Three dimensional printed models of the airway for preoperative planning of open Laryngotracheal surgery in children: Surgeon’s perception of utility
Abstract Background Preoperative planning of open laryngotracheal surgery is important for achieving good results. This study examines the surgeon’s perception of the importance of using life size 3D printed models of the pediatric airway on surgical decision making. Methods Life-size three-dimensio...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-07-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | https://doi.org/10.1186/s40463-021-00524-y |
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| author | Oshri Wasserzug Gadi Fishman Narin Carmel-Neiderman Yael Oestreicher-Kedem Maher Saada Solomon Dadia Eran Golden Philip Berman Ophir Handzel Ari DeRowe |
| author_facet | Oshri Wasserzug Gadi Fishman Narin Carmel-Neiderman Yael Oestreicher-Kedem Maher Saada Solomon Dadia Eran Golden Philip Berman Ophir Handzel Ari DeRowe |
| author_sort | Oshri Wasserzug |
| collection | DOAJ |
| description | Abstract Background Preoperative planning of open laryngotracheal surgery is important for achieving good results. This study examines the surgeon’s perception of the importance of using life size 3D printed models of the pediatric airway on surgical decision making. Methods Life-size three-dimensional models of the upper airway were created based on CT images of children scheduled for laryngotracheal-reconstruction and cricotracheal resection with anastomosis. Five pediatric airway surgeons evaluated the three-dimensional models for determining the surgical approach, incision location and length, graft length, and need for single or double-stage surgery of seven children (median age 4.4 years, M:F ratio 4:3). They rated the importance of the three-dimensional model findings compared to the direct laryngoscopy videos and CT findings for each domain on a validated Likert scale of 1–5. Results The mean rating for all domains was 3.6 ± 0.63 (“moderately important” to “very important”), and the median rating was 4 (“very important”). There was full agreement between raters for length of incision and length of graft. The between-rater agreement was 0.608 (“good”) for surgical approach, 0.585 (“moderate”) for incision location, and 0.429 (“moderate”) for need for single- or two-stage surgery. Conclusion Patient-specific three-dimensional printed models of children’s upper airways were scored by pediatric airway surgeons as being moderately to very important for preoperative planning of open laryngotracheal surgery. Large–scale, objective outcome studies are warranted to establish the reliability and efficiency of these models. Graphical abstract |
| format | Article |
| id | doaj-art-9718139d86fa4ee78c9a085da78895af |
| institution | Kabale University |
| issn | 1916-0216 |
| language | English |
| publishDate | 2021-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-9718139d86fa4ee78c9a085da78895af2025-02-03T10:54:10ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162021-07-015011710.1186/s40463-021-00524-yThree dimensional printed models of the airway for preoperative planning of open Laryngotracheal surgery in children: Surgeon’s perception of utilityOshri Wasserzug0Gadi Fishman1Narin Carmel-Neiderman2Yael Oestreicher-Kedem3Maher Saada4Solomon Dadia5Eran Golden6Philip Berman7Ophir Handzel8Ari DeRowe9Pediatric Otolaryngology Unit, Dana-Dwek Children’s Hospital, Tel Aviv Sourasky Medical CenterPediatric Otolaryngology Unit, Dana-Dwek Children’s Hospital, Tel Aviv Sourasky Medical CenterDepartment of Otolaryngology, Head & Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical CenterDepartment of Otolaryngology, Head & Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical CenterPediatric Otolaryngology Unit, Dana-Dwek Children’s Hospital, Tel Aviv Sourasky Medical CenterThe Surgical 3D Printing Lab, Tel Aviv Sourasky Medical CenterThe Surgical 3D Printing Lab, Tel Aviv Sourasky Medical CenterThe Surgical 3D Printing Lab, Tel Aviv Sourasky Medical CenterDepartment of Otolaryngology, Head & Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical CenterPediatric Otolaryngology Unit, Dana-Dwek Children’s Hospital, Tel Aviv Sourasky Medical CenterAbstract Background Preoperative planning of open laryngotracheal surgery is important for achieving good results. This study examines the surgeon’s perception of the importance of using life size 3D printed models of the pediatric airway on surgical decision making. Methods Life-size three-dimensional models of the upper airway were created based on CT images of children scheduled for laryngotracheal-reconstruction and cricotracheal resection with anastomosis. Five pediatric airway surgeons evaluated the three-dimensional models for determining the surgical approach, incision location and length, graft length, and need for single or double-stage surgery of seven children (median age 4.4 years, M:F ratio 4:3). They rated the importance of the three-dimensional model findings compared to the direct laryngoscopy videos and CT findings for each domain on a validated Likert scale of 1–5. Results The mean rating for all domains was 3.6 ± 0.63 (“moderately important” to “very important”), and the median rating was 4 (“very important”). There was full agreement between raters for length of incision and length of graft. The between-rater agreement was 0.608 (“good”) for surgical approach, 0.585 (“moderate”) for incision location, and 0.429 (“moderate”) for need for single- or two-stage surgery. Conclusion Patient-specific three-dimensional printed models of children’s upper airways were scored by pediatric airway surgeons as being moderately to very important for preoperative planning of open laryngotracheal surgery. Large–scale, objective outcome studies are warranted to establish the reliability and efficiency of these models. Graphical abstracthttps://doi.org/10.1186/s40463-021-00524-ySubglottic stenosisLikert scaleThree-dimensional printingDirect laryngoscopyLaryngotracheal reconstruction |
| spellingShingle | Oshri Wasserzug Gadi Fishman Narin Carmel-Neiderman Yael Oestreicher-Kedem Maher Saada Solomon Dadia Eran Golden Philip Berman Ophir Handzel Ari DeRowe Three dimensional printed models of the airway for preoperative planning of open Laryngotracheal surgery in children: Surgeon’s perception of utility Journal of Otolaryngology - Head and Neck Surgery Subglottic stenosis Likert scale Three-dimensional printing Direct laryngoscopy Laryngotracheal reconstruction |
| title | Three dimensional printed models of the airway for preoperative planning of open Laryngotracheal surgery in children: Surgeon’s perception of utility |
| title_full | Three dimensional printed models of the airway for preoperative planning of open Laryngotracheal surgery in children: Surgeon’s perception of utility |
| title_fullStr | Three dimensional printed models of the airway for preoperative planning of open Laryngotracheal surgery in children: Surgeon’s perception of utility |
| title_full_unstemmed | Three dimensional printed models of the airway for preoperative planning of open Laryngotracheal surgery in children: Surgeon’s perception of utility |
| title_short | Three dimensional printed models of the airway for preoperative planning of open Laryngotracheal surgery in children: Surgeon’s perception of utility |
| title_sort | three dimensional printed models of the airway for preoperative planning of open laryngotracheal surgery in children surgeon s perception of utility |
| topic | Subglottic stenosis Likert scale Three-dimensional printing Direct laryngoscopy Laryngotracheal reconstruction |
| url | https://doi.org/10.1186/s40463-021-00524-y |
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