Three dimensional printed models of the airway for preoperative planning of open Laryngotracheal surgery in children: Surgeon’s perception of utility

Journal of Otolaryngology - Head & Neck Surgery

Narin Carmel-Neiderman¹  Yael Oestreicher-Kedem²  Ophir Handzel²  Maher Saada³  Oshri Wasserzug⁴  Ari DeRowe⁴  Gadi Fishman⁴  Eran Golden⁵  Philip Berman⁵  Solomon Dadia⁶ 

[1] Department of Otolaryngology, Head & Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel;Department of Otolaryngology, Head & Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel;Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel;Pediatric Otolaryngology Unit, Dana-Dwek Children’s Hospital, Tel Aviv Sourasky Medical Center, 6 Weizman Street, 6423906, Tel Aviv, Israel;Pediatric Otolaryngology Unit, Dana-Dwek Children’s Hospital, Tel Aviv Sourasky Medical Center, 6 Weizman Street, 6423906, Tel Aviv, Israel;Department of Otolaryngology, Head & Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel;Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel;The Surgical 3D Printing Lab, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel;The Surgical 3D Printing Lab, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel;Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel;

关键词: Subglottic stenosis;    Likert scale;    Three-dimensional printing;    Direct laryngoscopy;    Laryngotracheal reconstruction;   

DOI  :  10.1186/s40463-021-00524-y

来源: Springer

【 摘 要 】

BackgroundPreoperative planning of open laryngotracheal surgery is important for achieving good results. This study examines the surgeon’s perception of the importance of using life size 3D printed models of the pediatric airway on surgical decision making.MethodsLife-size three-dimensional models of the upper airway were created based on CT images of children scheduled for laryngotracheal-reconstruction and cricotracheal resection with anastomosis. Five pediatric airway surgeons evaluated the three-dimensional models for determining the surgical approach, incision location and length, graft length, and need for single or double-stage surgery of seven children (median age 4.4 years, M:F ratio 4:3). They rated the importance of the three-dimensional model findings compared to the direct laryngoscopy videos and CT findings for each domain on a validated Likert scale of 1–5.ResultsThe mean rating for all domains was 3.6 ± 0.63 (“moderately important” to “very important”), and the median rating was 4 (“very important”). There was full agreement between raters for length of incision and length of graft. The between-rater agreement was 0.608 (“good”) for surgical approach, 0.585 (“moderate”) for incision location, and 0.429 (“moderate”) for need for single- or two-stage surgery.ConclusionPatient-specific three-dimensional printed models of children’s upper airways were scored by pediatric airway surgeons as being moderately to very important for preoperative planning of open laryngotracheal surgery. Large–scale, objective outcome studies are warranted to establish the reliability and efficiency of these models.Graphical abstract

【 授权许可】

CC BY