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.	張如鴻. 全耳再造的歷史回眸及未來展望. 中國美容整形外科雜志, 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.	新疆醫學工程學會. 新疆醫學工程學會第二屆學術年會論文匯編. 烏魯木齊: [出版者不詳], 1998.
7.	楊軍, 肖海燕, 何賢國, 等. 磁共振成像儀原理及故障排除探討. 中國醫學裝備, 2011, 8(11): 41-47.
8.	朱梓瑜, 熊猛. 人體三維掃描技術在整形美容外科中的應用. 東南大學學報(醫學版), 2016, 35(3): 453-456.
9.	柳澄. 充分發揮 64 層螺旋 CT 的優勢. 中國醫學影像技術, 2005, 21(8): 1145-1147.
10.	胡立偉, 白凱, 鐘玉敏, 等. 磁共振成像技術在 3D 打印先天性心臟病建模中的應用. 中國醫學計算機成像雜志, 2016, 22(4): 356-360.
11.	顧曉宇. 數字化口腔頜面缺損贗復技術. 中國實用口腔科雜志, 2012, 5(5): 272-276.
12.	邱偉, 楊檸澤, 王志軍. 三維可視化技術在整形外科的應用進展. 中華整形外科雜志, 2013, 29(3): 235-237.
13.	孫榮昊, 李超, 樊晉川, 等. 三維重建與快速成型技術相結合在頭頸腫瘤外科的潛在應用價值. 中華耳鼻咽喉頭頸外科雜志, 2015, 50(5): 429-431.
14.	王猛, 孔繁之. 醫學圖像三維可視化技術及其新進展. 醫學影像學雜志, 2015, 25(6): 1095-1097.
15.	付淼, 李莉, 何葉松, 等. Mimics與醫學圖像三維重建. 中國現代醫學雜志, 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.	周偉民, 閔國全, 李小麗. 3D 打印醫學. 組織工程與重建外科雜志, 2014, 10(1): 1-3, 7.
18.	王成龍, 呂長勝. 3D 打印技術在整形外科領域的應用進展. 中國美容整形外科雜志, 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.	國冬軍, 潘博, 郭萬厚, 等. 先天性小耳畸形數字化三維耳廓模型的構建. 中華整形外科雜志, 2007, 23(4): 344.
28.	張海林, 王曉軍, 賈懿, 等. 應用逆向工程技術構建三維耳郭模型. 中國美容醫學, 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, 張富強, 韓強, 等. 應用螺旋 CT 與快速成型技術制作義耳. 口腔頜面修復學雜志, 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.	燕靜杰, 楊慶華, 宋宇鵬, 等. 三維激光掃描技術應用于再造耳廓遠期變化的研究. 中華耳科學雜志, 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.	陳克光, 傅窈窈, 楊琳, 等. 三維耳郭導板的制作及其在耳郭再造術中的應用. 組織工程與重建外科雜志, 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, 何樂人, 劉靂, 等. 多層螺旋 CT 掃描及三維重建技術在肋軟骨組織量評估中的應用研究. 中國修復重建外科雜志, 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, 章慶國, 等. 肋軟骨三維 CT 重建技術在成人耳廓再造中的應用. 組織工程與重建外科雜志, 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.	欒杰, 史庭春, 張仁吉, 等. 個性化人工耳支架置入體的數字化制備與實驗研究. 中華整形外科雜志, 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. 張如鴻. 全耳再造的歷史回眸及未來展望. 中國美容整形外科雜志, 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. 新疆醫學工程學會. 新疆醫學工程學會第二屆學術年會論文匯編. 烏魯木齊: [出版者不詳], 1998.
7. 楊軍, 肖海燕, 何賢國, 等. 磁共振成像儀原理及故障排除探討. 中國醫學裝備, 2011, 8(11): 41-47.
8. 朱梓瑜, 熊猛. 人體三維掃描技術在整形美容外科中的應用. 東南大學學報(醫學版), 2016, 35(3): 453-456.
9. 柳澄. 充分發揮 64 層螺旋 CT 的優勢. 中國醫學影像技術, 2005, 21(8): 1145-1147.
10. 胡立偉, 白凱, 鐘玉敏, 等. 磁共振成像技術在 3D 打印先天性心臟病建模中的應用. 中國醫學計算機成像雜志, 2016, 22(4): 356-360.
11. 顧曉宇. 數字化口腔頜面缺損贗復技術. 中國實用口腔科雜志, 2012, 5(5): 272-276.
12. 邱偉, 楊檸澤, 王志軍. 三維可視化技術在整形外科的應用進展. 中華整形外科雜志, 2013, 29(3): 235-237.
13. 孫榮昊, 李超, 樊晉川, 等. 三維重建與快速成型技術相結合在頭頸腫瘤外科的潛在應用價值. 中華耳鼻咽喉頭頸外科雜志, 2015, 50(5): 429-431.
14. 王猛, 孔繁之. 醫學圖像三維可視化技術及其新進展. 醫學影像學雜志, 2015, 25(6): 1095-1097.
15. 付淼, 李莉, 何葉松, 等. Mimics與醫學圖像三維重建. 中國現代醫學雜志, 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. 周偉民, 閔國全, 李小麗. 3D 打印醫學. 組織工程與重建外科雜志, 2014, 10(1): 1-3, 7.
18. 王成龍, 呂長勝. 3D 打印技術在整形外科領域的應用進展. 中國美容整形外科雜志, 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. 國冬軍, 潘博, 郭萬厚, 等. 先天性小耳畸形數字化三維耳廓模型的構建. 中華整形外科雜志, 2007, 23(4): 344.
28. 張海林, 王曉軍, 賈懿, 等. 應用逆向工程技術構建三維耳郭模型. 中國美容醫學, 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, 張富強, 韓強, 等. 應用螺旋 CT 與快速成型技術制作義耳. 口腔頜面修復學雜志, 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. 燕靜杰, 楊慶華, 宋宇鵬, 等. 三維激光掃描技術應用于再造耳廓遠期變化的研究. 中華耳科學雜志, 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. 陳克光, 傅窈窈, 楊琳, 等. 三維耳郭導板的制作及其在耳郭再造術中的應用. 組織工程與重建外科雜志, 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, 何樂人, 劉靂, 等. 多層螺旋 CT 掃描及三維重建技術在肋軟骨組織量評估中的應用研究. 中國修復重建外科雜志, 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, 章慶國, 等. 肋軟骨三維 CT 重建技術在成人耳廓再造中的應用. 組織工程與重建外科雜志, 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. 欒杰, 史庭春, 張仁吉, 等. 個性化人工耳支架置入體的數字化制備與實驗研究. 中華整形外科雜志, 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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