Three-dimensional printing in resection of skull base tumors
10.3760/cma.j.issn.1671-8925.2018.10.009
- VernacularTitle:3D打印技术在颅底肿瘤切除术中的临床应用
- Author:
Haijun XIA
1
;
Yang YANG
;
Yuping DENG
;
Tiejian LIU
;
Lijin HUANG
;
Wenhua HUANG
Author Information
1. 510515广州,南方医科大学基础医学院,广东省医学3D打印应用转化工程技术研究中心
- Keywords:
Three-dimensional printing;
Tumor of base of skull;
Tumor resection
- From:
Chinese Journal of Neuromedicine
2018;17(10):1019-1023
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of three-dimensional (3D) printing in skull base tumor resection.Methods Fourteen patients accepted resection of skull base tumors in our hospital from May 2016 to November 2017 were chosen in our study;before surgery,solid models of the tumors,having bones of the skull base,tumor tissues and main blood supply arteries,were established by 3D printing;resection was simulated in these models and the surgical approaches and surgical methods were determined accordingly.The disease history,preoperative and postoperative imaging data were analyzed retrospectively.Results The mean time for making a solid model of the tumors was 18.5 h,and the cost was about 5,000 Yuan.Postoperative CT and MR imaging showed that total excision was achieved in 8 patients,subtotal excision was achieved in 5 patients,and one with tumor of the jugular foramen achieved total excision of the intracranial tumor and subtotal excision of the extracranial tumor.One patient had large hemispheric infarction after operation and decompressive craniectomy was performed;the other 13 patients recovered well without serious complications or death.Conclusion The 3D printing technique can assist the preoperative simulation and formulation of skull base tumor resection,and improve the efficiency and safety of the operation.