Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jul;134(7):3395-3401.
doi: 10.1002/lary.31327. Epub 2024 Mar 7.

Multidisciplinary Advanced Surgical Planning for Slide Tracheoplasty Using 3D-Printed Models

Clare M Richardson  1 , Scott Walton  2   3 , Jason S Park  4 , Juliana Bonilla-Velez  2   5 , Randall A Bly  2   5 , John P Dahl  2   5 , Sanjay R Parikh  2   5 , Seth Friedman  6 , Kaalan E Johnson  2   5
Affiliations

Multidisciplinary Advanced Surgical Planning for Slide Tracheoplasty Using 3D-Printed Models

Clare M Richardson et al. Laryngoscope. 2024 Jul.

Abstract

Objective: The objective of this study was to develop and assess multidisciplinary advanced surgical planning (ASP) sessions using three dimensional (3D) printed models for cervicothoracic slide tracheoplasty (CST). We hypothesized that these sessions would improve surgeon confidence, streamline intraoperative planning, and highlight the utility of 3D modeling.

Methods: 3D-printed patient-specific trachea models were used in pre-operative ASP sessions consisting of a multidisciplinary case discussion and hands-on slide tracheoplasty simulation. Participants completed a survey rating realism, utility, impact on the final surgical plan, and pre- and post-session confidence. Statistical analysis was performed via Wilcoxon and Kruskal-Wallis tests.

Results: Forty-eight surveys were collected across nine sessions and 27 different physicians. On a 5-point Likert scale, models were rated as "very realistic", "very useful" (both median of 4, IQR 3-4 and 4-5, respectively). Overall confidence increased by 1.4 points (+/- 0.7, p < 0.0001), with the largest change seen in those with minimal prior slide tracheoplasty experience (p = 0.005). Participants felt that the sessions "strongly" impacted their surgical plan or anticipated performance (median 4, IQR 4-5), regardless of training level or experience.

Conclusion: 3D-printed patient-specific models were successfully implemented in ASP sessions for CST. Models were deemed very realistic and very useful by surgeons across multiple specialties and training levels. Surgical planning sessions also strongly impacted the final surgical plan and increased surgeon confidence for CST.

Level of evidence: 4 Laryngoscope, 134:3395-3401, 2024.

Keywords: 3D printing; airway; models; simulation; slide tracheoplasty; surgical planning.

PubMed Disclaimer

References

BIBLIOGRAPHY

    1. Hong CJ, Giannopoulos AA, Hong BY, et al. Clinical applications of three‐dimensional printing in otolaryngology–head and neck surgery: a systematic review. Laryngoscope. 2019;129(9):2045‐2052.
    1. Leung G, Pickett AT, Bartellas M, et al. Systematic review and meta‐analysis of 3D‐printing in otolaryngology education. Int J Pediatr Otorhinolaryngol. 2022;155:111083.
    1. Stramiello JA, Saddawi‐Konefka R, Ryan J, Brigger MT. The role of 3D printing in pediatric airway obstruction: a systematic review. Int J Pediatr Otorhinolaryngol. 2020;132:109923.
    1. Balakrishnan K, Cofer S, Matsumoto JM, Dearani JA, Boesch RP. Three‐dimensional printed models in multidisciplinary planning of complex tracheal reconstruction: 3D printed models in tracheal teconstruction. Laryngoscope. 2017;127(4):967‐970.
    1. Myer CM, Jabbour N. Advanced pediatric airway simulation. Otolaryngol Clin N Am. 2017;50(5):923‐931.

LinkOut - more resources