Amazing presentation! there's so much to learn! I also work with Invesalius and 3D slicer for reconstruction and Meshmixer, you should try it since you can achieve many different operations with this one software such as smoothing the surface and even simple booleans. Thank you for your time preparing this material!
@@dr.laurentganry3063 As an maxface resident, I am planning to work on 3d techs by opensource tools in near future . And these videos are really helpful. Pls mail me at nijanta@gmail.com
Excellent work doctor. I am a resident of maxillofacial surgery and am in the process of learning to manipulate software. Is it possible with the software to be able to make or does an orbit floor mesh already exist in stl? If so, I would like to know since I do research work on reconstruction in trauma of orbit. I thank and congratulate you again for your work.
@Javier Perez, I will suggest you go on www.sculpteo.com/en/glossary/3d-modeling-software-definition/ to find your software solution. Good luck to you!
Thank you very much great work I am a resident of maxillofacial surgery and I need Dicom CT for lower leg and skull to train on it and failled to download it from internet please help me
@Ivan De Rezende Almeida, Thank you very much for your kind words. I created 2 cylinders of 3mm (for the screw head) and 2 mm (for the screw body) of diameter. I can send you the .STL file if you send me your email address. Best.
Magnifique présentation, de loin plus complète et intelligente que la majorité des solutions commerciales accessibles à ce jour! Je viens de terminer un guide grâce à votre technique, ce que je n'aurais jamais cru possible auparavant. Merci pour l'énorme travail fourni, et surtout pour le partage désintéressé d'informations!! Petite question : n'y a-t-il pas de soucis pour placer/visser la plaque de reconstruction avant la mandibulectomie si cette dernière a été adaptée sur un modèle 3D de la mandibule avec le péroné en place? La surface n'est pas identique...
@Marc Laloux. Je vous remercie chaudement pour votre commentaire! Ce travail est typiquement fait pour ça! Pour visser la plaque, vous avez raison. La solution reste de placer le patient en occlusion dentaire afin de positionner correctement la plaque de reconstruction conformée sur le modèle 3D initial. On vient simplement glisser sous la plaque (déjà positionnée sur la mandibule) la fibula et que l'on visse à la plaque. On peut également transporter la fibula vissée sur la plaque au niveau de la mandibule mais je ne le recommande pas +++. Utiliser un marqueur reste enfin la dernière possibilité: vous faite un trou supplémentaire au niveau du guide d'ostéotomie de la mandibule qui servira de marqueur. La plaque de reconstruction devra simplement positionner au moins 1 de ses trous sur le marqueur pour avoir une sorte de point de départ.
Wow, great tutorial... didn't know about armatures until now, they make the process much more precise! What to do when you have to make 3 grafts out of fibula (bigger defect in mandibula)? You mentioned it in this tutorial but only briefly... it would be great if you could make another video of 3 bone segments cutting guides (well just the part with armatures). As a radiologist, totally didn't think of fibular artery and rotation. Best regards... Vjekoslav. EDIT: I have a general idea of adding one more armature and do everything the same as two before... hope this works :)
Dear Vjekoslav Kopacin, Thank you for your comment. Please look in my pubmed paper list under "Ganry L" and you will find my paper name "Use of the 3D surgical modelling technique with open-source software for mandibular fibula free flap reconstruction and its surgical guides" where everything is explained for 3 fragments. There is a link in the paper for that. Take care!
Dear Laurent Ganry , did you use the third party to 3d print guides or you have an inhospital 3d printer? I wanted to print using Stratasys ABS M30i or PC-ISO material since we have access to 3D printer that ain't Stratasys Fortus :). It is possible to print those materials on other printers but surely Stratasys can't guarantee that everything will be sterile as if used their printer (not sure why but nevermind). Problem is, as you probably know, microgaps and pollution of the material/model. Since this would be our first time using this technique I am a bit scared of the possibility of postop infections etc., which would probably stop further use of this technique. Feel free to answer me on private message... or you can send me an e-mail adress if you like. Best Regards, Vjekoslav.
@@dr.laurentganry3063 I am trying not to be annoying... but at the page 73/74 you make another plane that you put at the caudal margin of the mandibula which I am not sure what is used for, it is not perpendicular to the plane used for first mandibular cutting guide etc. Immediately next paragraph you mention that you need to save new armature position in Pose Library (named as Pose.001) but there is no armature moving (or is it because we did a little rotation and setting of the armature to fit to mandible?)
@Farid Alifian, Thank you very much. Just Dowload software on their websites : it is free +++ (OsiriX for Mac, Invesalius for Windows / Meshlab / Netfabb / Blender) Just notice that Blender software changes of Interface (much more user friendly now) so you may not find the same presentation than in my video. But except the fact that button change of position you have everything +++ (If you don't like the new Blender version, just download a version before 2.8 and you will have the same interface). Good luck!
Dear @CMF Erick reyes, Thanks. I will recommend a Fromlab for small 3D printing (such as dental guides, orthognatic occlusion bite...) and a professional 3D printer for Surgical guides in other locations such as for a FFF surgical guide, as you need specific biocompatible material in this particular surgical indication. The time you spend on your 3D design is already something, therefore in my opinion, you should not spend more minutes on 3D printing. Good luck!
@@dr.laurentganry3063 please send it to this email: iqbalana18@gmail.com, and please can u send the screw design too, thanks a lot. i hope we can meet someday, i want to thank you personally.
Thank you Johnny Uday. It's 3D printed in Polyamide 12 biocompatible and sterilized by a steam process as the PA12 can sustain the heat without any deformation.
Amazing presentation! there's so much to learn! I also work with Invesalius and 3D slicer for reconstruction and Meshmixer, you should try it since you can achieve many different operations with this one software such as smoothing the surface and even simple booleans. Thank you for your time preparing this material!
Amazing work Dr Ganry!
Very informative video Dr. Ganry! When 3D printing the guides. What material do you use? PLA, ABS or something else?
Thank you doctor, great tutorial.
Is there a part 1 of this video?
My pleasure! You can find the part 1 on the channel.
All the best
Merci beaucoup pour le partage trés Bien detaillé. just think about offset
Blockout module from blenderfordental is an easy way to create the offset model for the boolean cut.
You are a real hero .... A True Robin Hood ....May i have your working files so that we can practice it..
@Neon Ghost, thank you very much for your kind words. Do you have an email address?
@@dr.laurentganry3063 As an maxface resident, I am planning to work on 3d techs by opensource tools in near future . And these videos are really helpful. Pls mail me at nijanta@gmail.com
Excellent work doctor. I am a resident of maxillofacial surgery and am in the process of learning to manipulate software. Is it possible with the software to be able to make or does an orbit floor mesh already exist in stl?
If so, I would like to know since I do research work on reconstruction in trauma of orbit.
I thank and congratulate you again for your work.
@Javier Perez, I will suggest you go on www.sculpteo.com/en/glossary/3d-modeling-software-definition/ to find your software solution. Good luck to you!
Thank you very much great work
I am a resident of maxillofacial surgery and I need Dicom CT for lower leg and skull to train on it
and failled to download it from internet please help me
@Ebraheem Elbarbeer your email please. I will send you an anonymous file. I wish you a good work!
@@dr.laurentganry3063 nelbarbeer@gmail.com
Thank you very much
Nice video Dr, can I asked for the guide stl template file too
Congratulation, I am speechless for the beautiful work and for spreading it! Where can I find the screw model like you used? thank you very much
@Ivan De Rezende Almeida, Thank you very much for your kind words. I created 2 cylinders of 3mm (for the screw head) and 2 mm (for the screw body) of diameter. I can send you the .STL file if you send me your email address. Best.
Nice! Of course I want. ivan.rezende.a@gmail.com thank you 😀👍🏼
Magnifique présentation, de loin plus complète et intelligente que la majorité des solutions commerciales accessibles à ce jour! Je viens de terminer un guide grâce à votre technique, ce que je n'aurais jamais cru possible auparavant. Merci pour l'énorme travail fourni, et surtout pour le partage désintéressé d'informations!!
Petite question : n'y a-t-il pas de soucis pour placer/visser la plaque de reconstruction avant la mandibulectomie si cette dernière a été adaptée sur un modèle 3D de la mandibule avec le péroné en place? La surface n'est pas identique...
@Marc Laloux. Je vous remercie chaudement pour votre commentaire! Ce travail est typiquement fait pour ça!
Pour visser la plaque, vous avez raison. La solution reste de placer le patient en occlusion dentaire afin de positionner correctement la plaque de reconstruction conformée sur le modèle 3D initial. On vient simplement glisser sous la plaque (déjà positionnée sur la mandibule) la fibula et que l'on visse à la plaque. On peut également transporter la fibula vissée sur la plaque au niveau de la mandibule mais je ne le recommande pas +++. Utiliser un marqueur reste enfin la dernière possibilité: vous faite un trou supplémentaire au niveau du guide d'ostéotomie de la mandibule qui servira de marqueur. La plaque de reconstruction devra simplement positionner au moins 1 de ses trous sur le marqueur pour avoir une sorte de point de départ.
Wow, great tutorial... didn't know about armatures until now, they make the process much more precise! What to do when you have to make 3 grafts out of fibula (bigger defect in mandibula)? You mentioned it in this tutorial but only briefly... it would be great if you could make another video of 3 bone segments cutting guides (well just the part with armatures).
As a radiologist, totally didn't think of fibular artery and rotation.
Best regards... Vjekoslav.
EDIT: I have a general idea of adding one more armature and do everything the same as two before... hope this works :)
Dear Vjekoslav Kopacin, Thank you for your comment. Please look in my pubmed paper list under "Ganry L" and you will find my paper name "Use of the 3D surgical modelling technique with open-source software for mandibular fibula free flap reconstruction and its surgical guides" where everything is explained for 3 fragments.
There is a link in the paper for that.
Take care!
Dear Laurent Ganry , did you use the third party to 3d print guides or you have an inhospital 3d printer? I wanted to print using Stratasys ABS M30i or PC-ISO material since we have access to 3D printer that ain't Stratasys Fortus :). It is possible to print those materials on other printers but surely Stratasys can't guarantee that everything will be sterile as if used their printer (not sure why but nevermind). Problem is, as you probably know, microgaps and pollution of the material/model. Since this would be our first time using this technique I am a bit scared of the possibility of postop infections etc., which would probably stop further use of this technique. Feel free to answer me on private message... or you can send me an e-mail adress if you like.
Best Regards, Vjekoslav.
@@dr.laurentganry3063 I am trying not to be annoying... but at the page 73/74 you make another plane that you put at the caudal margin of the mandibula which I am not sure what is used for, it is not perpendicular to the plane used for first mandibular cutting guide etc. Immediately next paragraph you mention that you need to save new armature position in Pose Library (named as Pose.001) but there is no armature moving (or is it because we did a little rotation and setting of the armature to fit to mandible?)
what a great video doc, may I ask link for download the software?
@Farid Alifian, Thank you very much. Just Dowload software on their websites : it is free +++ (OsiriX for Mac, Invesalius for Windows / Meshlab / Netfabb / Blender) Just notice that Blender software changes of Interface (much more user friendly now) so you may not find the same presentation than in my video. But except the fact that button change of position you have everything +++ (If you don't like the new Blender version, just download a version before 2.8 and you will have the same interface). Good luck!
Which programme are you using?
hi dr, nice video, i already read your articles, very good too, what 3d printers do you recommend?
Dear @CMF Erick reyes, Thanks.
I will recommend a Fromlab for small 3D printing (such as dental guides, orthognatic occlusion bite...) and a professional 3D printer for Surgical guides in other locations such as for a FFF surgical guide, as you need specific biocompatible material in this particular surgical indication. The time you spend on your 3D design is already something, therefore in my opinion, you should not spend more minutes on 3D printing. Good luck!
@@dr.laurentganry3063 thanks dr
hello, nice tutorial there, can i get that mandibular cutting guide stl. i want to try make it in meshmixer. Thank you
Send me in Private message your email address and I will.
Thank you for your support!
@@dr.laurentganry3063 please send it to this email: iqbalana18@gmail.com, and please can u send the screw design too, thanks a lot. i hope we can meet someday, i want to thank you personally.
Awesome video, which material do you use for printing the guides? and which sterilization method? Thanks.
Thank you Johnny Uday.
It's 3D printed in Polyamide 12 biocompatible and sterilized by a steam process as the PA12 can sustain the heat without any deformation.
Thank you so much for the info, your video is PURE GOLD, amazing work Dr. Laurent
Johnny Uday thank you. Don't hesitate to share. Best. LG
Doctor good job is There any chance that i can have the stl of the mandibula to teach my students anatomy??
@Alejandre Velarde Baez, Thank you. For anatomy, please go to www.thingiverse.com
You will have plenty of Free Mandibular STL file to download.
Best
where to buy this software?
Blender.org
It's free.