Craniomaxillofacial reconstructive surgery is a challenging field. First it aims to restore primary functions and second to preserve craniofacial anatomical features like symmetry and harmony. Three-dimensional (3D) printed biomodels have been widely adopted in medical fields by providing tactile feedback and a superior appreciation of visuospatial relationship between anatomical structures. Craniomaxillofacial reconstructive surgery was one of the first areas to implement 3D printing technology in their practice. Biomodeling has been used in craniofacial reconstruction of traumatic injuries, congenital disorders, tumor removal, iatrogenic injuries (e.g., decompressive craniectomies), orthognathic surgery, and implantology. 3D printing has proven to improve and enable an optimization of preoperative planning, develop intraoperative guidance tools, reduce operative time, and significantly improve the biofunctional and the aesthetic outcome. This technology has also shown great potential in enriching the teaching of medical students and surgical residents. The aim of this review is to present the current status of 3D printing technology and its practical and innovative applications, specifically in craniomaxillofacial reconstructive surgery, illustrated with two clinical cases where the 3D printing technology was successfully used.
ParthasarathyJ3D modeling, custom implants and its future perspectives in craniofacial surgeryAnn Maxillofac Surg2014419–18
2.
MüllerAKrishnanKUhlEMastGThe application of rapid prototyping techniques in cranial reconstruction and preoperative planning in neurosurgeryJ Craniofac Surg2003146899–914
3.
ZenhaHBarrosoMLCostaHAdvanced 3-D biomodelling technology for complex mandibular reconstruction In: DanillaS, ed. Selected Topics in Plastic Reconstructive SurgeryInTech2012217–232
4.
OliveiraMHussainNSDiasAG, et al. 3-D biomodelling technology for maxillofacial reconstructionMater Sci Eng C2008281347–1351
5.
NaftulinJSKimchiEYCashSSStreamlined, inexpensive 3D printing of the brain and skullPLoS One2015108e0136198
6.
MichalskiMHRossJSThe shape of things to come: 3D printing in medicineJAMA2014312212213–2214
7.
Hohlweg-MajertBSchönRSchmelzeisenRGellrichNCSchrammANavigational maxillofacial surgery using virtual modelsWorld J Surg200529121530–1538
8.
RengierFMehndirattaAvon Tengg-KobligkH, et al. 3D printing based on imaging data: review of medical applicationsInt J CARS201054335–341
9.
ChaeMPRozenWMMcMenaminPGFindlayMWSpychalRTHunter-SmithDJEmerging applications of beside 3D printing in plastic surgeryFront Surg201522525
10.
ChoiJWKimNClinical application of three-dimensional printing technology in craniofacial plastic surgeryArch Plast Surg2015423267–277
11.
GerstleTLIbrahimAMKimPSLeeBTLinSJA plastic surgery application in evolution: three-dimensional printingPlast Reconstr Surg20141332446–451
12.
VentolaCLMedical applications for 3D printing: current and projected usesP&T20143910704–711
13.
GoiatoMCSantosMRPesqueiraAAMorenoAdos SantosDMHaddadMFPrototyping for surgical and prosthetic treatmentJ Craniofac Surg2011223914–917
14.
BibbREggbeerDEvansPBoccaASugarARapid manufacture of custom fitting surgical guidesRapid Prototyping J2009155346–354
15.
MehraPMinerJD'InnocenzoRNadershahMUse of 3-d stereolithographic models in oral and maxillofacial surgeryJ Maxillofac Oral Surg20111016–13
16.
KatsuragiYKayanoSAkazawaS, et al. Mandible reconstruction using the calcium-sulphate three-dimensional model and rubber stick: a new method, “mould technique”, for more accurate, efficient and simplified fabricationJ Plast Reconstr Aesthet Surg2011645614–622
17.
WinderJBibbRMedical rapid prototyping technologies: state of the art and current limitations for application in oral and maxillofacial surgeryJ Oral Maxillofac Surg20056371006–1015
18.
ChiaHNWuBMRecent advances in 3D printing of biomaterialsJ Biol Eng2015944
19.
OlszewskiRReychlerHClinical applications of rapid prototyping models in cranio- maxillofacial surgery In: HoqueM, ed. Advanced Applications of Rapid Prototyping Technology in Modern EngineeringBelgiumInTech2011173–206
20.
MalikHHDarwoodARShaunakS, et al. Three-dimensional printing in surgery: a review of current surgical applicationsJ Surg Res20151992512–522
21.
WuGHHsuSHReview: polymeric-based 3D printing for tissue engineeringJ Med Biol Eng2015353285–292
22.
SinnDPCilloJEJrMilesBAStereolithography for craniofacial surgeryJ Craniofac Surg2006175869–875
23.
TumblestonJRShirvanyantsDErmoshkinN, et al. Additive manufacturing. Continuous liquid interface production of 3D objectsScience2015347(6228): 1349–1352
24.
HoyMB3D printing: making things at the libraryMed Ref Serv Q201332194–99
25.
TrainorPARichtsmeierJTFacing up to the challenges of advancing Craniofacial ResearchAm J Med Genet A201516771451–1454
26.
MendezBMChiodoMVPatelPACustomized “in-office” three-dimensional printing for virtual surgical planning in craniofacial surgeryJ Craniofac Surg20152651584–1586
27.
KelleyDJFarhoudMMeyerandME, et al. Creating physical 3D stereolithograph models of brain and skullPLoS One2007210e1119
28.
CostaHZenhaHSequeiraH, et al. Microsurgical reconstruction of the maxilla: Algorithm and conceptsJ Plast Reconstr Aesthet Surg2015685e89–e104
29.
AyoubAFRehabMO'NeilM, et al. A novel approach for planning orthognathic surgery: the integration of dental casts into three-dimensional printed mandibular modelsInt J Oral Maxillofac Surg2014434454–459
30.
López-ArcasJMAriasJDel CastilloJL, et al. The fibula osteomyocutaneous flap for mandible reconstruction: a 15-year experienceJ Oral Maxillofac Surg201068102377–2384
31.
SchepersRHRaghoebarGMVissinkA, et al. Fully 3-dimensional digitally planned reconstruction of a mandible with a free vascularized fibula and immediate placement of an implant-supported prosthetic constructionHead Neck2013354E109–E114
32.
LevineJPPatelASaadehPBHirschDLComputer-aided design and manufacturing in craniomaxillofacial surgery: the new state of the artJ Craniofac Surg2012231288–293
33.
RotaruHSchumacherRKimSGDinuCSelective laser melted titanium implants: a new technique for the reconstruction of extensive zygomatic complex defectsMaxillofac Plast Reconstr Surg20153711–6
34.
ZenhaHAzevedoLRiosL, et al. The application of 3-D biomodeling technology in complex mandibular reconstruction – experience of 47 clinical casesEur J Plast Surg2011344257–265
WurmGTomancokBHollKTrenklerJProspective study on cranioplasty with individual carbon fiber reinforced polymer (CFRP) implants produced by means of stereolithographySurg Neurol2004626510–521
37.
3D Print ExchangeNational Institutes of Health Available at: http://3dprint.nih.gov. Accessed January 25, 2016
38.
OzbolatITYuYBioprinting toward organ fabrication: challenges and future trendsIEEE Trans Biomed Eng2013603691–699
39.
ChaeMPHunter-SmithDJDe-SilvaIThamSSpychalRTRozenWMFour-dimensional (4D) printing: a new evolution in computed tomography-guided stereolithographic modeling. Principles and applicationJ Reconstr Microsurg2015316458–463
