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Rapid Manufacturing of Customized Surgical Cutting Guide for the Accurate Resection of Malignant Tumour in the Mandible

  • Sandeep W. DahakeEmail author
  • Abhaykumar M. Kuthe
  • Mahesh B. Mawale
  • Ashutosh D. Bagde
Chapter
  • 7k Downloads

Abstract

A case report of malignant tumour in mandible is discussed in this paper. The innovative rapid prototyping (RP) assisted customized surgical cutting guide (CSCG) has developed for the accurate resection of the malignant tumour in the mandible. Computer tomography (CT) scan data in DICOM format is utilized for the development of CSCG. Mimics 14.11 used for image processing to develop diseased model. 3Matics 6.0 software is used for the virtual surgical planning (VSP) and computer-aided design (CAD) of customized implant and CSCG. Finally, CSCG developed by using fused deposition modelling (FDM), a technique of rapid prototyping (RP) in ABS material. The testing of the RP assisted CSCG was performed by mutually fixing it on the patient’s diseased model developed by the same RP. This paper describes the novel methodology for the development of the RP assisted CSCG and its application to accurately resect the malignant tumour in the mandible. This approach shows good results in designing and manufacturing of the CSCG. Using advanced tools like VSP, CAD and RP, manufacturing of CSCG for the accurate resection of tumour and placement of customized implant may possible easily in actual surgery.

Keywords

Virtual surgical planning Computer-aided design Rapid prototyping Customized surgical cutting guide 

References

  1. 1.
    Arora A, Datarkar A, Borle R, Rai A, Advani D (2013) Custom made implant for maxillofacial defects using rapid prototype models. J Oral Maxillofac Surg 71:e104–e110CrossRefGoogle Scholar
  2. 2.
    Cansiz E, Arslan Y, Turan F, Atalay B (2013) Design and production of a novel computer assisted patient specific sagittal split osteotomy guide and soft tissue retractor. J Med Biol EngGoogle Scholar
  3. 3.
    Dérand P, Rännar L, Hirsch J (2012) Imaging, virtual planning, design, and production of patient-specific implants and clinical validation in craniomaxillofacial surgery. Craniomaxillofacial Trauma Reconstruct 5(3):137–144CrossRefGoogle Scholar
  4. 4.
    Fantini M, Crescenzio F, Ciocca L (2013) Design and manufacturing of customized surgical devices for mandibular rehabilitation. Int J Interact Des Manuf 7:227–237CrossRefGoogle Scholar
  5. 5.
    Hsu S, Gateno J, Bell R, Hirsch D, Markiewicz M, Teichgraeber J, Zhou X, Xia J (2013) Accuracy of a computer-aided surgical simulation protocol for orthognathic surgery: A prospective multicenter study. J Oral Maxillofac Surg 71:128–142CrossRefGoogle Scholar
  6. 6.
    Logan H, Wolfaardt J, Boulanger P, Hodgetts B, Seikaly H (2013) Exploratory benchtop study evaluating the use of surgical design and simulation in fibula free flap mandibular reconstruction. J Otolaryngol—Head Neck Surgery 42(42):1–9Google Scholar
  7. 7.
    Lu S, Zhang Y, Shi J, Chen Y, Xu X (2012) Accuracy and efficacy of thoracic pedicle screws in scoliosis with patient-specific drill template. Med Biol Eng Comput 50:751–758CrossRefGoogle Scholar
  8. 8.
    Oliveira M, Hussain N, Dias A, Lopes M, Azevedo L, Zenha H, Costa H, Santos J (2008) 3-D biomodelling technology for maxillofacial reconstruction. Mater Sci Eng, C 28:1347–1351CrossRefGoogle Scholar
  9. 9.
    Polley J, Figueroa A (2013) Orthognathic positioning system: intraoperative system to transfer virtual surgical plan to operating field during orthognathic surgery. J Oral Maxillofac Surg 71(5):911–920CrossRefGoogle Scholar
  10. 10.
    Schepers R, Raghoebar G, Lahoda L, Meer W, Roodenburg J, Vissink A, Reintsema H, Witjes M (2012) Full 3-D digital planning of implant-supported bridges in secondary mandibular reconstruction with prefabricated fibula free flaps. Head Neck Oncol 4(2):1–6Google Scholar

Copyright information

© Springer Science+Business Media Singapore 2017

Authors and Affiliations

  • Sandeep W. Dahake
    • 1
    Email author
  • Abhaykumar M. Kuthe
    • 1
  • Mahesh B. Mawale
    • 1
  • Ashutosh D. Bagde
    • 1
  1. 1.Mechanical Engineering DepartmentVNITNagpurIndia

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