Current Trends in 3D Printing, Bioprosthetics, and Tissue Engineering in Plastic and Reconstructive Surgery
详细信息    查看全文
  • 作者:Cesar Colasante ; Zachary Sanford ; Evan Garfein ; Oren Tepper
  • 关键词:3D printing ; Tissue engineering ; Bioprosthetics ; Biomaterials ; Plastic surgery ; Reconstructive surgery
  • 刊名:Current Surgery Reports
  • 出版年:2016
  • 出版时间:March 2016
  • 年:2016
  • 卷:4
  • 期:3
  • 全文大小:1,257 KB
  • 参考文献:1.• Gross BC, Erkal JL, Lockwood SY, Chen C. Spence DM. Evaluation of 3D printing and its potential impact on biotechnology and the chemical sciences. Anal Chem 2014;86:3240–53. This paper provides background on the technologies used for 3D printing, introduces to the reader the.STL file format (Standard Tessellation Language or STereoLithography), the common language for CAD/CAD software and 3D printers and expands on biological uses of 3D printing extensively.
    2.Hoy MB. 3D printing: making things at the library. Med Ref Serv Q. 2013;32:94–9.PubMed
    3.• Marro A, Bandukwala T, Mak W. Three-dimensional printing and medical imaging: a review of the methods and applications. Curr Probl Diagn Radiol 2015. In this review the authors provide a general overview of the potential uses, process and limitation of 3D printing from medical imaging data including 3D bioprinting.
    4.• Teo EY, Ong SY, Chong MS, et al. Polycaprolactone-based fused deposition modeled mesh for delivery of antibacterial agents to infected wounds. Biomaterials 2011;32:279-87. This study presented the use of 3D printed antibiotic delivery system used in vivo, although the system was used in mice it is groundbreaking research as it applies 3D printing in a very common pathology to provide clinical improvement and at the same time reducing systemic exposure to antibiotic. It is also one of the earlier uses of 3D printing in vivo where the printed system is not used as structural component to provide a scaffold for the own body to heal, instead it a functional drug delivery system.
    5.Klein GT, Lu Y, Wang MY. 3D printing and neurosurgery–ready for prime time? World Neurosurg. 2013;80:233–5.CrossRef PubMed
    6.Schubert C, van Langeveld MC, Donoso LA. Innovations in 3D printing: a 3D overview from optics to organs. Br J Ophthalmol. 2014;98:159–61.PubMed
    7.• Ventola CL. Medical Applications for 3D printing: current and projected uses. P T 2014;39:704–11. This article focuses on the current uses of 3D printing in medicine; briefly discussing bioprinitng tissue and organs, custom implants and prostheses, anatomical models for surgical preparation, drug delivery devices (unique dosage forms) and describes some of the current barriers and controversies, including safety, regulatory concerns and potential copyright and patent issues.
    8.Michalski MH, Ross JS. The shape of things to come: 3D printing in medicine. JAMA. 2014;312:2213–4.CrossRef PubMed
    9.Baden T, Chagas AM, Gage G, Marzullo T, Prieto-Godino LL, Euler T. Open Labware: 3-D Printing Your Own Lab Equipment. PLoS Biology 2015;13.
    10.Chae MP, Rozen WM, McMenamin PG, Findlay MW, Spychal RT, Hunter-Smith DJ. Emerging applications of bedside 3D printing in plastic surgery. Front Surg. 2015;2:25.PubMedCentral CrossRef PubMed
    11.Lipson H. New world of 3-D printing offers “completely new ways of thinking”: Q&A with author, engineer, and 3-D printing expert Hod Lipson. IEEE Pulse. 2013;4:12–4.PubMed
    12.Hull CW. Apparatus for production of three-dimensional objects by stereolithography. Google Patents; 1986.
    13.• Gauvin R, Chen YC, Lee JW, et al. Microfabrication of complex porous tissue engineering scaffolds using 3D projection stereolithography. Biomaterials 2012;33:3824–34. Projection stereolithography (PSL) is introduced in this paper. PSL was develop to build 3D scaffolds using gelatin methacrylate (GelMA) to improve inner structure of the scaffold compared to the top down printing methods. Initial testing shows PSL to be a promising method to create scaffolds for tissue engineering.
    14.Lee KW, Wang S, Fox BC, Ritman EL, Yaszemski MJ, Lu L. Poly(propylene fumarate) bone tissue engineering scaffold fabrication using stereolithography: effects of resin formulations and laser parameters. Biomacromolecules. 2007;8:1077–84.CrossRef PubMed
    15.Seck TM, Melchels FP, Feijen J, Grijpma DW. Designed biodegradable hydrogel structures prepared by stereolithography using poly(ethylene glycol)/poly(d , l -lactide)-based resins. J Contro Release. 2010;148:34–41.CrossRef
    16.Park JH, Jung JW, Kang HW, Cho DW. Indirect three-dimensional printing of synthetic polymer scaffold based on thermal molding process. Biofabrication. 2014;6:025003.CrossRef PubMed
    17.•• Chia HN, Wu BM. Recent advances in 3D printing of biomaterials. J Biol Eng 2015;9:4. This is, until now, the most up-to-date and comprehensive review of 3D biomaterials used in 3D printing.
    18.Almquist TA, Smalley DR. Thermal stereolithography. Google Patents; 1992.
    19.Deckard CR. Method and apparatus for producing parts by selective sintering. Google Patents; 1989.
    20.Rengier F, Mehndiratta A, von Tengg-Kobligk H, et al. 3D printing based on imaging data: review of medical applications. Int J Comput Assist Radiol Surg. 2010;5:335–41.CrossRef PubMed
    21.Tan KH, Chua CK, Leong KF, et al. Selective laser sintering of biocompatible polymers for applications in tissue engineering. Bio-Med Mater Eng. 2005;15:113–24.
    22.Wiria FE, Leong KF, Chua CK, Liu Y. Poly-epsilon-caprolactone/hydroxyapatite for tissue engineering scaffold fabrication via selective laser sintering. Acta Biomater. 2007;3:1–12.CrossRef PubMed
    23.Liu F-H, Lee R-T, Lin W-H, Liao Y-S. Selective laser sintering of bio-metal scaffold. Procedia CIRP. 2013;5:83–7.CrossRef
    24.Sachs EM, Haggerty JS, Cima MJ, Williams PA. Three-dimensional printing techniques. Google Patents; 1993.
    25.Abarrategi A, Moreno-Vicente C, Martinez-Vazquez FJ, et al. Biological properties of solid free form designed ceramic scaffolds with BMP-2: in vitro and in vivo evaluation. PLoS One. 2012;7:e34117.PubMedCentral CrossRef PubMed
    26.Shanjani Y, De Croos JN, Pilliar RM, Kandel RA, Toyserkani E. Solid freeform fabrication and characterization of porous calcium polyphosphate structures for tissue engineering purposes. J Biomed Mater Res B Appl Biomater. 2010;93:510–9.CrossRef PubMed
    27.Tarafder S, Davies NM, Bandyopadhyay A, Bose S. 3D printed tricalcium phosphate scaffolds: Effect of SrO and MgO doping on osteogenesis in a rat distal femoral defect model. Biomater Sci. 2013;1:1250–9.PubMedCentral CrossRef PubMed
    28.Tarafder S, Dernell WS, Bandyopadhyay A, Bose S. SrO- and MgO-doped microwave sintered 3D printed tricalcium phosphate scaffolds: mechanical properties and in vivo osteogenesis in a rabbit model. J Biomed Mater Res B Appl Biomater. 2015;103:679–90.CrossRef PubMed
    29.Crump SS. Apparatus and method for creating three-dimensional objects. Google Patents; 1992.
    30.Cohen A, Laviv A, Berman P, Nashef R, Abu-Tair J. Mandibular reconstruction using stereolithographic 3-dimensional printing modeling technology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108:661–6.CrossRef PubMed
    31.Korpela J, Kokkari A, Korhonen H, Malin M, Narhi T, Seppala J. Biodegradable and bioactive porous scaffold structures prepared using fused deposition modeling. J Biomed Mater Res B Appl Biomater. 2013;101:610–9.CrossRef PubMed
    32.• Yen HJ, Tseng CS, Hsu SH, Tsai CL. Evaluation of chondrocyte growth in the highly porous scaffolds made by fused deposition manufacturing (FDM) filled with type II collagen. Biomed Microdevices 2009;11:615–24. In the process of creating newly engineered tissues it is imperative to have adequate distribution of the living cells seeded on the scaffolds. This experiment created highly porous poly(D,L-lactide-co-glycolide) (PLGA) scaffolds using the fused deposition manufacturing (FDM) process and modified by type II collagen. The seeded chondrocytes chondrocytes were well distributed in the interior of the scaffolds with large fiber spacing and neocartilage was formed around the scaffolds, proving to be another successful step in the process to ultimately create off-the-shelf tissues.
    33.Kim J, McBride S, Tellis B, et al. Rapid-prototyped PLGA/beta-TCP/hydroxyapatite nanocomposite scaffolds in a rabbit femoral defect model. Biofabrication. 2012;4:025003.CrossRef PubMed
    34.Chae MP, Hunter-Smith DJ, De-Silva I, Tham S, Spychal RT, Rozen WM. Four-dimensional (4D) printing: a new evolution in computed tomography-guided stereolithographic modeling principles and application. J Reconstr Microsurg. 2015;31:458–63.CrossRef PubMed
    35.Dunn RM. Cross-linking in biomaterials: a primer for clinicians. Plast Reconstr Surg. 2012;130:18S–26S.CrossRef PubMed
    36.Carpentier A. From valvular xenograft to valvular bioprosthesis (1965–1977). Med Instrum. 1977;11:98–101.PubMed
    37.Carpentier A, Lemaigre G, Robert L, Carpentier S, Dubost C. Biological factors affecting long-term results of valvular heterografts. J Thorac Cardiovasc Surg. 1969;58:467–83.PubMed
    38.Butler CE. The role of bioprosthetics in abdominal wall reconstruction. Clin Plast Surg. 2006;33:199–211 v–vi.CrossRef PubMed
    39.Liang HC, Chang Y, Hsu CK, Lee MH, Sung HW. Effects of crosslinking degree of an acellular biological tissue on its tissue regeneration pattern. Biomaterials. 2004;25:3541–52.CrossRef PubMed
    40.Daghighi S, Sjollema J, van der Mei HC, Busscher HJ, Rochford ET. Infection resistance of degradable versus non-degradable biomaterials: an assessment of the potential mechanisms. Biomaterials. 2013;34:8013–7.CrossRef PubMed
    41.•• Kim JJ, Evans GR. Applications of biomaterials in plastic surgery. Clin Plast Surg 2012;39:359–76. In this overview soft tissue fillers, bioengineered skins, acellular dermal matrices, biomaterials for craniofacial surgery, and peripheral nerve repair are discussed. It also summarizes indications, properties, uses, types, advantages and disadvantages of some of the currently available products from each category.
    42.Widgerow AD. Bioengineered matrices–part 2: focal adhesion, integrins, and the fibroblast effect. Ann Plast Surg. 2012;68:574–8.CrossRef PubMed
    43.Wainwright DJ, Bury SB. Acellular dermal matrix in the management of the burn patient. Aesthet Surg J. 2011;31:13S–23S.CrossRef PubMed
    44.Banyard DA, Bourgeois JM, Widgerow AD, Evans GR. Regenerative biomaterials: a review. Plast Reconstr Surg. 2015;135:1740–8.CrossRef PubMed
    45.Askari M, Cohen MJ, Grossman PH, Kulber DA. The use of acellular dermal matrix in release of burn contracture scars in the hand. Plast Reconstr Surg. 2011;127:1593–9.CrossRef PubMed
    46.Shahrokhi S, Arno A, Jeschke MG. The use of dermal substitutes in burn surgery: acute phase. Wound Repair Regen. 2014;22:14–22.CrossRef PubMed
    47.O’Brien JA, Ignotz R, Montilla R, Broderick GB, Christakis A, Dunn RM. Long-term histologic and mechanical results of a permacol abdominal wall explant. Hernia. 2011;15:211–5.CrossRef PubMed
    48.Saini M, Singh Y, Arora P, Arora V, Jain K. Implant biomaterials: a comprehensive review. World J Clin Cases. 2015;3:52–7.PubMedCentral CrossRef PubMed
    49.Tschernitschek H, Borchers L, Geurtsen W. Nonalloyed titanium as a bioinert metal–a review. Quintessence Int. 2005;36:523–30.PubMed
    50.Sykaras N, Iacopino AM, Marker VA, Triplett RG, Woody RD. Implant materials, designs, and surface topographies: their effect on osseointegration. A literature review. Int J Oral Maxillofac Implants. 2000;15:675–90.PubMed
    51.Chiapasco M, Casentini P, Zaniboni M, Corsi E, Anello T. Titanium-zirconium alloy narrow-diameter implants (Straumann Roxolid((R))) for the rehabilitation of horizontally deficient edentulous ridges: prospective study on 18 consecutive patients. Clin Oral Implants Res. 2012;23:1136–41.CrossRef PubMed
    52.Langer R, Vacanti JP. Tissue engineering. Science. 1993;260:920–6.CrossRef PubMed
    53.MacArthur BD, Oreffo RO. Bridging the gap. Nature. 2005;433:19.CrossRef PubMed
    54.Kim WS, Vacanti JP, Cima L, et al. Cartilage engineered in predetermined shapes employing cell transplantation on synthetic biodegradable polymers. Plast Reconstr Surg. 1994;94:233–7 discussion 8–40.CrossRef PubMed
    55.Bodnar AG, Ouellette M, Frolkis M, et al. Extension of life-span by introduction of telomerase into normal human cells. Science. 1998;279:349–52.CrossRef PubMed
    56.Cassidy JW. Nanotechnology in the regeneration of complex tissues. Bone Tissue Regen Insights. 2014;5:25–35.PubMedCentral CrossRef PubMed
    57.Pislaru SV, Harbuzariu A, Agarwal G, et al. Magnetic forces enable rapid endothelialization of synthetic vascular grafts. Circulation. 2006;114:I314–8.CrossRef PubMed
    58.Wang SF, Shen L, Zhang WD, Tong YJ. Preparation and mechanical properties of chitosan/carbon nanotubes composites. Biomacromolecules. 2005;6:3067–72.CrossRef PubMed
    59.Gui X, Cao A, Wei J, et al. Soft, highly conductive nanotube sponges and composites with controlled compressibility. ACS Nano. 2010;4:2320–6.CrossRef PubMed
    60.Zhang S, Uludag H. Nanoparticulate systems for growth factor delivery. Pharm Res. 2009;26:1561–80.CrossRef PubMed
    61.Fan D, Yin Z, Cheong R, et al. Subcellular-resolution delivery of a cytokine through precisely manipulated nanowires. Nat Nanotechnol. 2010;5:545–51.PubMedCentral CrossRef PubMed
    62.Wu S, Liu X, Hu T, et al. A biomimetic hierarchical scaffold: natural growth of nanotitanates on three-dimensional microporous Ti-based metals. Nano Lett. 2008;8:3803–8.CrossRef PubMed
    63.Pan Z, Ding J. Poly(lactide-co-glycolide) porous scaffolds for tissue engineering and regenerative medicine. Interface Focus. 2012;2:366–77.PubMedCentral CrossRef PubMed
    64.Liao CJ, Chen CF, Chen JH, Chiang SF, Lin YJ, Chang KY. Fabrication of porous biodegradable polymer scaffolds using a solvent merging/particulate leaching method. J Biomed Mater Res. 2002;59:676–81.CrossRef PubMed
    65.Harris LD, Kim BS, Mooney DJ. Open pore biodegradable matrices formed with gas foaming. J Biomed Mater Res. 1998;42:396–402.CrossRef PubMed
    66.• Haugh MG, Murphy CM, O’Brien FJ. Novel freeze-drying methods to produce a range of collagen-glycosaminoglycan scaffolds with tailored mean pore sizes. Tissue Eng Part C Methods 2010;16:887–94. Pore size is an important aspect of scaffold design. This study applies modifications to the freeze-drying cycle to produce a variety of collagen-glycosan scaffolds with a wide range of mean pore sizes. Adding to the arsenal of techniques that can be used to create and modify the inner structure of scaffolds.
    67.Ziabicki A. Fundamentals of fibre formation : the science of fibre spinning and drawing. London: Wiley; 1976.
    68.•• Coutinho D, Costa P, Neves N, Gomes M, Reis R. Micro- and Nanotechnology in Tissue Engineering. In: Pallua N, Suscheck CV, eds. Tissue Engineering: Springer Berlin Heidelberg; 2011:3–29. This is a comprehensive chapter discussing recent developments regarding micro and nanotechnologies and their applications in tissue engineering. This technologies are necessary to improve the structure and therefore functionality of scaffolds. These technologies can be used to study and control the phenomena occurring at the cellular microenvironment.
    69.Ma PX, Elisseeff JH. Scaffolding in tissue engineering. Boca Raton: Taylor&Francis; 2005.CrossRef
    70.Melchels F, Wiggenhauser PS, Warne D, et al. CAD/CAM-assisted breast reconstruction. Biofabrication. 2011;3:034114.CrossRef PubMed
    71.Kang HW, Park JH, Kang TY, Seol YJ, Cho DW. Unit cell-based computer-aided manufacturing system for tissue engineering. Biofabrication. 2012;4:015005.CrossRef PubMed
    72.• Koch L, Kuhn S, Sorg H, et al. Laser printing of skin cells and human stem cells. Tissue Eng Part C Methods 2010;16:847–54. Laser printing based on laser-induced forward transfer (LIFT) is a new and promising biofabrication technique for the arrangement of biological materials or living cells. In this study LIFT was used to print cell with high potential in regeneration (skin and mesechymal cells) to evaluate the influence of LIFT on the cells. The results showed high transfer rate and no increase of apoptosis or DNA fragmentation. These results show that LIFT will be a promising method for ex vivo cell printing.
    73.Choi JW, Kim N. Clinical application of three-dimensional printing technology in craniofacial plastic surgery. Arch Plast Surg. 2015;42:267–77.PubMedCentral CrossRef PubMed
    74.D’Urso PS, Earwaker WJ, Barker TM, et al. Custom cranioplasty using stereolithography and acrylic. Br J Plast Surg. 2000;53:200–4.CrossRef PubMed
    75.Parthasarathy J. 3D modeling, custom implants and its future perspectives in craniofacial surgery. Ann Maxillofac Surg. 2014;4:9–18.PubMedCentral CrossRef PubMed
    76.Wurm G, Tomancok B, Holl K, Trenkler J. Prospective study on cranioplasty with individual carbon fiber reinforced polymer (CFRP) implants produced by means of stereolithography. Surg Neurol. 2004;62:510–21.CrossRef PubMed
    77.Sutradhar A, Park J, Carrau D, Miller MJ. Experimental validation of 3D printed patient-specific implants using digital image correlation and finite element analysis. Comput Biol Med. 2014;52:8–17.CrossRef PubMed
    78.Chen S-T, Chang C-J, Su W-C, Chang L-W, Chu IH, Lin M-S. 3-D titanium mesh reconstruction of defective skull after frontal craniectomy in traumatic brain injury. Injury. 2015;46:80–5.CrossRef PubMed
    79.• Saijo H, Igawa K, Kanno Y, et al. Maxillofacial reconstruction using custom-made artificial bones fabricated by inkjet printing technology. Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs 2009;12:200–5. Mandibular reconstruction is one of the most complex reconstructions performed in the wide spectrum of the reconstructive surgery practice. The complex three-dimensional shape, requiring multiple osteotomies that can impair blood flow, the need for enough bone to support implants, occasional need to reconstruct the condyle and the morbidity associated with the donor site (usually fibula) make this a complex issue. This study present 3D printing of artificial bones and implanted them in ten patients with maxillofacial deformities. Findings in this study provide support for further clinical studies of the inkjet-printed custom-made artificial bones.
    80.Klammert U, Gbureck U, Vorndran E, Rodiger J, Meyer-Marcotty P, Kubler AC. 3D powder printed calcium phosphate implants for reconstruction of cranial and maxillofacial defects. J Craniomaxillofac Surg. 2010;38:565–70.CrossRef PubMed
    81.Li J, Hsu Y, Luo E, Khadka A, Hu J. Computer-aided design and manufacturing and rapid prototyped nanoscale hydroxyapatite/polyamide (n-HA/PA) construction for condylar defect caused by mandibular angle ostectomy. Aesthetic Plast Surg. 2011;35:636–40.CrossRef PubMed
    82.• Levine JP, Patel A, Saadeh PB, Hirsch DL. Computer-aided design and manufacturing in craniomaxillofacial surgery: the new state of the art. The Journal of craniofacial surgery 2012;23:288–93. This paper illustrates a clear clinical advantage in the use of 3D printing as an aid in surgery, in this case, mandibular reconstruction. For bone grafts to be used in mandibular reconstruction there is no disadvantage and many very well defined advantages of using osteotomy guides (that need to be generated with CT reconstructions). Therefore it is ideal for all mandibular reconstruction with free bone graft to use 3D printed osteotomy guides. At the moment there a few of these clear-cut clinical applications of 3D printing in surgery, reason why we find this paper of importance.
    83.Hirsch DL, Garfein ES, Christensen AM, Weimer KA, Saddeh PB, Levine JP. Use of computer-aided design and computer-aided manufacturing to produce orthognathically ideal surgical outcomes: a paradigm shift in head and neck reconstruction. J Oral Maxillofac Surg. 2009;67:2115–22.CrossRef PubMed
    84.Xu Y, Fan F, Kang N, et al. Tissue engineering of human nasal alar cartilage precisely by using three-dimensional printing. Plast Reconstr Surg. 2015;135:451–8.CrossRef PubMed
    85.Bos EJ, Scholten T, Song Y, et al. Developing a parametric ear model for auricular reconstruction: a new step towards patient-specific implants. J Craniomaxillofac Surg. 2015;43:390–5.CrossRef PubMed
    86.Chae MP, Lin F, Spychal RT, Hunter-Smith DJ, Rozen WM. 3D-printed haptic “reverse” models for preoperative planning in soft tissue reconstruction: a case report. Microsurgery. 2015;35:148–53.CrossRef PubMed
    87.Gillis JA, Morris SF. Three-dimensional printing of perforator vascular anatomy. Plast Reconstr Surg. 2014;133:80e–2e.CrossRef PubMed
    88.Fuller SM, Butz DR, Vevang CB, Makhlouf MV. Application of 3-dimensional printing in hand surgery for production of a novel bone reduction clamp. J Hand Surg. 2014;39:1840–5.CrossRef
    89.Cui X, Dean D, Ruggeri ZM, Boland T. Cell damage evaluation of thermal inkjet printed Chinese hamster ovary cells. Biotechnol Bioeng. 2010;106:963–9.CrossRef PubMed
    90.Ozbolat IT, Yu Y. Bioprinting toward organ fabrication: challenges and future trends. IEEE Trans Biomed Eng. 2013;60:691–9.CrossRef PubMed
    91.Cui X, Boland T, D’Lima DD, Lotz MK. Thermal inkjet printing in tissue engineering and regenerative medicine. Recent Pat Drug Deliv Formul. 2012;6:149–55.PubMedCentral CrossRef PubMed
    92.• Michael S, Sorg H, Peck CT, et al. Tissue engineered skin substitutes created by laser-assisted bioprinting form skin-like structures in the dorsal skin fold chamber in mice. PLoS One 2013;8:e57741. The authors utilized a laser-assisted bioprinting (LaBP) technique to create a fully cellularized skin substitute allowing printing different cell types in a 3D spatial pattern. It was then implanted into full thickness wound of mice. Their results showed tissue formation in vivo on the construct. This technique overcomes a very important hurdle in the journey for 3D printing complex tissues.
    93.• Bertassoni LE, Cecconi M, Manoharan V, et al. Hydrogel bioprinted microchannel networks for vascularization of tissue engineering constructs. Lab Chip 2014;14:2202–11. Blood supply to newly engineered tissues is barrier in transplantation. In this study the authors created vascular networks in hydrogels and demonstrated the functionality of the fabricated vascular networks in improving mass transport, cellular viability and differentiation within the cell-laden tissue constructs. Also formation of endothelial monolayers within the fabricated channels was confirmed. This is a breakthrough in tissue engineering of complex tissues.
    94.Saijo H, Igawa K, Kanno Y, et al. Maxillofacial reconstruction using custom-made artificial bones fabricated by inkjet printing technology. J Artif Organs. 2009;12:200–5.CrossRef PubMed
  • 作者单位:Cesar Colasante (1)
    Zachary Sanford (2)
    Evan Garfein (3)
    Oren Tepper (3)

    1. Division of Plastic and Reconstructive Surgery, Department of Surgery, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY, 10461, USA
    2. Joan C. Edwards School of Medicine (JCESOM), Marshall University, Huntington, WV, 25701, USA
    3. Division of Plastic and Reconstructive Surgery, Department of Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, 10461, USA
  • 刊物主题:Surgery;
  • 出版者:Springer US
  • ISSN:2167-4817
文摘
3D printing represents a developing technology whose applications in plastic and reconstructive science are only in its dawn, creating devices of limitless customization presenting the possibility for uniquely tailored implantable devices for the individual patient. The advent of tissue engineering presents exciting new possibilities for conventional 3D printing in that novel approaches to reconstruction can be attempted with bioactive molecules and tissues for advanced wound healing, thereby resulting in a dramatic reduction in implantable device morbidity with improved esthetic results. The marriage of these two technologies has resulted in the creation of bioprosthetics, a field in which bioactive molecules are structured into implantable prosthetic devices through 3D printing of cells harvested or engineered in the laboratory. The historical context of conventional 3D printing modalities as well as tissue engineering is presented for discussion in the greater context of the creation of modern bioprosthetics. An outline of common materials, methods, and their utility is also introduced to serve as a framework to better understand the continuing advancements in implantable devices with examples of continuing discoveries discussed where appropriate. Keywords 3D printing Tissue engineering Bioprosthetics Biomaterials Plastic surgery Reconstructive surgery

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700