Designing patient-specific 3D printed craniofacial implants using a novel topology optimization method.

Large craniofacial defects require efficient bone replacements which should not only provide good aesthetics but also possess stable structural function. The proposed work uses a novel multiresolution topology optimization method to achieve the task. Using a compliance minimization objective, patien...

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Publicado en:Medical & Biological Engineering & Computing Vol. 54; no. 7; pp. 1123 - 1136
Autores principales: Sutradhar, Alok, Park, Jaejong, Carrau, Diana, Nguyen, Tam, Miller, Michael, Paulino, Glaucio, Nguyen, Tam H, Miller, Michael J, Paulino, Glaucio H
Formato: Journal Article
Publicado: Springer Nature Jul2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2016
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      pub: Springer Nature
      place: New York, New York
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        atl: Designing patient-specific 3D printed craniofacial implants using a novel topology optimization method.
      aug:
        au:
          Sutradhar, Alok
          Park, Jaejong
          Carrau, Diana
          Nguyen, Tam
          Miller, Michael
          Paulino, Glaucio
          Nguyen, Tam H
          Miller, Michael J
          Paulino, Glaucio H
        affil: Department of Mechanical and Aerospace Engineering, The Ohio State University, Columbus 43210 USA
      sug:
        subj:
          Prosthesis Design
          Prostheses and Implants
          Imaging, Three-Dimensional Methods
          Printing, Three-Dimensional
          Maxilla Surgery
          Finite Element Analysis
          Face
          Mandible Surgery
          Skull Neoplasms Surgery
          Surgery, Reconstructive Methods
          Scales
      ab: Large craniofacial defects require efficient bone replacements which should not only provide good aesthetics but also possess stable structural function. The proposed work uses a novel multiresolution topology optimization method to achieve the task. Using a compliance minimization objective, patient-specific bone replacement shapes can be designed for different clinical cases that ensure revival of efficient load transfer mechanisms in the mid-face. In this work, four clinical cases are introduced and their respective patient-specific designs are obtained using the proposed method. The optimized designs are then virtually inserted into the defect to visually inspect the viability of the design . Further, once the design is verified by the reconstructive surgeon, prototypes are fabricated using a 3D printer for validation. The robustness of the designs are mechanically tested by subjecting them to a physiological loading condition which mimics the masticatory activity. The full-field strain result through 3D image correlation and the finite element analysis implies that the solution can survive the maximum mastication of 120 lb. Also, the designs have the potential to restore the buttress system and provide the structural integrity. Using the topology optimization framework in designing the bone replacement shapes would deliver surgeons new alternatives for rather complicated mid-face reconstruction.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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