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CN113797004A - Individualized nose orthopedic device based on additive manufacturing technique - Google Patents

Individualized nose orthopedic device based on additive manufacturing technique
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Publication number
CN113797004A
CN113797004ACN202111229120.5ACN202111229120ACN113797004ACN 113797004 ACN113797004 ACN 113797004ACN 202111229120 ACN202111229120 ACN 202111229120ACN 113797004 ACN113797004 ACN 113797004A
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nasal
nose
additive manufacturing
patient
manufacturing technology
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吴昊
吴忆来
刘婷
王旭东
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Abstract

Translated fromChinese

本发明公开了一种基于增材制造技术的个性化鼻矫形装置,包括鼻模本体以及固位装置。所述鼻模本体根据患者鼻腔参数进行三维设计,并通过增材制造技术及基于增材制造技术的衍生技术制成,并嵌入患者鼻腔中,通过固位装置与鼻翼软组织的相互作用力固定鼻模本体。本发明的有益效果为:本发明的可较为稳固的固定于患者鼻腔,有效提高鼻畸形整复术后的治疗效果,同时,不同于成品鼻矫形装置,该装置充分考虑患者个性化需求,有效满足了患者对于美学的诉求,可获得较高的患者满意度。

Figure 202111229120

The invention discloses a personalized nasal orthopaedic device based on additive manufacturing technology, comprising a nose mold body and a retaining device. The nose mold body is three-dimensionally designed according to the parameters of the patient's nasal cavity, and is made by additive manufacturing technology and a derivative technology based on the additive manufacturing technology, and is embedded in the patient's nasal cavity, and the nose is fixed by the interaction force between the retention device and the nasal alar soft tissue. mold body. The beneficial effects of the present invention are as follows: the present invention can be stably fixed in the nasal cavity of the patient, effectively improving the treatment effect after the nose deformity restoration, and at the same time, different from the finished nasal orthopaedic device, the device fully considers the individual needs of the patient, and effectively Satisfy the patient's aesthetic appeal and obtain high patient satisfaction.

Figure 202111229120

Description

Individualized nose orthopedic device based on additive manufacturing technique
Technical Field
The invention relates to the technical field of nasal deformity reduction, in particular to a personalized nasal orthopedic device based on an additive manufacturing technology.
Background
The nose-hump is in the center of the face, is an important component of human appearance, and has important identification and aesthetic effects. Nasal deformity, a common nasal disorder, can be caused by various factors, including congenital nasal deformity, traumatic nasal deformity, secondary deformity of cleft lip and palate, and the like. Currently, surgical reduction is mainly adopted for nasal deformity, and a nasal orthopedic device is worn after the operation. The nasal dilator has supporting function and directionality, can enable the nostrils to grow in the direction close to the normal anatomical characteristics, provides a long-term, stable and continuous supporting function, can partially correct symptoms of nasal cavity ventilation reduction caused by nasal scar contracture and nasal deformity caused by operations, consolidates the operation effect to the maximum extent, and finally obtains a more satisfactory treatment effect.
Currently, the nasal casts in common clinical use are standardized structures, have various sizes, are initially determined by trial wear, and are gradually replaced. However, such standardized structure may be difficult to wear or have poor orthopedic effect for some special patients. In recent years, with the development of digital medicine, three-dimensional design and additive manufacturing are widely used in the medical field and play an important role. Through the technology, the personalized nose orthopedic device can be designed according to the personalized characteristics of the patient, so that better wearing experience and treatment effect can be obtained.
Disclosure of Invention
In view of the problems in the related art, the present invention provides a personalized nasal orthotic device based on additive manufacturing technology to overcome the above technical problems in the related art.
The technical scheme of the invention is realized as follows:
an individualized nasal orthotic device based on additive manufacturing technology comprises a nasal mold body and a retention device. The nasal model body is designed in three dimensions according to nasal cavity parameters of a patient, is manufactured by an additive manufacturing technology and a derivative technology based on the additive manufacturing technology, is embedded into the nasal cavity of the patient, and is fixed by the interaction force of the retention device and the soft tissue of the nasal wing.
Through the scheme, the invention can obtain the following technical effects:
the personalized nose orthopedic device based on the additive manufacturing technology comprises an inner nose mould body, a retention device, a connector, an imaging parameter device and an additive manufacturing technology, wherein the nose mould body and the retention device are designed according to the face of a patient and the imaging parameter device and are obtained through the additive manufacturing technology, the nose mould body is provided with a vent hole and can be connected through the connector, and the nose mould body is independently and fixedly arranged in a nasal cavity through the retention device.
The personalized nose orthopedic device is supported in the nasal cavity through the nose mould body, meanwhile, the retention effect is enhanced through the interaction force of the retention device and soft tissues around the nasal cavity, and the shapes of the columella nasi and the fornix nasi are orthopedic, so that the nasal deformity recovery effect is improved.
Preferably, the nasal orthotic device is provided with a vent to avoid affecting the patient's gas exchange.
Preferably, the orthopedic devices of both nostrils are linked by connecting bodies, and the connecting bodies are fixedly connected with the retention device.
Preferably, if the patient only requires a reduction of one side of the nasal profile, it is contemplated that a single nasal orthotic device may be prepared for use.
Preferably, the nasal orthotic device may be retained by external means, such as perforation followed by penetration of an anti-detachment thread, or use of adhesive tape to enhance retention, etc.
Preferably, a plurality of nasal orthotic devices can be prepared and worn sequentially to gradually improve the appearance of the nose of the patient, and a pair of nasal molds can be prepared to improve the appearance of the nose of the patient according to the nasal deformity degree of the patient.
Preferably, the imaging parameter equipment comprises CT data equipment, facial photogrammetry data equipment and three-dimensional imaging parameter equipment of the nasal cavity, and the retention device is used for fixing the nasal model body through interaction with soft tissues of the nasal wing.
The design of the personalized nose shape correcting device is realized by analyzing the three-dimensional data of the face of a patient, and the shape of the nose at the healthy side is mirrored to the affected side, so that the preparation parameters of the nose shape correcting device at the affected side are obtained, and the nose shape correcting device is obtained by an additive manufacturing technology.
Preferably, the parameters of the nasal orthotic device can be adjusted according to the aesthetic sense of the patient, so that the individual requirements of the patient can be met.
Preferably, if the patient has a bilateral nasal abnormality, the shape of the orthopedic device is designed by considering the normal nasal shape and the aesthetic sense of the patient.
Preferably, after the data of the nasal orthopedic device are obtained on the basis of the CT soft tissue data, the data can be verified and predicted in a three-dimensional face model constructed by photographing and scanning, and the final preparation parameters are determined together with the patient.
Preferably, the additive manufacturing technology comprises the steps of manufacturing a mold by the additive manufacturing technology and indirectly manufacturing a nose mould body, and the materials used for the nose mould body and the retention device comprise a silicone material, polyetheretherketone and a resin material.
The personalized nose orthopedic device is prepared by an additive manufacturing technology and a related technology based on additive manufacturing, can use various materials, including resin materials, polyether ether ketone materials, silica gel materials and the like, and can meet the personalized requirements of patients, the materials used by the nose mould body, including but not limited to silica gel materials, polyether ether ketone (PEEK) and resin materials, can be theoretically used for preparing the nose mould body by the materials of the related technology of additive manufacturing, and the specific selection of the materials is determined by clinicians and engineers according to the illness state and the requirements of the patients.
Preferably, the shape of the nose mould body is not limited to a regular shape, an irregular shape can be prepared according to the internal structure of the nasal cavity, the contact with the nasal cavity is wider, and the better supporting and retaining effects are achieved.
Preferably, in addition to directly preparing the nasal orthotic device by using an additive manufacturing technology, the nasal orthotic device can be obtained by preparing a template through additive manufacturing and by using a die-turning method, so that the application range of the technology is effectively expanded, and materials which are inconvenient to use in additive manufacturing can be also incorporated into the design and preparation technology system.
Preferably, the nasal orthopedic device is prepared by using a silica gel material through a turnover mold method, so that the nasal orthopedic device can give a patient a good wearing experience and has good safety.
The invention has the beneficial effects that:
according to the personalized nose shape righting device and the design and preparation method thereof, the specific preparation parameters are obtained by analyzing the three-dimensional image data of the face of the patient and combining the aesthetic sense of the patient, and the personalized nose shape righting device is directly or indirectly prepared by an additive manufacturing technology. Can be comparatively firm be fixed in the patient nasal cavity, effectively improve the treatment effect after the nasal deformity reduction, simultaneously, be different from finished product nasal orthopedic device, the device fully considers patient's individualized demand, has effectively satisfied the patient to the appeal of aesthetic, can obtain higher patient satisfaction.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings needed in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without creative efforts.
Fig. 1 is a front view of a nasal orthotic device that is a personalized nasal orthotic device based on additive manufacturing techniques.
Fig. 2 is a schematic top view of a nasal orthotic device based on additive manufacturing techniques for a personalized nasal orthotic device.
Fig. 3 is a schematic side view of a nasal orthotic device based on additive manufacturing techniques for a personalized nasal orthotic device.
Fig. 4 is a schematic view of a nasal orthotic connector of a personalized nasal orthotic based on additive manufacturing techniques.
In the figure:
the nasal mold comprises anasal mold body 1, aretention device 2, a connectingbody 3 and avent hole 4.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments that can be derived by one of ordinary skill in the art from the embodiments given herein are intended to be within the scope of the present invention.
The invention is further described with reference to the following drawings and detailed description:
example 1
As shown in fig. 1 to 4, the present embodiment provides a personalized nasal orthotic device, which is composed of anasal model body 1, aretention device 2 and a connectingbody 3. Wherein thenasal model body 1 has the supporting function in the nasal cavity, and theretention device 2 and the connectingbody 3 strengthen the retention of the nasal model, thereby improving the nasal deformity recovery effect.
Firstly, reconstructing a three-dimensional model of soft tissues of the face of a patient through CT data of the jaw face of the patient, further mirroring the appearance of a healthy nose to an affected side through a mirroring function, and performing fitting prediction on the three-dimensional face model. Communicate with the patient and confirm to obtain ideal nose appearance data, design the orthopedic device of nose according to the data, use the vibration material disk technique, print the template for the rollover, require to wrap up the orthopedic device of nose completely, reserve the filling hole, and make things convenient for later stage silica gel material to inject. The printing material of the template is photosensitive resin, and the template is manufactured by two-section splicing design and three-dimensional printing. And then, injecting the silica gel into the template, taking out the silica gel after 6 hours, and performing polishing and disinfection treatment to finally finish the manufacture, wherein thenose mold body 1 is 2-4mm in thickness and 8-15mm in length. The silica gel material has good biological safety, soft texture and better wearing experience for patients. The prepared nose orthopedic device is used for supporting the nasal cavity of a postoperative patient, the appearance of the nose is maintained, the nose orthopedic device is worn for 6-12 months, and the restitution effect is improved.
Example 2
As shown in fig. 1, the present embodiment provides a personalized nasal orthotic device comprising anasal splint body 1 and aretention device 2. Wherein thenasal model body 1 has the supporting function in the nasal cavity, and theretention device 2 strengthens the retention of the nasal model, thereby improving the nasal deformity recovery effect.
Firstly, reconstructing a three-dimensional model of soft tissues of the face of a patient through CT data of the jaw face of the patient, further mirroring the appearance of a healthy nose to an affected side through a mirroring function, and performing fitting prediction on the three-dimensional face model. Communicating with a patient for confirmation to obtain ideal nasal shape data, designing the nasal orthopedic device according to the data, printing polyether-ether-ketone to manufacture the nasal orthopedic device by using an additive manufacturing technology, wherein the thickness is 3mm, the length is 10mm, and polishing and disinfecting treatment are carried out to finally finish the manufacture. The polyether-ether-ketone has good biocompatibility and certain toughness and elasticity, and can be used for the production of medical instruments. The prepared nose orthopedic device is used for supporting the nasal cavity of a postoperative patient, the appearance of the nose is maintained, the nose orthopedic device is worn for 6-12 months, and the restitution effect is improved.
Example 3
As shown in fig. 1 to 3, the present embodiment provides a personalized nasal orthotic device, which includes anasal mold body 1, aretention device 2 and a connectingbody 3. Wherein thenasal model body 1 has the supporting function in the nasal cavity, and theretention device 2 and the connectingbody 3 strengthen the retention of the nasal model, thereby improving the nasal deformity recovery effect.
Firstly, reconstructing a three-dimensional model of soft tissues of the face of a patient through CT data of the jaw face of the patient, further mirroring the appearance of a healthy nose to an affected side through a mirroring function, and performing fitting prediction on the three-dimensional face model. Communicating with a patient for confirmation to obtain ideal nasal shape data, designing the nasal correction device according to the data, printing a resin material to manufacture the nasal correction device by using an additive manufacturing technology, wherein the thickness is 4mm, the length is 12mm, and polishing and disinfecting the device to finally finish the manufacture. The resin material has good biocompatibility and certain toughness and elasticity. The prepared nose orthopedic device is used for supporting the nasal cavity of a postoperative patient, the appearance of the nose is maintained, the nose orthopedic device is worn for 6-12 months, and the restitution effect is improved.
Example 4
As shown in fig. 1-3, the present embodiment provides a personalized nasal orthotic device, which comprises anasal model body 1 and aretention device 2. Wherein thenasal model body 1 has the supporting function in the nasal cavity, and theretention device 2 strengthens the retention of the nasal model, thereby improving the nasal deformity recovery effect.
Firstly, reconstructing a three-dimensional model of soft tissues of the face of a patient through CT data of the jaw face of the patient, and obtaining manufacturing parameters by combining correction based on nasal deformity parameters. Communicate with the patient and confirm to obtain ideal nose appearance data, design the orthopedic device of nose according to the data, use the vibration material disk technique, print the template for the rollover, require to wrap up the orthopedic device of nose completely, reserve the filling hole, and make things convenient for later stage silica gel material to inject. The printing material of the template is photosensitive resin, and the template is manufactured by two-section splicing design and three-dimensional printing. And then, injecting the silica gel into the template, taking out the silica gel after 6 hours, and performing polishing and disinfection treatment to finally finish the manufacture, wherein the thickness of thenose mould body 1 is 3mm, and the length of the nose mould body is 9 mm. The silica gel material has good biological safety, soft texture and better wearing experience for patients. The prepared nose orthopedic device is used for supporting the nasal cavity of a postoperative patient, the appearance of the nose is maintained, the nose orthopedic device is worn for 6-12 months, and the restitution effect is improved.
Example 5
The embodiment provides a personalized unilateral nasal orthopedic device, which comprises anasal model body 1 and aretention device 2. Wherein thenasal model body 1 has the supporting function in the nasal cavity, and theretention device 2 strengthens the retention of the nasal model, thereby improving the nasal deformity recovery effect.
Firstly, reconstructing a three-dimensional model of soft tissues of the face of a patient through CT data of the jaw face of the patient, and obtaining manufacturing parameters of the unilateral nasal orthopedic device by combining correction based on nasal deformity parameters. Communicate with the patient and confirm to obtain ideal nose appearance data, design unilateral nose orthopedic device according to the data, use the additive manufacturing technology, print the template for the rollover, require to wrap up nose orthopedic device completely, reserve the filling hole, and make things convenient for later stage silica gel material to inject into. The printing material of the template is photosensitive resin, and the template is manufactured by two-section splicing design and three-dimensional printing. And then, injecting the silica gel into the template, taking out the silica gel after 6 hours, and performing polishing and disinfection treatment to finally finish the manufacture, wherein the thickness of thenose mould body 1 is 3mm, and the length of the nose mould body is 9 mm. The silica gel material has good biological safety, soft texture and better wearing experience for patients. The prepared nose orthopedic device is used for supporting the nasal cavity of a postoperative patient, the appearance of the nose is maintained, the nose orthopedic device is worn for 6-12 months, and the restitution effect is improved.
Example 6
As shown in fig. 1 to 4, the present embodiment provides a personalized nasal orthotic device, which is composed of anasal model body 1, aretention device 2 and a connectingbody 3. Wherein thenasal model body 1 has the supporting function in the nasal cavity, and theretention device 2 and the connectingbody 3 strengthen the retention of the nasal model, thereby improving the nasal deformity recovery effect.
Firstly, reconstructing a three-dimensional model of soft tissues of the face of a patient through CT data of the jaw face of the patient, further mirroring the appearance of a healthy nose to an affected side through a mirroring function, and performing fitting prediction on the three-dimensional face model. Communicate with the patient and confirm to obtain ideal nose appearance data, design the orthopedic device of nose according to the data, use the vibration material disk technique, print the template for the rollover, require to wrap up the orthopedic device of nose completely, reserve the filling hole, and make things convenient for later stage silica gel material to inject. The printing material of the template is photosensitive resin, and the template is manufactured by two-section splicing design and three-dimensional printing. And then, injecting the silica gel into the template, taking out the silica gel after 6 hours, and performing polishing and disinfection treatment to finally finish the manufacture, wherein thenose mold body 1 is 3mm in thickness and 10mm in length. The silica gel material has good biological safety, soft texture and better wearing experience for patients. The prepared nasal correction device is used for supporting the nasal cavity of a postoperative patient, the appearance of the nasal part is maintained, after the nasal correction device is worn for 2 months, data are acquired again to design and prepare the nasal correction device, the wearing time of the new nasal correction device is also 2 months, and the total wearing time of the nasal correction device is 6-12 months, so that the recovery effect is improved;
(1) and thenose mould body 1 plays a role in supporting the nasal cavity.
(2) And aretention device 2 interacting with the nostril and soft tissue of the nasal cavity to enhance retention.
(3) A connectingbody 3 of the two nose orthopedic devices.
(4) And avent hole 4.
While the foregoing shows and describes the fundamental principles and principal features of the invention, together with the advantages thereof, the foregoing embodiments and description are illustrative only of the principles of the invention, and various changes and modifications can be made therein without departing from the spirit and scope of the invention, which will fall within the scope of the invention as claimed. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (4)

Translated fromChinese
1.一种基于增材制造技术的个性化鼻矫形装置,其特征在于,包括内鼻模本体(1)、固位装置(2)、连接体(3)、影像学参数设备和增材制造技术,所述鼻模本体和固位装置依据患者面部及影像学参数设备进行设计,并通过增材制造技术获得,所述鼻模本体设置有通气孔(4),所述鼻模本体可通过连接体(3)连接,所述鼻模本体(1)通过固位装置(2)单独固位于鼻腔内部。1. A personalized nasal orthopaedic device based on additive manufacturing technology, characterized in that it comprises an inner nose mold body (1), a retaining device (2), a connecting body (3), imaging parameter equipment and additive manufacturing technology, the nose mold body and the retaining device are designed according to the patient's face and imaging parameters and obtained through additive manufacturing technology, the nose mold body is provided with a ventilation hole (4), and the nose mold body can pass through The connecting bodies (3) are connected, and the nose mold body (1) is independently fixed inside the nasal cavity through the retaining device (2).2.根据权利要求1所述的一种基于增材制造技术的个性化鼻矫形装置,其特征在于,所述影像学参数设备包括CT数据设备、面部摄影测量数据设备和鼻腔的三维影像参数设备。2 . The personalized nasal orthopaedic device based on additive manufacturing technology according to claim 1 , wherein the imaging parameter equipment comprises CT data equipment, facial photogrammetry data equipment and three-dimensional imaging parameter equipment of nasal cavity. 3 . .3.根据权利要求1所述的一种基于增材制造技术的个性化鼻矫形装置,其特征在于,所述固位装置(2)通过与鼻翼软组织互相作用固鼻模本体(1)。3 . The personalized nasal orthopaedic device based on additive manufacturing technology according to claim 1 , wherein the retention device ( 2 ) fixes the nose mold body ( 1 ) by interacting with the nasal alar soft tissue. 4 .4.根据权利要求1所述的一种基于增材制造技术的个性化鼻矫形装置,其特征在于,所述增材制造技术包括增材制造技术制备模具和间接制备鼻模本体。4. A personalized nasal orthopaedic device based on additive manufacturing technology according to claim 1, wherein the additive manufacturing technology comprises additive manufacturing technology to prepare a mold and indirect preparation of a nose mold body.
CN202111229120.5A2021-10-212021-10-21Individualized nose orthopedic device based on additive manufacturing techniquePendingCN113797004A (en)

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