A three-dimensional (3D) printed paediatric trachea for airway management training

Carter, Jane C; Broadbent, James C.; Murphy, Ella C; Guy, Bernard; Baguley, Katherine; Young, Jeremy S

doi:10.1177/0310057x20925827

Cited by 7 publications

(4 citation statements)

References 11 publications

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“…Simulation training is not novel in otolaryngology and has been particularly prominent in the otology and rhinology subspecialities, where several studies have demonstrated the positive impacts of simulation models on mastoidectomy and skull base procedures in surgical training [22,23]. This is also reflected in the utilization of 3D printed models for pediatric airway management and laryngeal surgery [24][25][26][27]. The use of simulation models in head and neck oncology has, however, not been as readily adopted.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a 3D Printed Silicone Oral Cavity Cancer Model for Surgical Simulations

Eu,

Daly,

Taboni

et al. 2024

JPM

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Adequate surgical margins are essential in oral cancer treatment, this is, however, difficult to appreciate during training. With advances in training aids, we propose a silicone-based surgical simulator to improve training proficiency for the ablation of oral cavity cancers. A silicone-based tongue cancer model constructed via a 3D mold was compared to a porcine tongue model used as a training model. Participants of varying surgical experience were then asked to resect the tumors with clear margins, and thereafter asked to fill out a questionnaire to evaluate the face and content validity of the models as a training tool. Eleven participants from the Otolaryngology-Head and Neck Surgery unit were included in this pilot study. In comparison to the porcine model, the silicone model attained a higher face (4 vs. 3.6) and content validity (4.4 vs. 4.1). Tumor consistency was far superior in the silicone model compared to the porcine model (4.1 vs. 2.8, p = 0.0042). Fellows and staff demonstrated a better margin clearance compared to residents (median 3.5 mm vs. 1.0 mm), and unlike the resident group, there was no incidence of positive margins. The surgical simulation was overall useful for trainees to appreciate the nature of margin clearance in oral cavity cancer ablation.

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Section: Discussionmentioning

confidence: 99%

Evaluation of a 3D Printed Silicone Oral Cavity Cancer Model for Surgical Simulations

Eu,

Daly,

Taboni

et al. 2024

JPM

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“…Specifically, it can directly replicate anatomical structures from medical images into functional anatomical simulators. Moreover, it can combine realistic tactile feedback, repeatability, and the potential for patient-specific pathology modifications [ 184 ]. Finally, it provides training opportunities for anesthesiologists to improve their proficiency in anesthesia operations.…”

Section: Research and Application Of 3d Printing In The Anesthesia Fieldmentioning

confidence: 99%

“…Accordingly, the risks related to airway control operations differ among patients. Three-dimensional printing is customized for airway planning in different populations, including infants [ 186 ], pediatric patients [ 184 , 187 , 188 ], and adult patients, even in specific cases involving congenital or acquired craniofacial anomalies [ 15 ], difficult airway intubation [ 189 ], cricothyroid puncture [ 190 ], thoracic puncture [ 180 ], thoracic epidural analgesia [ 191 ], or control of combined lumbar and epidural anesthesia planes.…”

Section: Research and Application Of 3d Printing In The Anesthesia Fieldmentioning

confidence: 99%

Application of Advanced Technologies—Nanotechnology, Genomics Technology, and 3D Printing Technology—In Precision Anesthesia: A Comprehensive Narrative Review

Gu,

Luo,

Wen

et al. 2023

Pharmaceutics

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There has been increasing interest and rapid developments in precision medicine, which is a new medical concept and model based on individualized medicine with the joint application of genomics, bioinformatics engineering, and big data science. By applying numerous emerging medical frontier technologies, precision medicine could allow individualized and precise treatment for specific diseases and patients. This article reviews the application and progress of advanced technologies in the anesthesiology field, in which nanotechnology and genomics can provide more personalized anesthesia protocols, while 3D printing can yield more patient-friendly anesthesia supplies and technical training materials to improve the accuracy and efficiency of decision-making in anesthesiology. The objective of this manuscript is to analyze the recent scientific evidence on the application of nanotechnology in anesthesiology. It specifically focuses on nanomedicine, precision medicine, and clinical anesthesia. In addition, it also includes genomics and 3D printing. By studying the current research and advancements in these advanced technologies, this review aims to provide a deeper understanding of the potential impact of these advanced technologies on improving anesthesia techniques, personalized pain management, and advancing precision medicine in the field of anesthesia.

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“…We have previously published the use of a 3D printed paediatric trachea for use in airway management training. 7 By further refining our existing technology, we have produced a 3D printed adult trachea incorporating the ability to emulate dynamic pathologies. Adaptation of this has the potential to simulate normal cardiorespiratory movement within the airways.…”

Section: Introductionmentioning

confidence: 99%

Dynamic three-dimensional printing: The future of bronchoscopic simulation training?

Broadbent

et al. 2023

Anaesth Intensive Care

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High-fidelity models are required for technical mastery of bronchoscopic procedures in the fields of anaesthesia, intensive care, surgery and respiratory medicine. Our group has created a three-dimensional (3D) airway model prototype to emulate physiological and pathological movement. Developed from the concepts of our previously described 3D printed paediatric trachea for airway management training, this model produces movements created by injection of air or saline through a side Luer Lock port. The anaesthesia and intensive care applications of the model could include bronchoscopic navigation through narrow pathologies and simulated bleeding tumours. It also has the potential to be used to practice placement of a double-lumen tube and broncho-alveolar lavage among other procedures. For surgical training, the model has high tissue realism and allows for rigid bronchoscopy. The novel and high-fidelity 3D printed airway model with dynamic pathologies represents capability to provide both generic and patient-specific advancement for all modes of anatomical representation. The prototype illustrates the potential of combining the fields of industrial design with clinical anaesthesia.

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A three-dimensional (3D) printed paediatric trachea for airway management training

Cited by 7 publications

References 11 publications

Evaluation of a 3D Printed Silicone Oral Cavity Cancer Model for Surgical Simulations

Evaluation of a 3D Printed Silicone Oral Cavity Cancer Model for Surgical Simulations

Application of Advanced Technologies—Nanotechnology, Genomics Technology, and 3D Printing Technology—In Precision Anesthesia: A Comprehensive Narrative Review

Dynamic three-dimensional printing: The future of bronchoscopic simulation training?

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