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Feasibility and potential of three-dimensional printing in laryngotracheal stenosis

Published online by Cambridge University Press:  24 June 2019

Z Richard ,
E Jackson ,
J P Jung  and
S P Kanotra
Z Richard
Affiliation:
Louisiana State University Health Sciences Center New Orleans School of Medicine, New Orleans, USA
E Jackson
Affiliation:
Department of Pediatric Otolaryngology, Louisiana State University, Children's Hospital New Orleans, USA
J P Jung
Affiliation:
Department of Biological Engineering, Louisiana State University, Baton Rouge, USA
S P Kanotra*
Affiliation:
Department of Pediatric Otolaryngology, Louisiana State University, Children's Hospital New Orleans, USA
*
Author for correspondence: Dr Sohit Paul Kanotra, Assistant Professor, Department of Otolaryngology-Head & Neck Surgery, University of Iowa Hospitals & Clinics, Iowa City, Iowa E-mail: sohit-kanotra@uiowa.edu Fax: 319 356 4547
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Abstract

Background

The use of three-dimensional printing has been rapidly expanding over the last several decades. Virtual surgical three-dimensional simulation and planning has been shown to increase efficiency and accuracy in various clinical scenarios.

Objectives

To report the feasibility of three-dimensional printing in paediatric laryngotracheal stenosis and discuss potential applications of three-dimensional printed models in airway surgery.

Method

Retrospective case series in a tertiary care aerodigestive centre.

Results

Three-dimensional printing was undertaken in two cases of paediatric laryngotracheal stenosis. One patient with grade 4 subglottic stenosis with posterior glottic involvement underwent an extended partial cricotracheal reconstruction. Another patient with grade 4 tracheal stenosis underwent tracheal resection and end-to-end anastomosis. Models of both tracheas were printed using PolyJet technology from a Stratasys Connex2 printer.

Conclusion

It is feasible to demonstrate stenosis in three-dimensional printed models, allowing for patient-specific pre-operative surgical simulation. The models serve as an educational tool for patients’ understanding of the surgery, and for teaching residents and fellows.

Keywords

3D PrintingStenosisAirway ManagementAirway ObstructionChildrenTracheaSurgerySimulation Training
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 6 , June 2019 , pp. 530 - 534
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr S P Kanotra takes responsibility for the integrity of the content of the paper

Presented orally at the American Society of Pediatric Otolaryngology Annual Meeting, 18–20 May 2017, Austin, Texas, USA.

References

1Gross, BC, Erkal, JL, Lockwood, SY, Chen, C, Spence, DM. Evaluation of 3D printing and its potential impact on biotechnology and the chemical sciences. Anal Chem 2014;86:3240–53Google Scholar
2Kaye, R, Goldstein, T, Zeltsman, D, Grande, DA, Smith, LP. Three dimensional printing: a review on the utility within medicine and otolaryngology. Int J Pediatr Otorhinolaryngol 2016;89:145–8Google Scholar
3Zopf, DA, Flanagan, CL, Wheeler, M, Hollister, SJ, Green, GE. Treatment of severe porcine tracheomalacia with a 3-dimensionally printed, bioresorbable, external airway splint. JAMA Otolaryngol Head Neck Surg 2014;140:66–71Google Scholar
4Balakrishnan, K, Cofer, S, Matsumoto, JM, Dearani, JA, Boesch, RP. Three-dimensional printed models in multidisciplinary planning of complex tracheal reconstruction. Laryngoscope 2017;127:967–70Google Scholar
5Tack, P, Victor, J, Gemmel, P, Annemans, L. 3D-printing techniques in a medical setting: a systematic literature review. Biomed Eng Online 2016;15:115Google Scholar
6Itagaki, MW. Using 3D printed models for planning and guidance during endovascular intervention: a technical advance. Diagnostic Interv Radiol 2015;21:338–41Google Scholar
7Hermsen, JL, Burke, TM, Seslar, SP, Owens, DS, Ripley, BA, Mokadam, NA et al. Scan, plan, print, practice, perform: development and use of a patient-specific 3-dimensional printed model in adult cardiac surgery. J Thorac Cardiovasc Surg 2017;153:132–40Google Scholar
8Crafts, T, Ellsperman, S, Wannemuehler, T, Bellicchi, T, Shipchandler, T, Mantravadi, A. Three-dimensional printing and its applications in otorhinolaryngology–head and neck surgery. Otolaryngol Head Neck Surg 2016;156:999–1010Google Scholar
9Han, Y, Yang, S, Huang, W, Wang, Z, Li, H. A Hem-o-Lok-induced tracheoesophageal fistula cured by temporary airway stenting modified with three-dimensional printing. Ann Thorac Surg 2018;106:219–21Google Scholar
10Doucet, G, Ryan, S, Bartellas, M, Parsons, M, Dubrowski, A, Renouf, T. Modelling and manufacturing of a 3D printed trachea for cricothyroidotomy simulation. Cureus 2017;9:e1575Google Scholar
11Parotto, M, Jiansen, JQ, AboTaiban, A, Ioukhova, S, Agzamov, A, Cooper, R et al. Evaluation of a low-cost, 3D-printed model for bronchoscopy training. Anaesthesiol Intensive Ther 2017;49:189–97Google Scholar
12Chen, F-L, Horng, T-L, Shih, T-C. Simulation analysis of airflow alteration in the trachea following the vascular ring surgery based on CT images using the computational fluid dynamics method. J Xray Sci Technol 2014;22:213–25Google Scholar
13Taniguchi, D, Matsumoto, K, Tsuchiya, T, Machino, R, Takeoka, Y, Elgalad, A et al. Scaffold-free trachea regeneration by tissue engineering with bio-3D printing. Interact Cardiovasc Thorac Surg 2018;26:745–52Google Scholar
14Zdanski, C, Davis, S, Hong, Y, Miao, D, Quammen, C, Mitran, S et al. Quantitative assessment of the upper airway in infants and children with subglottic stenosis. Laryngoscope 2016;126:1225–31Google Scholar