Upload
rising-media-inc
View
287
Download
1
Embed Size (px)
Citation preview
3D Printing in Aesthetic & Reconstructive Plastic Surgery
OREN M. TEPPER, MD
Director of Craniofacial Surgery Director of Aesthetic Surgery
Assistant Professor of Plastic SurgeryAlbert Einstein College of Medicine. Montefiore Medical Center
Conflicts of Interest
• Consultant for Stryker CMF • Shareholder 3DSystems• Shareholder Mirrorme3D
Value of 3D Printing in Healthcare
3D PRINTING
Personalization - Customization
Productivity
Collaboration Innovation
Cost Efficiency
IMAGE ACQUISITION
IMAGE PROCESSING
PRINTING / RAPID PROTOTYPING
PHASES OF 3D PRINTING
• CT/MRI• Stereo-
photogrammetry• Virtual design
• Segmentation• CAD-CAM
• Selective Laser Sintering (SLS)
• Fuse small particles of plastic, metal, ceramic
• Fused Deposition Modeling (FDM)
• Stereolithography (SLA)Liquid photopolymer cured by a UV laser
• Data capture• Internal
– CT scan – MRI– ICAT
• External – Stereophotogrammetry– Structured light– Laser scanner
IMAGE ACQUISITION
• Data capture• Internal
– CT scan – MRI– ICAT
• External – Stereophotogrammetry– Structured light– Laser scanner
IMAGE ACQUISITION
• Data capture• Internal
– CT scan – MRI– ICAT
• External – Stereophotogrammetry– Structured light– Laser scanner
IMAGE ACQUISITION
• Data capture• Internal
– CT scan – MRI– ICAT
• External – Stereophotogrammetry– Structured light– Laser scanner
IMAGE ACQUISITION
POSSIBILITIES
Anatomic Models
REFERENCES
Educational Models
Drug Delivery Devices
GUIDES
Surgical Guide
EXTERNAL DEVICES
Prosthetics
Splints - Dressings
IMPLANTS
Bone / Skull Plates
Tissues / Organs
PERSONAL EVOLUTION OF 3D PRINTING
EVOLUTION OF 3D
3D CT Scan 3D Model OR ReferencePlanning
session
EVOLUTION OF 3D
Virtual Guides / Models
Surgical Simulation
Surgical Guides / Jigs
LOWER JAW RECONSTRUCTION
VIRTUAL PLANNING
JOMFS: 2009
Craniofacial Applications
Facial trauma
Cranial defects Orthognathic
Distraction
FOA/CVR
Complex - Unusual
FACIAL FRACTURES
Fracture reduction and establish occlusion
Phase 1- Virtual Planning
Phase 2 - Modeling
Bandeau jig
Orbito-zygomatic jig
Bone graft template
Splint
Bandeau jig
Orbito-zygomatic jig
Bone graft template
Splint
Phase 3 - Surgical
CRANIOFACIAL DISTRACTION
Mandibular Distraction
Virtual Surgery
Preop Postop – 10 months
\
CRANIAL VAULT REMODELING
Preop – with Osteotomies Virtual – New Position
EXPANDING USE IN FIELD
Reconstructive Aesthetic
Value of 3D Printing in Aesthetic Surgery
A paradigm shift
3D printing offers a complete paradigm shift in the plastic surgery experience.
3D printing in plastic surgery
• MirrorMe3D is the first company in the world to bring 3D printing to cosmetic surgery
• Potential impact in cosmetic surgery far exceeds that of reconstructive surgery
Cosmetic
Value of 3D printing in cosmetic surgery
3D prints provide accurate and tactile models available to the
surgeon during surgery
Plastic surgeons rely on standard 2D photos taped to the operating room wall as a reference during
surgery
Standard Approach
+ 3D Printing
• Magazine clips (unrealistic expectations)• Photos of previous patients (poor match)• Hand held mirror (limited views)
• See the real you from all angles• Simulate surgical results • See other actual results in 3D
Operating Room
Office Consultation
Baseline 3D Prints
Simulated 3D Prints
AFTERBEFORE
Media response to MM3D
Business Medicine TechnologyMass Media
Physician products
• Marketing/conversion• Align goals
• Baseline • Simulation
• Standard patients• Existing patients
OR References 3D Displays Consultation Prints
Conclusion
• 3D printing in healthcare is here to stay• Has unique value in Plastic surgery
THANK YOU