TY - JOUR
T1 - Feasibility of 3D printed salivary duct models for sialendoscopic skills training
T2 - preliminary report
AU - Canzi, Pietro
AU - Capaccio, Pasquale
AU - Marconi, Stefania
AU - Conte, Giorgio
AU - Preda, Lorenzo
AU - Avato, Irene
AU - Aprile, Federico
AU - Gaffuri, Michele
AU - Occhini, Antonio
AU - Pignataro, Lorenzo
AU - Auricchio, Ferdinando
AU - Benazzo, Marco
PY - 2020
Y1 - 2020
N2 - 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.
AB - 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.
KW - 3D printing
KW - Learning curve
KW - MR sialography
KW - Sialendoscopy
KW - Training
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U2 - 10.1007/s00405-019-05763-4
DO - 10.1007/s00405-019-05763-4
M3 - Article
C2 - 31845035
AN - SCOPUS:85076896896
VL - 277
SP - 909
EP - 915
JO - European Archives of Oto-Rhino-Laryngology
JF - European Archives of Oto-Rhino-Laryngology
SN - 0937-4477
IS - 3
ER -