Feasibility and potential of three-dimensional printing in laryngotracheal stenosis

J Laryngol Otol. 2019 Jun;133(6):530-534. doi: 10.1017/S0022215119001208. Epub 2019 Jun 24.

Abstract

Background: The use of three-dimensional printing has been rapidly expanding over the last several decades. Virtual surgical three-dimensional simulation and planning has been shown to increase efficiency and accuracy in various clinical scenarios.

Objectives: To report the feasibility of three-dimensional printing in paediatric laryngotracheal stenosis and discuss potential applications of three-dimensional printed models in airway surgery.

Method: Retrospective case series in a tertiary care aerodigestive centre.

Results: Three-dimensional printing was undertaken in two cases of paediatric laryngotracheal stenosis. One patient with grade 4 subglottic stenosis with posterior glottic involvement underwent an extended partial cricotracheal reconstruction. Another patient with grade 4 tracheal stenosis underwent tracheal resection and end-to-end anastomosis. Models of both tracheas were printed using PolyJet technology from a Stratasys Connex2 printer.

Conclusion: It is feasible to demonstrate stenosis in three-dimensional printed models, allowing for patient-specific pre-operative surgical simulation. The models serve as an educational tool for patients' understanding of the surgery, and for teaching residents and fellows.

Keywords: 3D Printing; Airway Management; Airway Obstruction; Children; Simulation Training; Stenosis; Surgery; Trachea.

MeSH terms

  • Adolescent
  • Airway Management
  • Child
  • Child, Preschool
  • Feasibility Studies
  • Female
  • Humans
  • Laryngostenosis / diagnostic imaging*
  • Laryngostenosis / surgery
  • Male
  • Otorhinolaryngologic Surgical Procedures / methods*
  • Preoperative Care / methods
  • Printing, Three-Dimensional*
  • Prognosis
  • Retrospective Studies
  • Risk Assessment
  • Sampling Studies
  • Severity of Illness Index
  • Tracheal Stenosis / diagnostic imaging*
  • Tracheal Stenosis / surgery*
  • Treatment Outcome