ABSTRACT
INTRODUCTION: When deployed abroad, military surgeons frequently have to deal with casualties involving head trauma. The emergency treatments, as well as craniotomies, are often performed by non-neurosurgeons qualified with basic neurotraumatological skills. Previous neurotrauma courses for education of non-neurosurgeons in Germany teach surgical emergency skills but do not include the training of skills needed to successfully utilize imaging in surgical planning, which is of importance for the safety and success of the treatment. To overcome these limitations, 3D printed models of neurotrauma cases were fabricated for application in the training of non-neurosurgeons. MATERIALS AND METHODS: Five models of actual neurotrauma cases from our neurosurgical department were segmented from CT scans and 3D printed using multi-part fused deposition modeling. Model quality was assessed with respect to the representation of pre-defined anatomical landmarks. The models were then fixed to a wooden mount with a central light source and covered by a latex mask for skin simulation. Surgical planning by means of craniometric measurements on the basis of available CT scans of the corresponding patients was then applied to the model. RESULTS: The 3D printed models precisely represented the cranium, the lesion, and anatomical landmarks, which are taken into consideration during surgical planning. Surface covering with washable latex masks ensured sufficient masking of the now non-noticeable lesion within the semi-translucent skull. Surgical planning was performed using washable marker drawings. When lighted, the otherwise non-visible lesion within the semi-translucent 3D printed craniums became visible and facilitated immediate success control for the course participants. CONCLUSION: The presented method provided a way to fabricate precise 3D models of neurotrauma cases, which are suitable to teach the application of medical imaging in surgical planning. For further benefit analysis, the application of the presented education tool needs to be investigated within a neurotrauma course.
Subject(s)
Military Personnel , Surgeons , Germany , Humans , Models, Anatomic , Printing, Three-Dimensional , Tomography, X-Ray ComputedABSTRACT
BACKGROUND: The COVID-19 pandemic has led to large-scale shutdowns in society. This resulted in global supply bottlenecks for medical protective equipment. The so-called Maker Movement recognized this emerging problem early on and, with the help of additive manufacturing (AM), began developing and manufacturing half masks or face shields as personal protective equipment (PPE). This knowledge has been made available in many places in form of open source product data, so that products could be adapted and improved, saving development time. METHODS: This production and innovation potential has been taken up and professionalized by the authors of this article. By means of a proof-of-principle we provide an overview of the possibility and successful unique introduction of a so-called professional "hybrid production" in a micro factory using 3D-printing at the place of greatest demand in a hospital by medical personnel to produce their own PPE. Furthermore the learning process and future benefits of on site 3D-printing are described. RESULTS: Our proof-of-principle successfully showed that the allocation of 3D-printing capabilities in the hospital infrastructure is possible. With assistance of the engineers, responsible for product design and development, the medical staff was able to produce PPE by means of AM. However, due to legal uncertainties and high material and production costs the usability is severely limited. CONCLUSIONS: The practical research showed that a complete implementation of the concept and the short-term establishment of a 3D-printing factory for the autonomous supply of a hospital with PPE was not feasible without further efforts. Nevertheless, it has enabled the medical staff to use AM technologies for future research approaches.
