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Planning with 3D virtual anatomy models and life-size anatomical pieces for the surgery of bone lesions in the naso-sinus area

  • Alda Cardesín-Revilla
    Hospital de Sabadell, Instituto Universitario Parc Taulí, Universidad Autónoma de Barcelona. Unidad de Rinología, Departamento de Otorrinolaringología. https://orcid.org/0000-0003-1822-7599
  • Mariana Campos-Motamayor
    Hospital de Sabadell, Instituto Universitario Parc Taulí, Universidad Autónoma de Barcelona. Unidad de Rinología, Departamento de Otorrinolaringología. https://orcid.org/0000-0001-8870-5416
  • Aina Sansa-Perna
    Hospital de Sabadell, Instituto Universitario Parc Taulí, Universidad Autónoma de Barcelona. Unidad de Rinología, Departamento de Otorrinolaringología. https://orcid.org/0000-0003-4731-1722
  • Silvia López-Galera
    Hospital de Sabadell, Instituto Universitario Parc Taulí, Universidad Autónoma de Barcelona. Departamento de Anestesia. https://orcid.org/0000-0002-4152-0577
  • Yolanda Escamilla-Carpintero
    Hospital de Sabadell, Instituto Universitario Parc Taulí, Universidad Autónoma de Barcelona. Unidad de Rinología, Departamento de Otorrinolaringología.
  • Esther Granell-Moreno
    Hospital de Sabadell, Instituto Universitario Parc Taulí, Universidad Autónoma de Barcelona. Departamento de Radiología Barcelona. España. https://orcid.org/0000-0002-7620-2763
  • Carlota Rovira-Martínez
    Hospital de Sabadell, Instituto Universitario Parc Taulí, Universidad Autónoma de Barcelona. Unidad de Rinología, Departamento de Otorrinolaringología. https://orcid.org/0000-0002-4357-1386 emailfalso[at]glaux.es
  • Rosa Rosell-Ferrer
    Hospital de Sabadell, Instituto Universitario Parc Taulí, Universidad Autónoma de Barcelona. Unidad de Rinología, Departamento de Otorrinolaringología. https://orcid.org/0000-0001-8457-7074
https://doi.org/10.14201/orl.31715

Abstract

Introduction and objective: To showcase our experience in planning with 3D virtual anatomy models and life-sized anatomical pieces for surgery on bone lesions in the nasosinusal area. Method: We present an observational study of nasosinusal bone tumors diagnosed between 2019 and 2021 that were operated on in the Otorhinolaryngology department. The imaging study was complemented with 3D reconstructions and virtual anatomical models, as well as life-sized anatomical pieces in two of them for planning multidisciplinary endoscopic surgery. Results: Three cases of patients aged 15, 20, and 73 years were operated on. The type of surgery for these tumors is determined by their size and location. Surgical planning using 3D anatomical models allows for the most precise adjustment of the areas to be operated on, reducing surgical time and complications. The satisfaction level of all surgeons, measured by the Likert scale, was very positive (average score of 5), while the average score of the assistants was 4.55. The size of the surgical piece perfectly matched the 3D model, so the surgical piece and the handpiece reconstruction were the same size. No adverse effects were observed with the use of the 3D technique in our surgeries. We had no intraoperative or postoperative complications and surgical time was reduced. Discussion: 3D printed anatomical models are useful for surgical planning, reducing surgical time and improving medical outcomes, although they raise concerns about cost-effectiveness. More research is needed to determine whether the benefits justify the additional costs, especially in complex cases or with less experienced surgeons. These models also have significant educational potential for medical students and residents, improving patient-physician communication and patient satisfaction. Conclusions: Innovative 3D technology with anatomical models, surgical guides, and the possibility of custom implants are new tools available in the operating room.
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Cardesín-Revilla, A., Campos-Motamayor, M., Sansa-Perna, A., López-Galera, S., Escamilla-Carpintero, Y., Granell-Moreno, E., Rovira-Martínez, C., & Rosell-Ferrer, R. (2024). Planning with 3D virtual anatomy models and life-size anatomical pieces for the surgery of bone lesions in the naso-sinus area. Revista ORL, 15(4), e31715. https://doi.org/10.14201/orl.31715

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