Application progress of digital technology in auricle reconstruction_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CHEN Zhaoyang ¹ , LUO Chuncai ² , SHANG Xiao ³ ,  HAN Yan ¹

1. Department of Plastic & Reconstructive Surgery, Chinese PLA Medical School, Beijing, 100853, P.R.China;
2. Department of Radiology, Chinese PLA Medical School, Beijing, 100853, P.R.China;
3. Xi’an University of Posts & Telecommunications, Xi’an Shaanxi, 710121, P.R.China;

Corresponding author：

HAN Yan, Email: 13720086335@163.com

Keywords：

Digital technology; auricle reconstruction; Three-dimensional reconstruction; Three-dimensional printing

DOI：

10.7507/1002-1892.201701023

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To review the application progress of digital technology in auricle reconstruction. Methods The recently published literature concerning the application of digital technology in auricle reconstruction was extensively consulted, the main technology and its specific application areas were reviewed. Results Application of digital technology represented by three-dimensional (3D) data acquisition, 3D reconstruction, and 3D printing is an important developing trend of auricle reconstruction. It can precisely guide auricle reconstruction through fabricating digital ear model, auricular guide plate, and costal cartilage imaging. Conclusion Digital technology can improve effectiveness and decrease surgical trauma in auricle reconstruction. 3D bioprinting of ear cartilage future has bright prospect and needs to be further researched.

Citation： CHEN Zhaoyang, LUO Chuncai, SHANG Xiao, HAN Yan. Application progress of digital technology in auricle reconstruction. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(9): 1135-1140. doi: 10.7507/1002-1892.201701023 Copy

1.	张如鸿. 全耳再造的历史回眸及未来展望. 中国美容整形外科杂志, 2011, 22(2): 65-67.
2.	Storch K, Staudenmaier R, Buchberger M, et al. Total Reconstruction of the auricle: our experiences on indications and recent techniques. Biomed Res Int, 2014, 2014: 373286.
3.	Giot JP, Labbé D, Soubeyrand E, et al. Prosthetic reconstruction of the auricle: indications, techniques, and results. Semin Plast Surg, 2011, 25(4): 265-272.
4.	Walsh WE, Reisberg DJ, Danahey DG. A new device for creating and positioning an autogenous cartilage framework during microtia reconstruction. Laryngoscope, 2005, 115(11): 2068-2071.
5.	Frenzel H. The Rib Cartilage Concept in Microtia. Facial Plastic Surg, 2015, 31(6): 587-599.
6.	新疆医学工程学会. 新疆医学工程学会第二届学术年会论文汇编. 乌鲁木齐: [出版者不详], 1998.
7.	杨军, 肖海燕, 何贤国, 等. 磁共振成像仪原理及故障排除探讨. 中国医学装备, 2011, 8(11): 41-47.
8.	朱梓瑜, 熊猛. 人体三维扫描技术在整形美容外科中的应用. 东南大学学报(医学版), 2016, 35(3): 453-456.
9.	柳澄. 充分发挥 64 层螺旋 CT 的优势. 中国医学影像技术, 2005, 21(8): 1145-1147.
10.	胡立伟, 白凯, 钟玉敏, 等. 磁共振成像技术在 3D 打印先天性心脏病建模中的应用. 中国医学计算机成像杂志, 2016, 22(4): 356-360.
11.	顾晓宇. 数字化口腔颌面缺损赝复技术. 中国实用口腔科杂志, 2012, 5(5): 272-276.
12.	邱伟, 杨柠泽, 王志军. 三维可视化技术在整形外科的应用进展. 中华整形外科杂志, 2013, 29(3): 235-237.
13.	孙荣昊, 李超, 樊晋川, 等. 三维重建与快速成型技术相结合在头颈肿瘤外科的潜在应用价值. 中华耳鼻咽喉头颈外科杂志, 2015, 50(5): 429-431.
14.	王猛, 孔繁之. 医学图像三维可视化技术及其新进展. 医学影像学杂志, 2015, 25(6): 1095-1097.
15.	付淼, 李莉, 何叶松, 等. Mimics与医学图像三维重建. 中国现代医学杂志, 2010, 20(19): 3030-3031, 3035.
16.	Mota C, Puppi D, Chiellini F, et al. Additive manufacturing techniques for the production of tissue engineering constructs. J Tissue Eng Regen Med, 2015, 9(3): 174-190.
17.	周伟民, 闵国全, 李小丽. 3D 打印医学. 组织工程与重建外科杂志, 2014, 10(1): 1-3, 7.
18.	王成龙, 吕长胜. 3D 打印技术在整形外科领域的应用进展. 中国美容整形外科杂志, 2015, 26(5): 275-278.
19.	Kamali P, Dean D, Skoracki R, et al. The Current Role of Three-Dimensional Printing in Plastic Surgery. Plast Reconstr Surg, 2016, 137(3): 1045-1055.
20.	Guillemot F, Mironov V, Nakamura M. Bioprinting is coming of age: Report from the International Conference on Bioprinting and Biofabrication in Bordeaux (3B'09). Biofabrication, 2010, 2(1): 010201.
21.	Seol YJ, Kang HW, Lee SJ, et al. Bioprinting technology and its applications. Eur J Cardiothoracic Surg, 2014, 46(3): 342-348.
22.	Ozbolat IT. Bioprinting scale-up tissue and organ constructs for transplantation. Trends Biotechnol, 2015, 33(7): 395-400.
23.	Tanzer RC. Microtia——a long-term follow-up of 44 reconstructed auricles. Plast Reconstr Surg, 1978, 61(2): 161-166.
24.	Zhou J, Pan B, Yang Q, et al. Three-dimensional autologous cartilage framework fabrication assisted by new additive manufactured ear-shaped templates for microtia reconstruction. J Plastic Reconstr Aesthet Surg, 2016, 69(10): 1436-1444.
25.	Park GC, Wiseman JB, Clark WD. Correction of congenital microtia using stereolithography for surgical planning. Plast Reconstr Surg, 2000, 105(4): 1444-1447.
26.	Staudenmaier R, Naumann A, Aigner J, et al. Ear reconstruction supported by a stereolithographic model. Plast Reconstr Surg, 2000, 106(2): 511-512.
27.	国冬军, 潘博, 郭万厚, 等. 先天性小耳畸形数字化三维耳廓模型的构建. 中华整形外科杂志, 2007, 23(4): 344.
28.	张海林, 王晓军, 贾懿, 等. 应用逆向工程技术构建三维耳郭模型. 中国美容医学, 2007, 16(5): 649-652.
29.	Zhu P, Chen S. Clinical outcomes following ear reconstruction with adjuvant 3D template model. Acta otolaryngol, 2016, 136(12): 1236-1241.
30.	Hatamleh MM, Watson J. Construction of an implant-retained auricular prosthesis with the aid of contemporary digital technologies: a clinical report. J Prosthodont, 2013, 22(2): 132-136.
31.	焦婷, 张富强, 韩强, 等. 应用螺旋 CT 与快速成型技术制作义耳. 口腔颌面修复学杂志, 2004, 5(2): 127-129.
32.	Turgut G, Sacak B, Kiran K, et al. Use of rapid prototyping in prosthetic auricular restoration. J Craniofac Surg, 2009, 20(2): 321-325.
33.	Liacouras P, Garnes J, Roman N, et al. Designing and manufacturing an auricular prosthesis using computed tomography, 3-dimensional photographic imaging, and additive manufacturing: a clinical report. J Prosthet Dent, 2011, 105(2): 78-82.
34.	燕静杰, 杨庆华, 宋宇鹏, 等. 三维激光扫描技术应用于再造耳廓远期变化的研究. 中华耳科学杂志, 2013, 11(4): 524-528.
35.	Wang B, Dong Y, Zhao Y, et al. Computed tomography measurement of the auricle in Han population of north China. J Plast Reconstr Aesthet Surg, 2011, 64(1): 34-40.
36.	陈克光, 傅窈窈, 杨琳, 等. 三维耳郭导板的制作及其在耳郭再造术中的应用. 组织工程与重建外科杂志, 2014, 10(1): 37-39.
37.	Kolodney H Jr, Swedenburg G, Taylor SS, et al. The use of cephalometric landmarks with 3-dimensional volumetric computer modeling to position an auricular implant surgical template: a clinical report. J Prosthet Dent, 2011, 106(5): 284-289.
38.	Bai S, Bi Y, Dong Y, et al. Computer-aided design/computer-aided manufacturing implant guide used in flapless surgery for auricular prosthesis. J Oral Maxillofac Surg, 2012, 70(6): 1338-1341.
39.	Osorno G. A 20-Year Experience with the Brent Technique of Auricular Reconstruction: Pearls and Pitfalls. Plast Reconstr Surg, 2007, 119(5): 1447-1463.
40.	Lee TS, Lim SY, Pyon JK, et al. Secondary revisions due to unfavourable results after microtia reconstruction. J Plast Reconstr Aesthet Surg, 2010, 63(6): 940-946.
41.	Tanzer RC. Total reconstruction of the auricle. The evolution of a plan of treatment. Plast Reconstr Surg, 1971, 47(6): 523-533.
42.	Ontell FK, Moore EH, Shepard JA, et al. The costal cartilages in health and disease. Radiographics, 1997, 17(3): 571-577.
43.	Moon IY, Oh KS, Lim SY, et al. Estimation of eighth costal cartilage in surgical timing of microtia reconstruction. J Craniofac Surg, 2015, 26(1): 48-51.
44.	Andreoli SM, Mills JC, Kilpatric LA, et al. CT measured normative cartilage growth in children requiring costochondral grafting. Otolaryngol Head Neck Surg, 2013, 149(6): 924-930.
45.	王永振, 何乐人, 刘雳, 等. 多层螺旋 CT 扫描及三维重建技术在肋软骨组织量评估中的应用研究. 中国修复重建外科杂志, 2014, 28(10): 1266-1269.
46.	Kim H, Hwang JH, Lim SY, et al. Preoperative Rib Cartilage Imaging in 3-Dimensional Chest Computed Tomography for Auricular Reconstruction for Microtia. Ann Plast Surg, 2014, 72(4): 428-434.
47.	李崇照, 周栩, 章庆国, 等. 肋软骨三维 CT 重建技术在成人耳廓再造中的应用. 组织工程与重建外科杂志, 2015, 11(3): 166-168, 181.
48.	Miyamato J, Miyamoto S, Nagasao T, et al. Preoperative modeling of costal cartilage for the auricular reconstruction of microtia. Plast Reconstr Surg, 2011, 128(1): 23e-24e.
49.	Murphy SV, Atala A. 3D bioprinting of tissues and organs. Nat Biotechnol, 2014, 32(8): 773-785.
50.	Reiffel AJ, Kafka C, Hernandez KA, et al. High-fidelity tissue engineering of patient-specific auricles for reconstruction of pediatric microtia and other auricular deformities. PLoS One, 2013, 8(2): e56506.
51.	栾杰, 史庭春, 张仁吉, 等. 个性化人工耳支架置入体的数字化制备与实验研究. 中华整形外科杂志, 2008, 24(2): 101-104.
52.	Mannoor MS, Jiang Z, James T, et al. 3D printed bionic ears. Nano Lett, 2013, 13(6): 2634-2639.
53.	Lee JS, Hong JM, Jung JW, et al. 3D printing of composite tissue with complex shape applied to ear regeneration. Biofabrication, 2014, 6(2): 024103.
54.	Kang HW, Lee SJ, Ko IK, et al. A 3D bioprinting system to produce human-scale tissue constructs with structural integrity. Nat Biotechnol, 2016, 34(3): 312-319.

1. 张如鸿. 全耳再造的历史回眸及未来展望. 中国美容整形外科杂志, 2011, 22(2): 65-67.
2. Storch K, Staudenmaier R, Buchberger M, et al. Total Reconstruction of the auricle: our experiences on indications and recent techniques. Biomed Res Int, 2014, 2014: 373286.
3. Giot JP, Labbé D, Soubeyrand E, et al. Prosthetic reconstruction of the auricle: indications, techniques, and results. Semin Plast Surg, 2011, 25(4): 265-272.
4. Walsh WE, Reisberg DJ, Danahey DG. A new device for creating and positioning an autogenous cartilage framework during microtia reconstruction. Laryngoscope, 2005, 115(11): 2068-2071.
5. Frenzel H. The Rib Cartilage Concept in Microtia. Facial Plastic Surg, 2015, 31(6): 587-599.
6. 新疆医学工程学会. 新疆医学工程学会第二届学术年会论文汇编. 乌鲁木齐: [出版者不详], 1998.
7. 杨军, 肖海燕, 何贤国, 等. 磁共振成像仪原理及故障排除探讨. 中国医学装备, 2011, 8(11): 41-47.
8. 朱梓瑜, 熊猛. 人体三维扫描技术在整形美容外科中的应用. 东南大学学报(医学版), 2016, 35(3): 453-456.
9. 柳澄. 充分发挥 64 层螺旋 CT 的优势. 中国医学影像技术, 2005, 21(8): 1145-1147.
10. 胡立伟, 白凯, 钟玉敏, 等. 磁共振成像技术在 3D 打印先天性心脏病建模中的应用. 中国医学计算机成像杂志, 2016, 22(4): 356-360.
11. 顾晓宇. 数字化口腔颌面缺损赝复技术. 中国实用口腔科杂志, 2012, 5(5): 272-276.
12. 邱伟, 杨柠泽, 王志军. 三维可视化技术在整形外科的应用进展. 中华整形外科杂志, 2013, 29(3): 235-237.
13. 孙荣昊, 李超, 樊晋川, 等. 三维重建与快速成型技术相结合在头颈肿瘤外科的潜在应用价值. 中华耳鼻咽喉头颈外科杂志, 2015, 50(5): 429-431.
14. 王猛, 孔繁之. 医学图像三维可视化技术及其新进展. 医学影像学杂志, 2015, 25(6): 1095-1097.
15. 付淼, 李莉, 何叶松, 等. Mimics与医学图像三维重建. 中国现代医学杂志, 2010, 20(19): 3030-3031, 3035.
16. Mota C, Puppi D, Chiellini F, et al. Additive manufacturing techniques for the production of tissue engineering constructs. J Tissue Eng Regen Med, 2015, 9(3): 174-190.
17. 周伟民, 闵国全, 李小丽. 3D 打印医学. 组织工程与重建外科杂志, 2014, 10(1): 1-3, 7.
18. 王成龙, 吕长胜. 3D 打印技术在整形外科领域的应用进展. 中国美容整形外科杂志, 2015, 26(5): 275-278.
19. Kamali P, Dean D, Skoracki R, et al. The Current Role of Three-Dimensional Printing in Plastic Surgery. Plast Reconstr Surg, 2016, 137(3): 1045-1055.
20. Guillemot F, Mironov V, Nakamura M. Bioprinting is coming of age: Report from the International Conference on Bioprinting and Biofabrication in Bordeaux (3B'09). Biofabrication, 2010, 2(1): 010201.
21. Seol YJ, Kang HW, Lee SJ, et al. Bioprinting technology and its applications. Eur J Cardiothoracic Surg, 2014, 46(3): 342-348.
22. Ozbolat IT. Bioprinting scale-up tissue and organ constructs for transplantation. Trends Biotechnol, 2015, 33(7): 395-400.
23. Tanzer RC. Microtia——a long-term follow-up of 44 reconstructed auricles. Plast Reconstr Surg, 1978, 61(2): 161-166.
24. Zhou J, Pan B, Yang Q, et al. Three-dimensional autologous cartilage framework fabrication assisted by new additive manufactured ear-shaped templates for microtia reconstruction. J Plastic Reconstr Aesthet Surg, 2016, 69(10): 1436-1444.
25. Park GC, Wiseman JB, Clark WD. Correction of congenital microtia using stereolithography for surgical planning. Plast Reconstr Surg, 2000, 105(4): 1444-1447.
26. Staudenmaier R, Naumann A, Aigner J, et al. Ear reconstruction supported by a stereolithographic model. Plast Reconstr Surg, 2000, 106(2): 511-512.
27. 国冬军, 潘博, 郭万厚, 等. 先天性小耳畸形数字化三维耳廓模型的构建. 中华整形外科杂志, 2007, 23(4): 344.
28. 张海林, 王晓军, 贾懿, 等. 应用逆向工程技术构建三维耳郭模型. 中国美容医学, 2007, 16(5): 649-652.
29. Zhu P, Chen S. Clinical outcomes following ear reconstruction with adjuvant 3D template model. Acta otolaryngol, 2016, 136(12): 1236-1241.
30. Hatamleh MM, Watson J. Construction of an implant-retained auricular prosthesis with the aid of contemporary digital technologies: a clinical report. J Prosthodont, 2013, 22(2): 132-136.
31. 焦婷, 张富强, 韩强, 等. 应用螺旋 CT 与快速成型技术制作义耳. 口腔颌面修复学杂志, 2004, 5(2): 127-129.
32. Turgut G, Sacak B, Kiran K, et al. Use of rapid prototyping in prosthetic auricular restoration. J Craniofac Surg, 2009, 20(2): 321-325.
33. Liacouras P, Garnes J, Roman N, et al. Designing and manufacturing an auricular prosthesis using computed tomography, 3-dimensional photographic imaging, and additive manufacturing: a clinical report. J Prosthet Dent, 2011, 105(2): 78-82.
34. 燕静杰, 杨庆华, 宋宇鹏, 等. 三维激光扫描技术应用于再造耳廓远期变化的研究. 中华耳科学杂志, 2013, 11(4): 524-528.
35. Wang B, Dong Y, Zhao Y, et al. Computed tomography measurement of the auricle in Han population of north China. J Plast Reconstr Aesthet Surg, 2011, 64(1): 34-40.
36. 陈克光, 傅窈窈, 杨琳, 等. 三维耳郭导板的制作及其在耳郭再造术中的应用. 组织工程与重建外科杂志, 2014, 10(1): 37-39.
37. Kolodney H Jr, Swedenburg G, Taylor SS, et al. The use of cephalometric landmarks with 3-dimensional volumetric computer modeling to position an auricular implant surgical template: a clinical report. J Prosthet Dent, 2011, 106(5): 284-289.
38. Bai S, Bi Y, Dong Y, et al. Computer-aided design/computer-aided manufacturing implant guide used in flapless surgery for auricular prosthesis. J Oral Maxillofac Surg, 2012, 70(6): 1338-1341.
39. Osorno G. A 20-Year Experience with the Brent Technique of Auricular Reconstruction: Pearls and Pitfalls. Plast Reconstr Surg, 2007, 119(5): 1447-1463.
40. Lee TS, Lim SY, Pyon JK, et al. Secondary revisions due to unfavourable results after microtia reconstruction. J Plast Reconstr Aesthet Surg, 2010, 63(6): 940-946.
41. Tanzer RC. Total reconstruction of the auricle. The evolution of a plan of treatment. Plast Reconstr Surg, 1971, 47(6): 523-533.
42. Ontell FK, Moore EH, Shepard JA, et al. The costal cartilages in health and disease. Radiographics, 1997, 17(3): 571-577.
43. Moon IY, Oh KS, Lim SY, et al. Estimation of eighth costal cartilage in surgical timing of microtia reconstruction. J Craniofac Surg, 2015, 26(1): 48-51.
44. Andreoli SM, Mills JC, Kilpatric LA, et al. CT measured normative cartilage growth in children requiring costochondral grafting. Otolaryngol Head Neck Surg, 2013, 149(6): 924-930.
45. 王永振, 何乐人, 刘雳, 等. 多层螺旋 CT 扫描及三维重建技术在肋软骨组织量评估中的应用研究. 中国修复重建外科杂志, 2014, 28(10): 1266-1269.
46. Kim H, Hwang JH, Lim SY, et al. Preoperative Rib Cartilage Imaging in 3-Dimensional Chest Computed Tomography for Auricular Reconstruction for Microtia. Ann Plast Surg, 2014, 72(4): 428-434.
47. 李崇照, 周栩, 章庆国, 等. 肋软骨三维 CT 重建技术在成人耳廓再造中的应用. 组织工程与重建外科杂志, 2015, 11(3): 166-168, 181.
48. Miyamato J, Miyamoto S, Nagasao T, et al. Preoperative modeling of costal cartilage for the auricular reconstruction of microtia. Plast Reconstr Surg, 2011, 128(1): 23e-24e.
49. Murphy SV, Atala A. 3D bioprinting of tissues and organs. Nat Biotechnol, 2014, 32(8): 773-785.
50. Reiffel AJ, Kafka C, Hernandez KA, et al. High-fidelity tissue engineering of patient-specific auricles for reconstruction of pediatric microtia and other auricular deformities. PLoS One, 2013, 8(2): e56506.
51. 栾杰, 史庭春, 张仁吉, 等. 个性化人工耳支架置入体的数字化制备与实验研究. 中华整形外科杂志, 2008, 24(2): 101-104.
52. Mannoor MS, Jiang Z, James T, et al. 3D printed bionic ears. Nano Lett, 2013, 13(6): 2634-2639.
53. Lee JS, Hong JM, Jung JW, et al. 3D printing of composite tissue with complex shape applied to ear regeneration. Biofabrication, 2014, 6(2): 024103.
54. Kang HW, Lee SJ, Ko IK, et al. A 3D bioprinting system to produce human-scale tissue constructs with structural integrity. Nat Biotechnol, 2016, 34(3): 312-319.

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