Computer-Aided Design and 3D Printing to Produce a Costal Cartilage Model for Simulation of Auricular Reconstruction

利用计算机辅助设计和3D打印技术制作肋软骨模型,用于模拟耳廓重建

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Abstract

OBJECTIVES: To demonstrate use of computer aided design and 3D printing in creating simulated costochondral cartilage to practice creation of auricular frameworks. To identify a material that most closely simulates cartilage. METHODS: The costal cartilage of a free floating rib with adjacent synchondrosis was digitally segmented from a CT scan using medical imaging software. The resulting 3D mesh model was exported to 3D modeling software. A negative model was constructed using mesh Boolean and 3D printed. The resulting mold was filled with vinyl polysiloxane or a mixture of silicone and cornstarch to produce the final model for framework carving. Microtia surgeons rated the models’ carving and suturing characteristics relative to human cartilage on a Likert scale. RESULTS: An accurate reproduction of patient specific costal cartilage was produced. The composition material produced a texture and firmness similar to human cartilage. Likert ratings are reported. DISCUSSION: This study demonstrates a low cost, readily reproducible tool to simulate auricular reconstruction. There may be benefit from use of a patient specific costal cartilage model.

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