TW201525745A - Establishment of plastic surgery and implants preview model method - Google Patents
Establishment of plastic surgery and implants preview model method Download PDFInfo
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- TW201525745A TW201525745A TW102147602A TW102147602A TW201525745A TW 201525745 A TW201525745 A TW 201525745A TW 102147602 A TW102147602 A TW 102147602A TW 102147602 A TW102147602 A TW 102147602A TW 201525745 A TW201525745 A TW 201525745A
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- 239000007943 implant Substances 0.000 title claims abstract description 40
- 238000000034 method Methods 0.000 title claims abstract description 25
- 238000002316 cosmetic surgery Methods 0.000 title abstract description 3
- 238000007917 intracranial administration Methods 0.000 claims abstract description 8
- 238000001356 surgical procedure Methods 0.000 claims description 22
- 238000009877 rendering Methods 0.000 claims description 8
- 238000011960 computer-aided design Methods 0.000 claims description 7
- 238000005516 engineering process Methods 0.000 claims description 5
- 239000007787 solid Substances 0.000 claims description 5
- 238000002591 computed tomography Methods 0.000 claims description 3
- 239000003826 tablet Substances 0.000 claims description 3
- 238000005094 computer simulation Methods 0.000 claims 1
- 238000000465 moulding Methods 0.000 claims 1
- 238000013421 nuclear magnetic resonance imaging Methods 0.000 claims 1
- 210000003625 skull Anatomy 0.000 abstract description 10
- 230000000694 effects Effects 0.000 description 6
- 210000000988 bone and bone Anatomy 0.000 description 4
- 210000000845 cartilage Anatomy 0.000 description 3
- 210000000537 nasal bone Anatomy 0.000 description 3
- 210000002184 nasal cartilage Anatomy 0.000 description 3
- 210000004872 soft tissue Anatomy 0.000 description 3
- 206010010356 Congenital anomaly Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000002595 magnetic resonance imaging Methods 0.000 description 2
- 238000002435 rhinoplasty Methods 0.000 description 2
- 238000010146 3D printing Methods 0.000 description 1
- 239000012237 artificial material Substances 0.000 description 1
- 230000003796 beauty Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000001331 nose Anatomy 0.000 description 1
- 238000002278 reconstructive surgery Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
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Abstract
Description
本發明係有關一種建立整型手術模型的方法,特別是指一種可在手術之前預覽手術效果模型及建立植入物模型的方法。 The present invention relates to a method of establishing a surgical model, in particular to a method of previewing a surgical effect model and establishing an implant model prior to surgery.
現今美容整型和重建整型手術中,對愛美人士、先天性顱顏缺損病人或事故造成的顱顏損傷,醫師常植入人造材料於病人顱顏皮膚組織之下,以修飾病人的顱顏外觀。雖然有不同尺寸型號的植入物供醫師選用,醫師也常須在術前切削植入物以符合病人的個別差異,卻仍經常發生不適合病人的情形,特別是植入物與顱顏軟硬骨之間其長度、寬度與角度的差異。其次,在手術完成以前,不論醫師或病人都難以預見手術後的效果,而醫師的審美主觀、技術能力與病人的期望之間往往存在落差,極易造成醫病之間的爭議。再者,植入物不能反覆地取出修改再植入,常使病人只能消極接受手術結果。 In today's cosmetic surgery and reconstructive surgery, the doctors often implant artificial materials under the skin tissue of the patient's cranial skin to modify the craniofacial skin of the patient for the beauty, congenital craniofacial defect or accidental craniofacial injury. Exterior. Although implants of different sizes are available for physicians to choose from, doctors often have to cut the implants before surgery to meet individual patient differences, but often do not fit the patient, especially implants and cranial skin. The difference in length, width and angle between bones. Secondly, before the operation is completed, it is difficult for the doctor or the patient to foresee the post-surgical effect, and there is often a gap between the subjective and technical ability of the physician, and the patient's expectation, which is very likely to cause controversy between medical treatment and disease. Furthermore, the implant cannot be removed and modified for re-implantation, often allowing the patient to passively accept the surgical result.
因此,如何提供一種建立整型手術預覽模型及植入物模型的方法,實屬當前重要課題之一。 Therefore, how to provide a method for establishing a stereotyped surgery preview model and an implant model is one of the current important topics.
本發明之主要目的係在提供一種建立整型手術預覽模型及植入物模型的方法,其係利用三維掃描和三維呈像技術結合電腦輔助設計,讓醫師能透過顯示裝置微調顱顏模型,同時能讓病人預覽顱顏整型手 術效果,大幅減少醫病之間的爭議。 The main object of the present invention is to provide a method for establishing a stereoscopic surgery preview model and an implant model, which utilizes three-dimensional scanning and three-dimensional imaging technology combined with computer-aided design, so that the doctor can fine-tune the craniofacial model through the display device, Allows the patient to preview the cranial face The effect of surgery has greatly reduced the controversy between medical treatment.
本發明之另一目的係在提供一種建立整型手術預覽模型及植入物模型的方法,其係能夠據以製作最適合病人的植入物,大幅增進手術的滿意度。 Another object of the present invention is to provide a method of establishing a surgical preview model and an implant model that can be used to produce an implant that is most suitable for a patient, thereby greatly increasing the satisfaction of the surgery.
為達到上述之目的,本發明提出之建立整型手術預覽模型及植入物模型的方法,其係利用掃描一顱顏以取得一顱顏內輪廓及一第一顱顏外輪廓;且利用掃描顱顏以取得一第二顱顏外輪廓;並且重疊第一顱顏外輪廓及第二顱顏外輪廓以形成一重疊輪廓,據以建立一顱顏模型;並且於顱顏內輪廓與重疊輪廓之間形成一調整輪廓區域;並且拉伸調整輪廓區域使其與顱顏內輪廓之間形成一空腔;並且根據調整輪廓區域、顱顏內輪廓及空腔以建立一調整後顱顏模型;最後擷取空腔之三維立體數據以建立一植入物模型。 In order to achieve the above object, the present invention provides a method for establishing a stereoscopic surgery preview model and an implant model, which utilizes scanning a cranial face to obtain a cranial contour and a first cranial contour; and using scanning Craniofacial to obtain a second cranial contour; and overlapping the first cranial contour and the second cranial contour to form an overlapping contour, thereby establishing a craniofacial model; and contouring and overlapping contours in the craniofacial Forming an adjusted contour region; and stretching the contour region to form a cavity between the contour of the skull; and adjusting the contour region, the contour of the skull, and the cavity to establish an adjusted posterior model; The three-dimensional data of the cavity is captured to create an implant model.
依據本發明之一實施例,其中植入物模型之成型步驟,其係利用電腦數值控制工具機切削或利用3D列印植入物模型。 In accordance with an embodiment of the present invention, the forming step of the implant model utilizes a computer numerically controlled machine tool to cut or utilize a 3D printed implant model.
底下藉由具體實施例配合所附的圖式詳加說明,當更容易瞭解本發明之目的、技術內容、特點及其所達成之功效。 The purpose, technical contents, features and effects achieved by the present invention will be more readily understood by the detailed description of the embodiments and the accompanying drawings.
10‧‧‧顱顏 10‧‧‧Cranio
101‧‧‧鼻骨 101‧‧‧Nasal bone
102‧‧‧鼻軟骨 102‧‧‧Nasal cartilage
11‧‧‧顱顏內輪廓 11‧‧‧Cauline outline
12‧‧‧第一顱顏外輪廓 12‧‧‧ First cranial contour
13‧‧‧第二顱顏外輪廓 13‧‧‧The second cranial contour
1213‧‧‧重疊輪廓 1213‧‧‧Overlapping contours
14‧‧‧調整輪廓區域 14‧‧‧Adjust contour area
141‧‧‧內表面 141‧‧‧ inner surface
15‧‧‧空腔 15‧‧‧ cavity
10A‧‧‧顱顏模型 10A‧‧‧Cranial model
10B‧‧‧調整後顱顏模型 10B‧‧‧Adjusted cranial model
20‧‧‧植入物模型 20‧‧‧ implant model
第1圖係本發明之建立模型的流程圖。 Figure 1 is a flow chart of the model of the present invention.
第2圖至第9圖係本發明之一實施例的示意圖。 2 to 9 are schematic views of an embodiment of the present invention.
以下將參照相關圖示,說明依據本發明較佳實施例之一種建立整型手術預覽模型及植入物模型的方法,其中相同的元件將以相同的參照符號加以說明。 DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, a method of establishing an integrative surgical preview model and an implant model in accordance with a preferred embodiment of the present invention will be described with reference to the accompanying drawings, in which the same elements will be described with the same reference numerals.
請參照第1圖所示本發明之建立整型手術模型的流程圖,首先,如步驟A,利用掃描一顱顏以取得一顱顏內輪廓及一第一顱顏外輪廓,掃描方式包括電腦斷層掃描(Computed Tomography,簡稱CT)或核磁共振成像(Magnetic Resonance Imaging,簡稱MRI)掃描。 Referring to FIG. 1 , a flow chart of establishing a surgical model of the present invention shown in FIG. 1 firstly, as in step A, scanning a cranial face to obtain a contour of a cranial face and a first cranial contour, the scanning method includes a computer. Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) scanning.
之後,如步驟B,利用三維掃描儀(3D scanner)掃描顱顏以取得一第二顱顏外輪廓。 Thereafter, as in step B, the cranial face is scanned using a 3D scanner to obtain a second cranial contour.
其後,如步驟C,重疊第一顱顏外輪廓及第二顱顏外輪廓以形成一重疊輪廓,並建立一顱顏模型,可透過一顯示裝置瀏覽顱顏模型,顯示裝置包括智慧型手機、平板電腦、筆記型電腦或桌上型電腦等裝置。 Thereafter, as in step C, the first cranial contour and the second cranial contour are overlapped to form an overlapping contour, and a craniofacial model is established, and the cranial model can be browsed through a display device, and the display device includes a smart phone. , devices such as tablets, laptops, or desktops.
其後,如步驟D,於顱顏內輪廓與重疊輪廓之間形成一調整輪廓區域。 Thereafter, as in step D, an adjusted contour region is formed between the contour of the craniofacial region and the overlapping contour.
其後,如步驟E,拉伸調整輪廓區域使其內表面與重疊輪廓同向連動,同時使調整輪廓區域之內表面與顱顏內輪廓之間形成一空腔。拉伸調整輪廓區域形成空腔的方式係利用實體造型(Solid modelling)、參數化造型(Parameteric modelling)、電腦輔助設計(Computer Aided Design,簡稱CAD)、立體繪製(volume rendering)或三維呈像技術(3D rendering teehniques)等技術。 Thereafter, as in step E, the stretched contour region is stretched such that the inner surface is in the same direction as the overlapping contour, and a cavity is formed between the inner surface of the adjusted contour region and the inner contour of the craniofacial region. The method of forming the cavity by stretching and adjusting the contour area is by solid modelling, parameterized modelling, computer aided design (CAD), volume rendering or three-dimensional image forming technology. (3D rendering teehniques) and other technologies.
其後,如步驟F,根據調整輪廓區域、顱顏內輪廓及空腔以建立一調整後顱顏模型。 Thereafter, as in step F, an adjusted posterior cranial model is established based on the contour region, the intracranial contour, and the cavity.
最後,如步驟G,利用實體造型(Solid modelling)、參數化造型(Parameteric modelling)、電腦輔助設計(Computer Aided Design,簡稱CAD)、立體繪製(volume rendering)或三維呈像技術(3D rendering techniques)等技術,以擷取空腔之三維立體數據進而建立一植入物模型,再將此植入物模型利用電腦數值控制工具機切削或3D列印成型完成植入物。 Finally, as in step G, use Solid Modelling, Parameteric Modelling, Computer Aided Design (CAD), Volume Rendering, or 3D rendering techniques. And other techniques to capture the three-dimensional data of the cavity to create an implant model, and then use the computer numerical control tool machine to cut or 3D print to complete the implant.
以上為本發明之建立整型手術模型的流程說明,底下將以隆鼻手術為例,詳細說明整型手術預覽模型及植入物模型的建立。 The above is the flow description of the establishment of the whole-type surgical model of the present invention. The rhinoplasty operation will be taken as an example to explain the establishment of the whole-type surgical preview model and the implant model.
請參考第2圖所示,利用核磁共振成像掃描一病人之顱顏10以取得一顱顏內輪廓11及一第一顱顏外輪廓12,顱顏內輪廓11包括鼻骨101與鼻軟骨102的表面,第一顱顏外輪廓12即顱顏10之表面。 Referring to FIG. 2, a patient's cranial face 10 is scanned by magnetic resonance imaging to obtain a cranial contour 11 and a first cranial contour 12, and the intracranial contour 11 includes the nasal bone 101 and the nasal cartilage 102. The surface, the first cranial contour 12 is the surface of the cranial face 10.
請參考第3圖所示,接著利用三維掃描儀掃描顱顏10以取得一第二顱顏外輪廓13,係由具有顏色和明暗之顱顏10表面點雲(Point Cloud)所構成。 Referring to FIG. 3, the skull face 10 is then scanned by a three-dimensional scanner to obtain a second cranial contour 13 composed of a Point Cloud with color and light and darkness.
請參考第4圖及第5圖所示,接著重疊第一顱顏外輪廓12及第二顱顏外輪廓13以形成一重疊輪廓1213,並建立一具有顏色和明暗之顱顏模型10A,以接近實體顱顏10的方式呈像,同時透過一顯示裝置,例如智慧型手機、平板電腦、筆記型電腦或桌上型電腦等,讓醫師與病人可瀏覽此一內含硬骨與軟骨,外表具有色彩資訊(RGB)的三維顱顏模型10A(即病人手術前樣貌)。 Referring to FIGS. 4 and 5, the first cranial outline 12 and the second cranial outline 13 are then overlapped to form an overlapping contour 1213, and a cranial model 10A having color and light and dark is created to The image close to the solid cranial face 10 is imaged, and through a display device, such as a smart phone, a tablet computer, a notebook computer or a desktop computer, the physician and the patient can view the embedded bone and cartilage, and the appearance has Color information (RGB) 3D craniofacial model 10A (ie patient pre-operative appearance).
請參考第6圖所示,於顱顏內輪廓11與重疊輪廓1213之間形成一調整輪廓區域14,所標示出的調整輪廓區域14實質包括皮膚等覆蓋於 鼻骨101與鼻軟骨102之上的軟組織,具有一定的延展性。 Referring to FIG. 6, an adjustment contour region 14 is formed between the intracranial contour 11 and the overlapping contour 1213, and the marked contour region 14 is substantially covered by skin and the like. The soft tissue above the nasal bone 101 and the nasal cartilage 102 has a certain ductility.
請參考第7圖所示,接著醫師以游標或手指在螢幕上拉伸調整輪廓區域14讓鼻樑變高變直挺,使其內表面141與重疊輪廓1213同向連動,拉伸同時,調整輪廓區域14之內表面141與顱顏內輪廓11之間形成一空腔15,空腔15相當於手術時將覆蓋於硬骨與軟骨之上的軟組織剝離,使軟組織內表面與硬骨和軟骨之間產生間隙,而間隙所形成空腔15之容積即是植入物之體積。 Referring to Figure 7, the physician then stretches the contour area 14 on the screen with a cursor or finger to make the bridge of the nose high and straight, so that the inner surface 141 is interlocked with the overlapping contour 1213, and the contour is adjusted while stretching. A cavity 15 is formed between the inner surface 141 of the region 14 and the intra-cranial contour 11 . The cavity 15 is equivalent to peeling off the soft tissue covering the hard bone and the cartilage during surgery, so that a gap is formed between the inner surface of the soft tissue and the hard bone and the cartilage. The volume of the cavity 15 formed by the gap is the volume of the implant.
請參考第8圖所示,接著根據調整輪廓區域14、顱顏內輪廓11及空腔15以建立一調整後顱顏模型10B,透過顯示裝置顯示調整後(即病人手術後樣貌)的效果供醫師和病人預覽。 Referring to FIG. 8, the adjusted contour area 14, the intracranial contour 11 and the cavity 15 are then used to establish an adjusted craniofacial model 10B, and the effect of the adjusted (ie, the patient's appearance after surgery) is displayed through the display device. Preview for physicians and patients.
請參考第9圖所示,最後擷取空腔15之三維立體數據以建立一植入物模型20,進而將此植入物模型20利用電腦數值控制工具機切削或3D列印成型完成植入物。 Referring to FIG. 9, finally, the three-dimensional data of the cavity 15 is taken to create an implant model 20, and then the implant model 20 is cut by a computer numerical control tool machine or 3D printing. Things.
綜上所述,本發明之一種建立整型手術預覽模型及植入物模型的方法,能讓醫師透過顯示裝置微調顱顏模型,同時能讓病人預覽顱顏整型手術效果,大幅減少醫病之間的爭議,同時可製作最適合病人的植入物,大幅增進手術的滿意度,不僅可應用在隆鼻手術,更可適用於隆下巴手術、先天性顱顏缺損或顱顏損傷之重建整型手術。 In summary, the method for establishing a prototype surgery preview model and an implant model of the present invention enables a physician to fine-tune the craniofacial model through the display device, and at the same time allows the patient to preview the effect of the cranial complex surgery, thereby greatly reducing the medical condition. The controversy can also make the most suitable implant for the patient, greatly improving the satisfaction of the operation, not only for rhinoplasty, but also for reconstruction of the chin surgery, congenital craniofacial defect or craniofacial injury. Intensive surgery.
以上所述僅為舉例性,而非為限制性者,任何未脫離本發明之精神與範疇,而對其進行之等效修改或變更,均應包含於後附之申請專利範圍中。 The above description is intended to be illustrative, and not restrictive, and all modifications and variations are intended to be included within the scope of the appended claims.
10‧‧‧顱顏 10‧‧‧Cranio
11‧‧‧顱顏內輪廓 11‧‧‧Cauline outline
12‧‧‧第一顱顏外輪廓 12‧‧‧ First cranial contour
13‧‧‧第二顱顏外輪廓 13‧‧‧The second cranial contour
14‧‧‧調整輪廓區域 14‧‧‧Adjust contour area
15‧‧‧空腔 15‧‧‧ cavity
20‧‧‧植入物模型 20‧‧‧ implant model
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| TWI772726B (en) * | 2019-12-25 | 2022-08-01 | 財團法人工業技術研究院 | Assistive-device modeling method and limb guide-plate mechamism |
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| TWI772726B (en) * | 2019-12-25 | 2022-08-01 | 財團法人工業技術研究院 | Assistive-device modeling method and limb guide-plate mechamism |
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