JOCHUN HSIAO

  • Three Dimension Computer Tomography and Simulating fabrication of Autologous breast reconstruction

    Purpose
    Autologous tissue for breast reconstruction has been clinically applied successfully for decades. However, autologous costal cartilage grafts are noticed as difficult operations in which consistent and perfect results cannot be achieved all the time among young surgeon.
    The technology for autologous breast reconstruction is relatively mature. Nowadays, the focus is not only on achieving successful and low-complication surgeries but also keeping pace with the era of precision medicine, emphasizing minimally invasive techniques and aesthetic considerations.
    Material and Method
    We collected patients who underwent reconstruction with deep inferior epigastric artery perforator (DIEP) flap in our institute from September 2021 to November 2023. Patient's basic information, surgical details, timing, and postoperative satisfaction are all retrospectively recorded.
    Results
    Comparing breast reconstruction patients with and without the use of 3D printing model, it was found that 3D printing can reduce the surgical inset time, minimize incision length, and preserve the inframammary fold. This results in a better surgical appearance and higher patient satisfaction.
    Conclusion
    3D printing technology can reduce surgical time, enhance aesthetics, and improve patient satisfaction postoperatively. For young physicians, utilizing high-tech assistance allows them to achieve optimal results more quickly than the extensive experience required in the past.
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