Application of 3D printing technology in reconstruction and fixation of mxillofacial fracture / 中国基层医药

ABSTRACT

Objective:To explore the application value of 3D printing and image inversion in the reduction and fixation of jaw fracture.Methods:A retrospective analysis was conducted in 28 patiens with jaw fracture who had treated by internal fixation of jaw bone in Department of Stomatology, the Second People's Hospital of Lianyungang from January 2018 to Junr 2019.There were 18 males and 10 females.The patients were divided into two groups according to whether they used 3D printing technology to assist surgery.The observation group(15 patients) used 3D printing technology to assist surgery after obtaining 3D CT images.The 13 patients in the control group were operated only with the assistance of three-dimensional reconstruction of CT scan.The operation time, intraoperative bleeding, hospitalization time and postoperative complications were compared between the two groups.Results:All patients were followed-up for 6-12 months, with an average follow-up of 9.8 months.The observation group had significantly shorter operation time[(76.08±5.02)min] and hospital stay[(12.36±1.39)d], less intraoperative blood loss[(81.23±6.12)mL] compared with the control group[(99.12±3.18)min, (16.45±3.27)d, (130.68±3.78)mL]( t=5.324, 3.135, 9.798, all P<0.01). There were no statistically significant differences in the incidences of joint adhesion and incision infection between the two groups (all P>0.05). Conclusion:3D printing technology can achieve preoperative design, surgical simulation and internal fixation of titanium plate precise shape, effectively improve the accuracy and safety of jaw fracture reduction, greatly shorten the operation time.