Üç boyutlu yazıcının kraniyosinostoz cerrahisine katkıları

Abstract

Amaç: Kraniosinostoz ameliyatında ameliyat süresinin kısaltılması ve kan kaybının en aza indirilmesi esastır. Günümüzde üç boyutlu yazıcıların ve biyoyazıcıların kullanımı artıyor ve bu makale bu teknolojinin kraniyosinostoz cerrahisindeki etkisini araştırmayı amaçlıyor. Gereç ve yöntem: Açık kraniyosinostoz ameliyatı geçiren hastaların dosyaları incelendi. 3D baskılı preoperatif modellemenin yapılmadığı grup Grup 1 (5 hasta), 3D baskılı preoperatif modellemenin yapıldığı grup ise Grup 2 (12 hasta) olarak belirlendi. Tüm olguların dosyaları retrospektif olarak incelendi ve eritrosit replasman ihtiyaçları, operasyon süreleri ve demografik bilgileri dikkate alınarak karşılaştırıldı. Bulgular: 1. grupta yaş ortalaması 13,70 ay, 2. grupta ise yaş ortalaması 9,1 ay oldu. Ortalama ES replasman hacmi birinci grupta 190 mL iken, ikinci grupta 142 mL idi. Ameliyat öncesi 3D baskılı modelleme yapılan olgularda eritrosit replasman ihtiyacının daha az olduğu görüldü. Ayrıca ortalama ameliyat süresi 1. grupta 3,3 saat iken 2. grupta 2,4 saatti. Ortalama takip süresi birinci grupta 2,37 yıl, ikinci grupta ise 2,05 yıldı. Hiçbir olgumuzda komplikasyon gelişmedi. Sonuç: Bu çalışma, üç boyutlu yazıcı kullanılarak yapılan ameliyat öncesi modellemenin ameliyat süresini kısalttığını ve daha az kan nakli gerektirdiğini göstermektedir.

Keywords

• Kraniosinostoz
• pediatri
• cerrahi

Project Number

2011-KAEK-25 2023/12-22

Contributions of the three-dimensional printer to craniosynostosis surgerys

Abstract

Purpose: In craniosynostosis surgery, it is essential to reduce the duration of the operation and minimize blood loss. Currently, the use of three-dimensional printers and bioprinters is on the rise, and this article aims to investigate the impact of this technology on craniosynostosis surgery. Materials and methods: The files of patients who underwent open craniosynostosis surgery were examined. The group without 3D-printed preoperative modeling was designated as Group 1 (5 patients), and the group with 3D-printed preoperative modeling was designated as Group 2 (12 patients). The files of all cases were retrospectively reviewed and compared, focusing on their erythrocyte replacement needs, operation durations, and demographic information. Results: The average age in the 1st group was 13.70 months, and the average age in the 2nd group was 9.1 months. While the average volume of ES replacement was 190 mL in the first group, it was 142 mL in the second group. The need for erythrocyte replacement was found to be less in cases with 3D-printed preoperative modeling. Additionally, while the mean operation duration was 3.3 hours in the 1st group, it was 2.4 hours in the 2nd group. The average follow-up period was 2.37 years in the second group. No complications developed in any of our cases. Conclusion: This study demonstrates that preoperative modeling using a three-dimensional printer reduces the duration of surgery and requires fewer blood transfusions.

Keywords

• Craniosynostosis
• pediatrics
• surgery

Supporting Institution

Bursa Yuksek Ihtisas Training and Research Hospital

Project Number

2011-KAEK-25 2023/12-22

Ethical Statement

The Medical Research Ethics Committee of Bursa Yuksek Ihtisas Training and Research Hospital (2011-KAEK-25 2021/05-14)

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