Three-Dimensional Printing of Prenatal Ultrasonographic Diagnosis of Cleft Lip and Palate: Presenting the Needed “Know-How” and Discussing Its Use in Parental Education
Restricted accessBrief reportFirst published online August, 2020
Three-Dimensional Printing of Prenatal Ultrasonographic Diagnosis of Cleft Lip and Palate: Presenting the Needed “Know-How” and Discussing Its Use in Parental Education
Parental prenatal counseling is of paramount significance since parents often experience an emotional crisis with feelings of disappointment and helplessness. Three-dimensional (3D) printed model of the unborn child’s face presenting with cleft lip and palate, based on ultrasonographic information, could be used to provide visual 3D information, further enhancing the prospective parent’s comprehension of their unborn child’s pathology and morphology, helping them to be psychologically prepared and improving the communication with the caretaking team. Prospective parents appreciate if prenatal counseling is available with the most detailed information as well as additional resources. The technique necessary to create 3D models after ultrasonographic information is explained, and the related costs are evaluated. The use of such models in parental education is then discussed.
AiteLTrucchiANahomACasacciaGZaccaraAGiorlandinoCPietroB. Antenatal diagnosis of diaphragmatic hernia: parents’ emotional and cognitive reactions. J Pediatr Surg. 2004;39(2):174–178.
2.
AlAliABGriffinMFCalongeWMButlerPE. Evaluating the use of cleft lip and palate 3D-printed models as a teaching aid. J Surg Educ. 2018;75(1):200–208.
3.
BernhardJCIsotaniSMatsugasumiTDuddalwarVHungAJSuerEEduardBRajSHoomanDCharlesM, et al.Personalized 3D printed model of kidney and tumor anatomy: a useful tool for patient education. World J Urol. 2016;34(3):337–345.
4.
ChepelevLWakeNRyanJAlthobaityWGuptaAArribasELumarieSDavidHBKennethCWWilliamW, et al.Radiological Society of North America (RSNA) 3D Printing Special Interest Group (SIG): guidelines for medical 3D printing and appropriateness for clinical scenarios. 3D Print Med. 2018;21:4.
5.
ChouPYHallacRRShihETrieuJPenumatchaADasPClarkAMJamesRSAlexAK. 3D-printed models of cleft lip and palate for surgical training and patient education. Cleft Palate Craniofac J. 2018;55(3):323–327.
6.
ChristJEMeiningerMG. Ultrasound diagnosis of cleft lip and cleft palate before birth. Plast Reconstr Surg. 1981;68(6):854–859.
7.
DavalbhaktaAHallPN. The impact of antenatal diagnosis on the effectiveness and timing of counselling for cleft lip and palate. Br J Plast Surg. 2000;53(4):298–301.
8.
DruelleCTouzet-RoumazeilleSRaoulGFerriJNicotR. How to produce pre-shaped rigid arch bars using low-cost 3D printing technology—a technical note. J Stomatol Oral Maxillofac Surg. 2017;118(4):213–216.
9.
FonsecaANazaréBCanavarroMC. Clinical determinants of parents’ emotional reactions to the disclosure of a diagnosis of congenital anomaly. J Obstet Gynecol Neonatal Nurs. 2013;42(2):178–190.
10.
HunfeldJATempelsAPasschierJHazebroekFWTibboelD. Brief report: parental burden and grief one year after the birth of a child with a congenital anomaly. J Pediatr Psychol. 1999;24(6):515–520.
11.
JamesJNSchliederDW. Prenatal counseling, ultrasound diagnosis, and the role of maternal-fetal medicine of the cleft lip and palate patient. Oral Maxillofac Surg Clin N Am. 2016;28(2):145–151.
12.
KurenovSNIonitaCSammonsDDemmyTL. Three-dimensional printing to facilitate anatomic study, device development, simulation, and planning in thoracic surgery. J Thorac Cardiovasc Surg. 2015;149(4):973–979.e1.
13.
LangridgeBMominSCoumbeBWoinEGriffinMButlerP. Systematic review of the use of 3-dimensional printing in surgical teaching and assessment. J Surg Educ. 2018;75(1):209–221.
14.
LevaillantJMNicotRBenouaicheLCoulyGRottenD. Prenatal diagnosis of cleft lip/palate: the surface rendered oro-palatal (SROP) view of the fetal lips and palate, a tool to improve information-sharing within the orofacial team and with the parents. J Craniomaxillofac Surg. 2016;44(7):835–842.
15.
LioufasPAQuayleMRLeongJCMcMenaminPG. 3D printed models of cleft palate pathology for surgical education. Plast Reconstr Surg Glob Open. 2016;4(9):e1029.
16.
MarokakisSKasparianNAKennedySE. Prenatal counselling for congenital anomalies: a systematic review. Prenat Diagn. 2016;36(7):662–671.
17.
MosseyPALittleJMungerRGDixonMJShawWC. Cleft lip and palate. Lancet. 2009;374(9703):1773–1785.
18.
NicotRCoulyGFerriJLevaillantJM. Three-dimensional printed haptic model from a prenatal surface-rendered oropalatal sonographic view: a new tool in the surgical planning of cleft lip/palate. Int J Oral Maxillofac Surg. 2018;47(1):44–47.
19.
NicotRDruelleCHurteloupELevaillantJM. Prenatal craniofacial abnormalities: from ultrasonography to 3D-printed model. Ultrasound Obstet Gynecol. 2019a;54(6):835–836. doi:10.1002/uog.20242
20.
NicotRDruelleCSchlundMRoland-BillecartTRaoulGFerriJDidierG. Use of 3D printed models in student education of craniofacial traumas. Dent Traumatol. 2019b;35(4-5):296–299. doi:10.1111/edt.12479
21.
NicotRSchlundMLevaillantJM. Comment on “Ethical considerations of prenatal three-dimensional printing in craniofacial abnormalities.”Prenat Diagn. 2019c;39(8):656–657.
22.
RottenDLevaillantJMBenouaicheLNicotRCoulyG. Visualization of fetal lips and palate using a surface-rendered oropalatal (SROP) view in fetuses with normal palate or orofacial cleft lip with or without cleft palate. Ultrasound Obstet Gynecol. 2016;47(2):244–246.
23.
SanderIMLiepertTTDoneyELLeevyWMLiepertDR. Patient education for endoscopic sinus surgery: preliminary experience using 3D-printed clinical imaging data. J Funct Biomater. 2017;8(2):9.
24.
SkariHMaltUFBjornlandKEgelandTHaugenGSkredenMDalholtBBjornstad OstensenAEmblemR. Prenatal diagnosis of congenital malformations and parental psychological distress--a prospective longitudinal cohort study. Prenat Diagn. 2006;26(11):1001–1009.
25.
SmithCFTollemacheNCovillDJohnstonM. Take away body parts! An investigation into the use of 3D-printed anatomical models in undergraduate anatomy education. Anat Sci Educ. 2018;11(1):44–53.
26.
TackPVictorJGemmelPAnnemansL. 3D-printing techniques in a medical setting: a systematic literature review. Biomed Eng Online. 2016;15(1):115.
