Anterolateral thigh perforator flap made by customized 3D-printing fabrication of fixed positioning guide for oromaxillofacial reconstruction:a preliminary study

Oromaxillofacial carcinomas frequently result in serious tissue defect due to enlarged resection for treating their extensive invasion, which require challenging reconstruction. Three-dimensional (3D) printing is an advanced technology which has greatly promoted the progress of craniomaxillofacial reconstructive surgery. This present study aimed to investigate the advantages of anterolateral thigh (ALT) perforator flap manufactured by 3D printing fixed positioning guide template in curing oromaxillofacial defect. Twenty patients with oromaxillofacial defects resulted from severe primary malignant tumors were divided into experimental group assisted by digital technique (n=8) and controlled group conventionally aided by ultrasound (n=12). The therapeutic effectiveness, flap preparation time, amount of bleeding, deviation of perforator vessel location, aesthetic satisfaction of donor site, postoperative complications, adverse symptom of flap, and LEFS scores were compared. For experimental group, flap preparation time was significantly shorter; and it has obviously less bleeding, minor deviation of perforator vessel location, and better aesthetic satisfaction of donor site (P.05). The study suggests 3D printing template of fixed positioning guide provides a brand-new method for orienting perforated vessels of ALT flap, which is more accurate in clinical application. It can improve the operative efficacy, and increase the successful rate of operation as well

Investigation of 3DP technology for fabrication of surgical simulation phantoms

The demand for affordable and realistic phantoms for training, in particular for functional endoscopic sinus surgery (FESS), has continuously increased in recent years. Conventional training methods, such as current physical models, virtual simulators and cadavers may have restrictions, including fidelity, accessibility, cost and ethics. In this investigation, the potential of three-dimensional printing for the manufacture of biologically representative simulation materials for surgery training phantoms has been investigated. A characterisation of sinus anatomical elements was performed through CT and micro-CT scanning of a cadaveric sinus portion. In particular, the relevant constituent tissues of each sinus region have been determined. Secondly, feedback force values experienced during surgical cutting have been quantified with an actual surgical instrument, specifically modified for this purpose. Force values from multiple post-mortem subjects and different areas of the paranasal sinuses have been gathered and used as a benchmark for the optimisation of 3D-printing materials. The research has explored the wide range of properties achievable in 3DP through post-processing methods and variation of printing parameters. For this latter element, a machine-vision system has been developed to monitor the 3DP in real time. The combination of different infiltrants allowed the reproduction of force values comparable to those registered from cadaveric human tissue. The internal characteristics of 3D printed samples were shown to influence their fracture behaviour under resection. Realistic appearance under endoscopic conditions has also been confirmed. The utilisation of some of the research has also been demonstrated in another medical (non-surgical) training application. This investigation highlights a number of capabilities, and also limitations, of 3DP for the manufacturing of representative materials for application in surgical training phantoms

Radiological Society of North America (RSNA) 3D printing Special Interest Group (SIG): Guidelines for medical 3D printing and appropriateness for clinical scenarios

Este número da revista Cadernos de Estudos Sociais estava em organização quando fomos colhidos pela morte do sociólogo Ernesto Laclau. Seu falecimento em 13 de abril de 2014 surpreendeu a todos, e particularmente ao editor Joanildo Burity, que foi seu orientando de doutorado na University of Essex, Inglaterra, e que recentemente o trouxe à Fundação Joaquim Nabuco para uma palestra, permitindo que muitos pudessem dialogar com um dos grandes intelectuais latinoamericanos contemporâneos. Assim, buscamos fazer uma homenagem ao sociólogo argentino publicando uma entrevista inédita concedida durante a sua passagem pelo Recife, em 2013, encerrando essa revista com uma sessão especial sobre a sua trajetória

Cycle Time Reduction in Additive Manufacturing using Peltier Thermoelectric Cooling Devices

Thermoelectric cooling and the Peltier effect were discovered in 1834, over 188 years ago. Additionally, the first iterations of additive manufacturing (i.e., 3D printing) began in the early 1980s, more than 40 years ago. Despite these technologies’ age and years of advancements, the application of Peltier cooling-based devices in additive manufacturing has not yet been realized. These devices can be used for the active thermal management of print beds in 3D printers. Developing a mechanism to heat and cool a print bed can reduce the cycle time to manufacture a part. In 3D printing, waiting for the heated bed to cool down before removing the part due to potential deformations and loss of finishing quality is best. Removing the part before the printer bed cools down can damage the print bed surface. Due to this time constraint, the automation and mass production of 3D-printed parts is substantially hindered. Using a thermoelectric cooling device, known as a Peltier cooler, a 3D printer bed could be cooled using the Peltier and Seebeck Effects by applying a voltage to the device. Furthermore, the Peltier cooler could serve as a dual-purpose device to heat the printer bed to the desired temperature. The result is a decrease in the total time to manufacture multiple parts additively

Digital Fabrication of Lower Limb Prosthetic Sockets

This innovation insight discusses current approaches to digital fabrication of lower limb prosthetics (LLP) sockets aimed at low resourced settings. Digital fabrication of LLPs sockets has been researched for a number of decades, yet these technologies are not widely adopted, and most of the activities within this domain reside in high-income settings. However, the majority of amputees are in LMICs where there is a severe lack of access to services. It is in LMICs then, that the advantages that digital technologies offer could be of particular benefit however little to no progress in digital workflow adoption has been made to date

A Review on the Application of 3D Printing Technology in Pavement Maintenance

To examine the application and significance of 3D printing technology in pavement maintenance engineering, a review of the current developments in principles, types, materials, and equipment for 3D printing was conducted. A comparison and analysis of traditional methods and 3D printing for asphalt pavement maintenance led to an investigation of 3D asphalt printing technologies and equipment. As a result, the following suggestions and conclusions are proposed: 3D printing technology can increase the level of automation and standardization of pavement maintenance engineering, leading to effective improvements in worker safety, climate adaptability, repair accuracy, etc. For on-site repair of cracks and minor potholes, utilizing material extrusion technology a mobile 3D asphalt printing robot with a screw extrusion device can be used for accuracy and flexibility. For efficient repair of varying cracks, material jetting technology with a UAV equipped with a 3D printing air-feeding device can be employed

3D Printing Technologies

The family of technologies collectively known as additive manufacturing (AM) technologies, and often called 3D-printing technologies, is rapidly revolutionizing industrial production. AM’s potential to produce intricate and customized parts starting from a digital 3D model makes it one of the main pillars for the forthcoming Industry 4.0. Thanks to its advantages over traditional manufacturing methodologies, AM finds potential applicability in virtually all production fields. As a natural consequence of this, research in this field is primarily focused on the development of novel materials and techniques for 3D printing. This Special Issue of Technologies, titled “3D Printing Technologies”, aims at promoting the latest knowledge in materials, processes, and applications for AM. It is composed of six contributions, authored by influential scientists in the field of advanced 3D printing. The intended audience includes professors, graduate students, researchers, engineers and specialists working in the field of AM