics and mechanical properties of poly(lactic acid)/bamboo particle biocomposites: Effect of particle size distribution,” Nanotechnol. Rev., Vol. 9, Issue 1, Pages 524-533, 2020.
- 37. L. Zichen and Y. Baoqing, “Development prospect and research value of biodegradable poly(Lactic acid) for bone repair,” Chinese Journal of Tissue Engineering Research. Vol. 25, Issue 34, Pages 5552-5560, 2021.
- 38. L. Avérous, “Polylactic Acid : Synthesis, Properties and Applications,” Synthesis (Stuttg)., Pages 433-450, 2008.
- 39. M. Todo and T. Takayama, “Fracture Mechanisms of Biodegradable PLA and PLA/PCL Blends,” Biomater. - Phys. Chem., Pages 375–394, 2011.
- 40. D. Garlotta, “A Literature Review of Poly(Lactic Acid),” J. Polym. Environ., Vol. 9, Issue. 2, Pages 63–84, 2001.
- 41. G. P. Bernardes, N. da Rosa Luiz, R. M. C. Santana, and M. M. de Camargo Forte, “Influence of the morphology and viscoelasticity on the thermomechanical properties of poly(lactic acid)/thermoplastic polyurethane blends compatibilized with ethylene-ester copolymer,” J. Appl. Polym. Sci., Vol 137, Issue 2, 2020.
- 42. R. Donate, M. Monzón, M. E. Alemán-Domínguez, and Z. Ortega, “Enzymatic degradation study of PLA-based composite scaffolds,” Rev. Adv. Mater. Sci., Vol. 59, Issue 1, Pages 170-175, 2020.
- 43. Q. Wang et al., “Kinetic thermal behavior of nanocellulose filled polylactic acid filament for fused filament fabrication 3D printing,” J. Appl. Polym. Sci., Vol. 137, Issue 7, 2020.
- 44. S. Shen, K. Kopitzky, T. Sengül, K. Stephan, “Polylactide (PLA) and Its Blends with Poly(butylene succinate) (PBS): A Brief Review,” Polymers, Vol. 11, Issue 7, Pages 1193, 2019.
- 45. J. A. Afonso, J. L. Alves, G. Caldas, B. P. Gouveia, L. Santana, and J. Belinha, “Influence of 3D printing process parameters on the mechanical properties and mass of PLA parts and predictive models,” Rapid Prototyp. J., Vol. 27, Issue 3, 2021.
- 46. R. Revati, M. S. Abdul Majid, M. J. M. Ridzuan, M. Normahira, N. F. Mohd Nasir, and E. M. Cheng, “Biodegradation of PLA-Pennisetum purpureum based biocomposite scaffold,”Vol. 908, Issue 1, 2017.
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