Skip to main content
SpringerLink
Log in

A Procedure for Cutting Guides Design in Maxillofacial Surgery: A Case-Study

  • Conference paper
  • First Online:
Advances on Mechanics, Design Engineering and Manufacturing II

Part of the book series: Lecture Notes in Mechanical Engineering ((LNME))

Abstract

Surgical interventions for jaw reconstruction require the design and the production of surgical guides that allow the surgeon to operate quickly and accurately. In some cases, the reconstruction is performed by inserting a prothesis, thus operating exclusively on the jaw, while in other cases the reconstruction is performed by withdrawing and inserting part of the fibula in place of the original jaw bone. This project aims to develop a procedure that allows 3D modeling of the surgical guides necessary for surgical intervention. The idea is to find a surgical guide archetype, a starting shape for the surgeon so that the cutting planes can be oriented without the surgical guide having to be redesigned from scratch for every single patient. The first step of the procedure is the segmentation, performed applying the thresholding operation on the images provided by magnetic resonance MR in order to identify the region of interest (ROI). The second step is the reconstruction of the 3D model, so that a mesh is obtained from 2D images. Subsequently the mesh is post-processed and the cutting plans along which the surgeon will intervene are defined.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    With an exact constraint all the 6 degrees of freedom of an object in the Cartesian space are locked.

References

  1. Yuan X, Xuan M, Tian W, Long J (2016) Application of digital surgical guides in mandibular resection and reconstruction with fibula flaps. Int J Oral Maxillofac Surg 45(11):1406–1409

    Article  Google Scholar 

  2. Tanaka N, Murata A, Yamaguchi A, Kohama G (1999) Clinical features and management of oral and maxillofacial tumors in children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88(1):11–15

    Article  Google Scholar 

  3. Rengier F, Mehndiratta A, Von Tengg-Kobligk H, Zechmann CM, Unterhinninghofen R, Kauczor HU, Giesel FL (2010) 3D printing based on imaging data: review of medical applications. Int J Comput Assist Radiol Surg 5(4):335–341

    Article  Google Scholar 

  4. Louvrier A, Marty P, Barrabé A, Euvrard E, Chatelain B, Weber E, Meyer C (2017) How useful is 3D printing in maxillofacial surgery? J Stomatol Oral Maxillofac Surg 118(4):206–212

    Article  Google Scholar 

  5. Canessa E, Fonda C, Zennaro M, Deadline N (2013) Low-‐cost 3D printing for science, education and sustainable development. Low-Cost 3D Printing 11

    Google Scholar 

  6. Dupret-Bories A, Vergez S, Meresse T, Brouillet F, Bertrand G (2017) Contribution of 3D printing to mandibular reconstruction after cancer. Eur Ann Otorhinolaryngol Head Neck Dis

    Google Scholar 

  7. Otsu N (1979) A threshold selection method from gray-level histograms. IEEE Trans Syst Man Cybern 9(1):62–66

    Article  Google Scholar 

  8. Ng HP, Ong SH, Foong KWC, Goh PS, Nowinski WL (2006) Medical image segmentation using k-means clustering and improved watershed algorithm. In: 2006 IEEE Southwest Symposium on Image Analysis and Interpretation, March 2006, pp 61–65

    Google Scholar 

  9. Muthukrishnan R, Radha M (2011) Edge detection techniques for image segmentation. Int J Comput Sci Inf Technol 3(6):259

    Google Scholar 

  10. Kamdi S, Krishna RK (2012) Image segmentation and region growing algorithm. Int J Comput Technol Electron Eng (IJCTEE) 2

    Google Scholar 

  11. Lorensen WE, Cline HE (1987) Marching cubes: a high resolution 3D surface construction algorithm. In: ACM siggraph computer graphics, vol 21, no 4. ACM, pp 163–169

    Google Scholar 

  12. https://www.slicer.org/. Last accessed 4 Mar 2018

  13. https://www.cti.gov.br/pt-br/invesalius. Last accessed 4 Mar 2018

  14. http://www.osirix-viewer.com/. Last accessed 4 Mar 2018

  15. Vezzetti E, Nasi A, Ramieri G, Tornincasa S, Verze L (2005) Methods to measure 3d changes after facial surgery

    Google Scholar 

  16. Massè A, Aprato A, Tornincasa S, Vezzetti E, Marcolin F, Ulrich L (2017) Il ruolo della simulazione 3D per gli interventi all’articolazione coxofemorale. Il Progettista Industriale 3

    Google Scholar 

  17. Massè A, Giachino M, Vezzetti E, Ulrich L, Aprato A, Palmesino F (2017) The limits and future of collision models

    Google Scholar 

  18. Zavattero E, Garzino-Demo P, Fasolis M, Ramieri G (2015) To computer-aided design and manufacturing or not to computer-aided design and manufacturing? Free fibula flap with computer-aided technique for mandibular reconstruction. J Craniofac Surg 26(3):e206–e209

    Article  Google Scholar 

  19. Gretsch KF, Lather HD, Peddada KV, Deeken CR, Wall LB, Goldfarb CA (2016) Development of novel 3D-printed robotic prosthetic for transradial amputees. Prosthet Orthot Int 40(3):400–403

    Article  Google Scholar 

  20. Ho CMB, Ng SH, Yoon YJ (2015) A review on 3D printed bioimplants. Int J Precis Eng Manuf 16(5):1035–1046

    Article  Google Scholar 

  21. Ventola CL (2014) Medical applications for 3D printing: current and projected uses. Pharm Ther 39(10):704

    Google Scholar 

  22. Mehra P, Miner J, D’Innocenzo R, Nadershah M (2011) Use of 3-d stereolithographic models in oral and maxillofacial surgery. J Maxillofac Oral Surg 10(1):6–13

    Article  Google Scholar 

  23. Chai Y, Li RW, Perriman DM, Chen S, Qin QH, Smith PN (2018) Laser polishing of thermoplastics fabricated using fused deposition modelling. Int J Adv Manuf Technol 1–8

    Google Scholar 

  24. Shaheen E, Alhelwani A, Van De Casteele E, Politis C, Jacobs R (2018) Suppl-1, M3: evaluation of dimensional changes of 3D printed models after sterilization: a pilot study. Open Dent J 12:72

    Article  Google Scholar 

  25. Ganry L, Hersant B, Bosc R, Leyder P, Quilichini J, Meningaud JP (2018) Study of medical education in 3D surgical modeling by surgeons with free open-source software: example of mandibular reconstruction with fibula free flap and creation of its surgical guides. J Stomatol Oral Maxillofac Surg (2018)

    Google Scholar 

  26. Ganry L, Hersant B, Quilichini J, Leyder P, Meningaud JP (2017) Use of the 3D surgical modelling technique with open-source software for mandibular fibula free flap reconstruction and its surgical guides. J Stomatol Oral Maxillofac Surg 118(3):197–202

    Article  Google Scholar 

  27. Ganry L, Quilichini J, Bandini CM, Leyder P, Hersant B, Meningaud JP (2017) Three-dimensional surgical modelling with an open-source software protocol: study of precision and reproducibility in mandibular reconstruction with the fibula free flap. Int J Oral Maxillofac Surg 46(8):946–957

    Article  Google Scholar 

  28. Caiti G, Dobbe JGG, Strijkers GJ, Strackee SD, Streekstra GJ (2017) Positioning error of custom 3D-printed surgical guides for the radius: influence of fitting location and guide design. Int J Comput Assist Radiol Surg 1–12 (2017)

    Google Scholar 

  29. Mihai ID, Mihai R, Vartolomei C, Comaneanu RM, Coman S, Ghergic DL. Study about the precision of surgical guides used in implantology

    Google Scholar 

  30. Ruljancich K (2018) Implantology in oral & maxillofacial surgery. The complexity of ‘simple’ cases. Aust Dent J 63:S27–S34 (2018)

    Google Scholar 

  31. Krulikowski A (2012) Fundamentals of geometric dimensioning and tolerancing. Cengage Learning

    Google Scholar 

  32. https://www.blender.org/

  33. Krulikowski A (1999) Advanced concepts of GD&T: based on ASME Y14. 5M-1994. Effective Training Inc., Wayne

    Google Scholar 

  34. Wu Y, Gu Q (2016) The composition principle of the datum reference frame. Proc CIRP 43:226–231

    Google Scholar 

Download references

Acknowledgements

The research work reported here was carried out thanks to a productive collaboration between the Polytechnic of Turin and the maxillofacial surgery department of Molinette hospital of Turin.

Author information

Authors and Affiliations

  1. DIGEP, Politecnico di Torino, C.so Duca degli Abruzzi 24, 10129, Turin, Italy

    L. Ulrich, F. Baldassarre, F. Marcolin, S. Moos, S. Tornincasa & E. Vezzetti

  2. Divisione di Chirurgia Maxillofacciale, Dipartimento di Scienze Chirurgiche, Università degli studi di Torino, C.so a. M. Dogliotti 14, 10126, Turin, Italy

    G. Ramieri & E. Zavattero

  3. Dipartimento di Ingegneria Civile e Meccanica, Università degli studi di Cassino e del Lazio Meridionale, Viale dell’università, Loc. Folcara, 0304, Cassino, FR, Italy

    D. Speranza

Authors
  1. L. Ulrich
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. F. Baldassarre
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. F. Marcolin
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. Moos
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. S. Tornincasa
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. E. Vezzetti
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. D. Speranza
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. G. Ramieri
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. E. Zavattero
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to L. Ulrich .

Editor information

Editors and Affiliations

  1. Departamento de Expresión Gráfica, Universidad Politécnica de Cartagena, Cartagena, Murcia, Spain

    Francisco Cavas-Martínez

  2. Département Génie des Systèmes Mécaniques, Université de Technologie de Compiègne, Compiègne, Oise, France

    Benoit Eynard

  3. Departamento de Expresión Gráfica, Universidad Politécnica de Cartagena, Cartagena, Murcia, Spain

    Francisco J. Fernández Cañavate

  4. Departamento de Expresión Gráfica, Universidad Politécnica de Cartagena, Cartagena, Murcia, Spain

    Daniel G. Fernández-Pacheco

  5. Departamento de Mecánica, Tecnun—Universidad de Navarra, San Sebastián—Donostia, Guipúzcoa, Spain

    Paz Morer

  6. Dipartimento di Ingegneria Chimica, Gestionale, Informatica, Meccanica, Università degli Studi di Palermo, Palermo, Italy

    Vincenzo Nigrelli

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Ulrich, L. et al. (2019). A Procedure for Cutting Guides Design in Maxillofacial Surgery: A Case-Study. In: Cavas-Martínez, F., Eynard, B., Fernández Cañavate, F., Fernández-Pacheco, D., Morer , P., Nigrelli, V. (eds) Advances on Mechanics, Design Engineering and Manufacturing II. Lecture Notes in Mechanical Engineering. Springer, Cham. https://doi.org/10.1007/978-3-030-12346-8_30

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-12346-8_30

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-12345-1

  • Online ISBN: 978-3-030-12346-8

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics

Search

Navigation