CN102805675A - Biological manufacturing and constructing method of customized artificial larynx - Google Patents

Biological manufacturing and constructing method of customized artificial larynx Download PDF

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Publication number
CN102805675A
CN102805675A CN2012102861434A CN201210286143A CN102805675A CN 102805675 A CN102805675 A CN 102805675A CN 2012102861434 A CN2012102861434 A CN 2012102861434A CN 201210286143 A CN201210286143 A CN 201210286143A CN 102805675 A CN102805675 A CN 102805675A
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laryngeal
cartilages
laryngeal cartilages
layer
constructing method
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CN102805675B (en
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史廷春
郑文祥
安晓
张毅
王瑞艳
岳秀艳
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Qidong Haimei Agricultural Technology Development Co ltd
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Hangzhou Dianzi University
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Abstract

The invention relates to a biological manufacturing and constructing method of customized artificial larynx. The biological manufacturing and constructing method comprises the following steps of firstly taking image data as layer images of laryngeal cartilages; and adopting Mimics reconstruction software to obtain three-dimensional mathematical models of the laryngeal cartilages and reconstructing all ligaments for connecting all the cartilages together; secondly, layering the three-dimensional mathematical models by utilizing layer software to obtain two-dimensional images of all layers and compiling a numerical control code for the two-dimensional image on each layer; then selecting biocompatible material, inputting the numerical control codes into a rapid former for layered stacking or layered cutting to obtain a laryngeal cartilage bracket for holes communicated with one another; and finally, eliminating residual parts to obtain a final laryngeal cartilage bracket. As the complete laryngeal cartilage bracket can be manufactured by the biological manufacturing and constructing method, a doctor needs not to assemble all the laryngeal cartilages before operation. In addition, through the biological manufacturing and constructing method, all parts of the laryngeal cartilages can be modeled to manufacture the corresponding bracket.

Description

A kind of biology of customization artificial larynx is made construction method
Technical field
The invention belongs to larynx injury repairing, plastic surgery and quick shaping field, be specifically related to a kind of preparation technology of integrally-implanted type laryngeal cartilages biomimetic scaffolds.
Background technology
Patient's an urgent demand of losing larynx because of congenital disease, laryngeal neoplasm surgical operation and injuries of larynx for a long time recovers the larynx function.And annual nearly 136000 routine patients are diagnosed as laryngeal carcinoma, and late period, patients with laryngeal carcinoma tended to carry out laryngectomy in therapeutic process.In laryngectomy, whole larynx comprises that thyroid cartilage and cricoid cartilage all can be excised, and postoperative patient has brought great mental pressure and inconvenience in life with complete aphonia to the patient.The reparation means have following several kinds at present:
Surgical method is repaired: mainly contain two kinds of methods here:
(1) esophageal voice
This is the means of at present most popular recovery larynx function.(the staple food pipe pierces through) or postoperative (inferior esophagus pierces through) between laryngectomy form an aperture between trachea and esophagus.With in the check valve load hole, make air to get into esophagus then from trachea.When the patient loquiturs, tracheostoma is locked the jail, and air has just got into esophagus from trachea.But this mode need manually cover pore when sounding, and needs periodic maintenance and replacing.
(2) tracheal sound
This method does not need external auxiliary property equipment.Patient's esophagus top is as air reservoir.When the patient wanted to speak, air was ejected out esophagus, thereby caused the vibration of esophagus pharynx section, thus patient's sound that just can be produced like this through the face adjustment of controlling them.Make and repair injury of larynx in this way, the probability that postoperative can reach good result is very little, and has heartburn sometimes and swallow phenomenon such as air abdominal distention, has abandoned this therapeutic modality owing to many-sided reason causes a lot of patients.
Artificial larynx: also mainly contain two kinds of methods:
(1) pneumatic type artificial larynx
The pneumatic type artificial larynx is made up of the cup that tightly is embedded on the tracheal fistula mouth; Pressure air passes on vibrating reed or the film through cup; This vibration gets into mouth through flexible pipe again; Become the understandable sound of speaking by the formed vibration of moving of enunciator's mouth then, tone changes with the tension force respiratory pressure on the film.The patient uses this artificial larynx multipotency comparatively fast to grasp, and cost of use is not high, but the sound that it produces is accompanied by tangible whistling, and needs periodic maintenance cavity pipe.Old patient is because deficiency of air uses a bit difficulty of this method pronunciation.Because numerous inconvenient factors, this kind method is not accepted by the patient.
(2) electron type artificial larynx
Artificial electronic larynx was born in the seventies in 20th century, and (being initially simple sounding amplifier (boxlike)) probably experienced 3 stages in development, and capsule formula sound producer is sounded, and by a plastic catheter sound is imported by the oral cavity, becomes language; Because use inconvenience, sounding is unintelligible, use micromotor bump sounding film afterwards instead, produce sound, because of hum is quite big, slurred speech is not accepted by doctor and patient gradually; The electric bell of application principle is also arranged, and the bump sounding film produces sound, but since heavy, do not welcome by the patient yet; Develop at last and utilize semi-conducting material to produce the vibratory impulse ripple, through power amplification, the bump sounding film, the sound that so produces is not only stable but also regular.Here mainly divide two kinds again: (1) mouth type artificial electronic larynx, attract attention during use, be placed in the mouth with hand-held outlet tube, mouthful pipe is often stopped up and needs often to clean by saliva, and language neither be very clear; (2) neck type artificial electronic larynx, sound do not have the variation of rising and falling merely, and the lost sound that does not import into has influenced the definition of language, and battery needs often to change, and must place cervical region by the handheld electronic larynx in the time of in a minute, is not suitable for cervical region acoustic gastrointestinal disease patient, and costs an arm and a leg.
The electromagnetic type artificial larynx also has report, but also costs an arm and a leg and weak points such as asophia is clear.
Summary of the invention
The manufacturing approach of implanted laryngeal cartilages support that the purpose of this invention is to provide the be with Movable joint of a kind of and patient coupling, its function of pronunciation is recovered by implantable patient throat.
The inventive method is specifically:
1) obtains CT, MRI image data synusia image as laryngeal cartilages.
2) the synusia image with the laryngeal cartilages of gained adopts the Mimics reconstruction software; Utilize the nuance of laryngeal cartilages and perienchyma's threshold value independent with laryngeal cartilages; Reconstruct more coarse laryngeal cartilages model, and then it is carried out obtaining after the smooth treatment three-dimensional mathematical model of the laryngeal cartilages of smoother.
3) has the characteristic of relative motion function according to laryngeal cartilages; The ligament that when making up laryngeal cartilages, will connect each cartilage also in the lump reconstruct in step 2) in the three-dimensional mathematical model of laryngeal cartilages in; Make up the little muscle of each laryngeal cartilages of connection then, make laryngeal cartilages possess certain activity characteristic.
4) utilize delamination software the three-dimensional mathematical model layering of gained to be obtained the X-Y scheme of each layer.
5) be each layer X-Y scheme establishment numerical control code.
6) select cell on laryngeal cartilages, grow and can adapt to the biocompatible materials of throat's environment, the numerical control code input fast forming machine of each layer X-Y scheme is carried out layer or layering is cut, the laryngeal cartilages support of the hole that obtains interpenetrating.
7) part unnecessary on the laryngeal cartilages support that obtains is rejected, obtained final laryngeal cartilages support.
Beneficial effect of the present invention is: the laryngeal cartilages support can be implanted in the full injury of larynx patient body, reaches the purpose of repairing the whole impaired larynx of patient, it can equally with the normal person be done swallow, action such as sounding.
Because each laryngeal cartilages of the present invention can be separated separately; The doctor can be according to patient's needs; Select each cartilage of laryngeal cartilages that the patient is treated, so also can help local injury of larynx patient to repair its damage location, it can equally with the normal person be done swallow, action such as sounding.
Description of drawings
Fig. 1 is a flow chart of the present invention;
Fig. 2 is front, side, the back side sectional drawing of the laryngeal cartilages that obtains after the modeling.
The specific embodiment
Below in conjunction with accompanying drawing the present invention is further described.
As shown in Figure 1, the inventive method concrete steps are:
1) obtains CT, MRI image data synusia image as laryngeal cartilages.
2) the synusia image with the laryngeal cartilages of gained adopts the Mimics reconstruction software; Utilize the nuance of laryngeal cartilages and perienchyma's threshold value independent with laryngeal cartilages; Reconstruct more coarse laryngeal cartilages model, and then it is carried out obtaining after the smooth treatment three-dimensional mathematical model of the laryngeal cartilages of smoother.
3) have the characteristic of relative motion function according to laryngeal cartilages, the ligament that when making up laryngeal cartilages, will connect each cartilage also in the lump reconstruct in step 2) in the three-dimensional mathematical model of laryngeal cartilages in, make up the little muscle of each laryngeal cartilages of connection then; Make laryngeal cartilages possess certain activity characteristic, as shown in Figure 2, be front, side and the back side of laryngeal cartilages from left to right successively among Fig. 2; Label among the figure is represented: epiglottic cartilage 1, ligament 2, thyroid cartilage 3; Cricoid cartilage 4, tracheal cartilages 5.
4) utilize delamination software the three-dimensional mathematical model layering of gained to be obtained the X-Y scheme of each layer.
5) be each layer X-Y scheme establishment numerical control code.
6) select cell on laryngeal cartilages, grow and can adapt to the biocompatible materials of throat's environment, the numerical control code input fast forming machine of each layer X-Y scheme is carried out layer or layering is cut, the laryngeal cartilages support of the hole that obtains interpenetrating.
7) part unnecessary on the laryngeal cartilages support that obtains is rejected, obtained final laryngeal cartilages support.
Moulding material can be used biocompatible materials, like polyurethane (TPU), polylactic acid (PLA), polyglycolic acid (PGA) and the various copolymers between them, poly butyric ester with gather hydroxycaproic acid ester copolymer (PHBHH) etc.
But shaping laryngeal cartilages support can directly be implanted also and implant after the outer cultivation of donor again, can supply cultured cells can use bone marrow interstital stem cell, chondrocyte, fat stem cell, peripheral hematopoietic stem cells etc.
If used material is a biocompatible in the 6th step, then can turn over system with the laryngeal cartilages support that makes as model, obtain the laryngeal cartilages support of biocompatibility.
Below provide a specific embodiment:
1) for half injury of larynx patient, can carry out CT or its data of MRI extraction to patient's left side laryngeal cartilages or right-hand part laryngeal cartilages, in view of the left-right symmetric property of throat's tissue, can obtain full larynx data through mirror image with left side or right-hand part completion; For the serious sick patient who decreases, can take the healthy individuals close with patient's aspectual character carried out CT or MRI extraction data, obtain throat's data.
2) the laryngeal cartilages synusia image of gained is adopted reconstruction software such as Mimics, to laryngeal cartilages, connect ligament and the muscle modeling in the lump between each cartilage between each laryngeal cartilages, obtain complete laryngeal cartilages model.To this model mirror image, necessary finishing, obtain the three-dimensional mathematical model of laryngeal cartilages then.
3) required for subsequent hierarchy, the file conversion of the MCS form that three-dimensional mathematical model is obtained becomes the file of STL form.
4) will be input in the delamination software by the file of the STL form that the 3rd step obtained in the instance, along the short transverse layering, bed thickness is 0.1~0.3mm to three-dimensional digital model.
5) X-Y scheme that layering is obtained carries out scanning pattern and fill path planning, establishment numerical control code.
6) numerical control code is successively flowed in the rapidform machine.
7) rapidform machine instructs according to numerical control, on the profile of regulation with the fusing of selected biocompatible materials, stack shaping.Obtain the implantable laryngeal cartilages support that integral body, elasticity have Movable joint.
Except that the laryngeal cartilages support, the present invention can be used to make filling and repairing things such as credulous bone, the bridge of the nose equally.
Bio-medical material, through discrete, stack shaping, directly or turn over the system larynx and obtain bionical laryngeal cartilages support, this support can obtain the elasticity close with natural cartilage, can support the expansion of trachea and esophagus, resists their contraction; Has the hole that interpenetrates on this support, so that the reparation of its hetero-organization.The characteristic of support also is the overall structure of final products, and particularly it has Movable joint.Make the patient finally can be the same with the normal person.Because this method can be made a complete laryngeal cartilages support; So the doctor can assemble each laryngeal cartilages before operation; This method also can be carried out modeling to the each several part of laryngeal cartilages in addition; Thereby produce corresponding support, the doctor can select manufacturing to need the cartilage frame of part according to patient's demand.Realize the elasticity of final products through the elasticity of material.

Claims (2)

1. the biology of a customization artificial larynx is made construction method, it is characterized in that this method may further comprise the steps:
1) obtains CT, MRI image data synusia image as laryngeal cartilages;
2) the synusia image with the laryngeal cartilages of gained adopts the Mimics reconstruction software; Utilize the nuance of laryngeal cartilages and perienchyma's threshold value independent with laryngeal cartilages; Reconstruct more coarse laryngeal cartilages model, and then it is carried out obtaining after the smooth treatment three-dimensional mathematical model of the laryngeal cartilages of smoother;
3) has the characteristic of relative motion function according to laryngeal cartilages; The ligament that when making up laryngeal cartilages, will connect each cartilage also in the lump reconstruct in step 2) in the three-dimensional mathematical model of laryngeal cartilages in; Make up the little muscle of each laryngeal cartilages of connection then, make laryngeal cartilages possess certain activity characteristic;
4) utilize delamination software the three-dimensional mathematical model layering of gained to be obtained the X-Y scheme of each layer;
5) be each layer X-Y scheme establishment numerical control code;
6) select cell on laryngeal cartilages, grow and can adapt to the biocompatible materials of throat's environment, the numerical control code input fast forming machine of each layer X-Y scheme is carried out layer or layering is cut, the laryngeal cartilages support of the hole that obtains interpenetrating;
7) part unnecessary on the laryngeal cartilages support that obtains is rejected, obtained final laryngeal cartilages support.
2. the biology of a kind of customization artificial larynx according to claim 1 is made construction method; It is characterized in that: described biocompatible materials is selected polyurethane for use; Polylactic acid, the various copolymers between polyglycolic acid and this three, poly butyric ester with gather the hydroxycaproic acid ester copolymer.
CN201210286143.4A 2012-08-13 2012-08-13 Biological manufacturing and constructing method of customized artificial larynx Expired - Fee Related CN102805675B (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104398320A (en) * 2014-11-20 2015-03-11 杭州电子科技大学 Method of assembling artificial laryngeal cartilage support in cell-controlled manner
CN105877875A (en) * 2016-05-27 2016-08-24 华南理工大学 Personalized thyroid cartilage prosthesis and production method thereof

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1404802A (en) * 2002-11-15 2003-03-26 清华大学 Method for preparing biological-material integrally-implanted type ear cartilage bionic carriage
CN1559359A (en) * 2004-02-16 2005-01-05 程晓民 Method for making artificial prosthesis
WO2005016114A2 (en) * 2003-05-05 2005-02-24 Massachusetts Eye & Ear Infirmary Generation of living tissue constructs in vivo using a mold
US6993406B1 (en) * 2003-04-24 2006-01-31 Sandia Corporation Method for making a bio-compatible scaffold
US20060136068A1 (en) * 2004-12-13 2006-06-22 Progentix B.V.I.O. Tissue regeneration
CN102087676A (en) * 2010-12-13 2011-06-08 上海大学 Pore network model (PNM)-based bionic bone scaffold designing method
CN102415920A (en) * 2011-07-27 2012-04-18 浙江工业大学 Manufacturing method of individual stent used for mandibular defect tissue engineering repair
CN102626347A (en) * 2012-04-26 2012-08-08 上海优益基医疗器械有限公司 Method for manufacturing oral implant positioning guiding template based on CBCT data

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1404802A (en) * 2002-11-15 2003-03-26 清华大学 Method for preparing biological-material integrally-implanted type ear cartilage bionic carriage
US6993406B1 (en) * 2003-04-24 2006-01-31 Sandia Corporation Method for making a bio-compatible scaffold
WO2005016114A2 (en) * 2003-05-05 2005-02-24 Massachusetts Eye & Ear Infirmary Generation of living tissue constructs in vivo using a mold
CN1559359A (en) * 2004-02-16 2005-01-05 程晓民 Method for making artificial prosthesis
US20060136068A1 (en) * 2004-12-13 2006-06-22 Progentix B.V.I.O. Tissue regeneration
CN102087676A (en) * 2010-12-13 2011-06-08 上海大学 Pore network model (PNM)-based bionic bone scaffold designing method
CN102415920A (en) * 2011-07-27 2012-04-18 浙江工业大学 Manufacturing method of individual stent used for mandibular defect tissue engineering repair
CN102626347A (en) * 2012-04-26 2012-08-08 上海优益基医疗器械有限公司 Method for manufacturing oral implant positioning guiding template based on CBCT data

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104398320A (en) * 2014-11-20 2015-03-11 杭州电子科技大学 Method of assembling artificial laryngeal cartilage support in cell-controlled manner
CN105877875A (en) * 2016-05-27 2016-08-24 华南理工大学 Personalized thyroid cartilage prosthesis and production method thereof

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