WO2019039681A1 - Guide pour rhinoplastie - Google Patents

Guide pour rhinoplastie Download PDF

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Publication number
WO2019039681A1
WO2019039681A1 PCT/KR2018/002160 KR2018002160W WO2019039681A1 WO 2019039681 A1 WO2019039681 A1 WO 2019039681A1 KR 2018002160 W KR2018002160 W KR 2018002160W WO 2019039681 A1 WO2019039681 A1 WO 2019039681A1
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WO
WIPO (PCT)
Prior art keywords
guide
hole
face
longitudinal
nose
Prior art date
Application number
PCT/KR2018/002160
Other languages
English (en)
Korean (ko)
Inventor
김돈한
이태훈
Original Assignee
주식회사 넥스트코어
울산대학교 산학협력단
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by 주식회사 넥스트코어, 울산대학교 산학협력단 filed Critical 주식회사 넥스트코어
Publication of WO2019039681A1 publication Critical patent/WO2019039681A1/fr

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1072Measuring physical dimensions, e.g. size of the entire body or parts thereof measuring distances on the body, e.g. measuring length, height or thickness
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1079Measuring physical dimensions, e.g. size of the entire body or parts thereof using optical or photographic means
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y80/00Products made by additive manufacturing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00792Plastic surgery

Definitions

  • the present invention relates to a guide for nasal cosmetic surgery that provides a guideline for straightly positioning a nose during a nasal cosmetic surgery.
  • Nose cosmetic surgery is performed when a nose deformed due to congenital nasal deformity, accidental fracture, sleeping disorder, or beauty.
  • the types of nose surgery performed at this time are very diverse, and the type of surgery varies depending on the patient's condition, needs, type of deformation, type and method of previous surgery.
  • incision in the nasal cavity non-open type
  • incision in the nasal cavity open type
  • a relatively simple operation can be performed using only the incision in the nasal cavity, but if it is too large or has a complex problem due to previous surgery, it may be necessary to make an incision outside the nose.
  • the incision is started from the nasal mucosa to the outside of the nasal pillar, and the incision is exposed to the outside. Since the field of view is secured, nasal cosmetic surgery is advantageous. And it is necessary to position the nose straightly while covering the incision area. However, since it is made by the physician's senses and eyes, it is difficult to correct the correction, which is the biggest cause of the side effect of the nose .
  • FIG. 1 is a procedure diagram of measures for maintaining the symmetry of the nose during conventional nose surgery.
  • Conventional nose surgery usually takes the center line of the nose based on three points.
  • the three points are the line connecting the midpoint between the interstices, the medial center, and the cupid bow of the lips as the center line of the nose,
  • the symmetry of the left and right symmetrical center line is drawn by hand with the pen, the symmetry is confirmed during the operation at any time during the operation, the center line connecting the three center points is constructed again after the operation, .
  • the present invention has been made in order to solve the above-mentioned problems, and it is an object of the present invention to provide a guide for a nasal cosmetic surgery for straightly positioning a center line of a nose during a nose surgery.
  • the present invention relates to a vertical body, a first hole drilled on the longitudinal body to observe or draw a first reference point of the face, a second hole drilled on the longitudinal body to observe or draw the second reference point of the face
  • a nose for cosmetic surgery guide having a second hole and a longitudinal guide including a first linear hole drilled on the longitudinal body to construct a line connecting the first hole and the second hole do.
  • the longitudinal guide further comprises an extension connected to an end of the longitudinal body, the extension comprising a main body of the extension and a third hole drilled to observe or construct the third reference point of the face .
  • the longitudinal guide may further include a second linear hole for constructing a line connecting the first hole and the third hole.
  • the extension guide may further include an extension guide body and a fourth hole formed in the extension guide body to construct a first marking point on the face of the extension guide body, .
  • the longitudinal guide further comprises a length scale on the body.
  • extension guide is rotatably connected at an end of the longitudinal guide.
  • the extension guide may have a branch portion extending to the upper end and branched into at least two or more, and each of the extension holes may have a fourth hole on the branch portion.
  • the lateral guide is detachably mounted to the longitudinal guide.
  • a third transverse guide connected to the longitudinal guide at a lower position than the transverse guide.
  • the transverse direction guide includes a transverse main body and a sixth hole at each end of the transverse main body for drawing a second marking point on the face.
  • transverse direction guide is further provided with a pad for contact with the face at both ends thereof.
  • the present invention also relates to a transverse body which is a belt-like structure, a fifth hole drilled on the transverse body for constructing a first reference point, a second reference point, and a third reference point which are left and right reference points on the face surface, And a lateral guide having a length scale on the left and right of the hole.
  • each of the end portions of the transverse main body includes a sixth hole for drawing a second marking point on the face.
  • transverse direction guide is further provided with a pad for contact with the face at both ends thereof.
  • an image capturing method comprising: capturing an image of a person's head or face to obtain a three-dimensional image; A modeling step of performing three-dimensional modeling of a nose for a cosmetic surgery operation including a body having a shape according to a facial characteristic of a person photographed from the three-dimensional image and a hole drilled on the body to be constructed or observed; And a printing step of manufacturing the modeled nose shaping guide by 3D printing.
  • the present invention also provides a method for confirming the difference in shape of the face before and after surgery.
  • the method includes a body having a shape according to facial characteristics, and a hole formed in the body to be constructed or observed, A first step of photographing and obtaining an image before a surgery in a state wearing a guide; A second step of photographing and obtaining an image after wearing the guide for the nose cosmetic surgery; And a third step of comparing the image of the first step with the image of the second step to confirm whether or not the nasal cosmetic surgery is made to conform to the guide for nasal cosmetic surgery.
  • the guide for nose shaping surgery can be easily constructed by setting the center line of the nose before surgery. Also, it is possible to measure the center of the implant during surgery, and to construct a center line for determining the asymmetry of the nose after the operation.
  • photographs may be taken before, during, and after surgery to prepare for medical disputes after surgery.
  • the guide for nose shaping surgery according to the embodiment of the present invention can be manufactured in a customized form of a patient with a 3D printer, thereby giving more confidence to the patient.
  • FIG. 1 is a procedure diagram of measures for maintaining the symmetry of the nose during conventional nose surgery.
  • FIG. 1 is a procedure diagram of measures for maintaining the symmetry of the nose during conventional nose surgery.
  • FIG. 2 is a perspective view of a cochlear implant guide according to an embodiment of the present invention.
  • Fig. 3 is an explanatory diagram of a face of a person
  • FIG. 4 is a perspective view of a naso-plastic surgery guide according to another embodiment of the present invention.
  • FIG. 5 is a structural view showing a rotation structure of an extension guide and a longitudinal guide according to another embodiment of the present invention.
  • FIG. 6 is a perspective view of a naso-plastic surgery guide according to another embodiment of the present invention.
  • FIG. 7 is an exploded perspective view showing an embodiment showing a combination of a lateral guide and a longitudinal guide.
  • FIGS. 8-10 are perspective views illustrating various embodiments of the present invention.
  • FIG. 11 is a schematic view of a wearer of the nose for plastic surgery according to the embodiment of FIG. 10; FIG.
  • FIG. 12 is a schematic view of wearing a three-dimensional facial modeling image and a guide for a nasal cosmetic surgery modeled in accordance therewith.
  • FIG. 13 is a photograph of a guide for a nasal cosmetic surgery printed on an actual 3D printer.
  • FIG. 14 is a view showing a surgical operation using a guide for nose surgery.
  • FIG. 2 is a perspective view of a nose cosmetic guide according to an embodiment of the present invention
  • FIG. 3 is an explanatory view of a face of a person.
  • the nose cosmetic guide includes a longitudinal guide.
  • the longitudinal guide 100 is a band-like structure that is longitudinally positioned in front of the face of the patient undergoing surgery.
  • the longitudinal body 110 includes a longitudinal body 110, a first hole 120, a second hole 130, And includes a first linear hole (140).
  • the longitudinal body 110 can be used without limitation to materials such as plastic, iron and the like as long as the material can be bent and deformed into a facial shape. Further, a transparent or translucent material is preferably used so that the face can be seen.
  • the first hole 120 is a hole drilled in the longitudinal direction of the main body for observing or drawing, or for plotting and drawing, the left and right symmetrical first reference point P1 of the face when the longitudinal guide is placed on the face.
  • the first reference point P1 is a symmetrical reference point when the nose cosmetic surgery is performed. It may be a symmetric point at any point on the face, but is preferably a reference point above the nose tip. In particular, as the first reference point P1, a center point between the inside of both eyes can be set preferably.
  • the second hole 130 is provided with a hole (not shown) on the lower portion of the longitudinal main body 110 for observing or constructing or drawing or constructing the left and right symmetrical second reference point P2 of the face when the longitudinal guide is placed on the face. to be.
  • the second reference point P2 is preferably a reference point below the tip of the nose.
  • the center point of the upper lip can be preferably set as the second reference point P2.
  • the first linear hole 140 is formed on the longitudinal main body 110 to form a line connecting the first hole 120 and the second hole 130.
  • the first hole 120 and the second hole 130 ).
  • the hole is a long hole.
  • the first hole 120 and the second hole 130 of the longitudinal guide 110 are aligned with the first reference point P1 and the second reference point P2 on the face and the first linear hole 140 is constructed A center line of the face connecting the first reference point P1 and the second reference point P2 that are symmetrical to each other on the lower face of the face can be formed.
  • the first hole 120 and the second hole 130 may be formed as separate holes from the first linear hole 140, and may be connected to each end of the first linear hole 140, And functions to function as the first hole 120 and the second hole 130.
  • the first hole 120 and the second hole 130 may be structurally composed of only the first linear hole 140.
  • the first hole, the second hole and the first linear hole are illustratively structurally separated.
  • a scale is provided on the longitudinal guide.
  • the scale is applied from the midpoint between the midpoints to the nose to the nose, it is easy to cut the silicone or the implant needed for the nose surgery.
  • the longitudinal guide 110 may further include an extension 160, a third hole 170, and a second linear hole 180.
  • the extension 160 is a structure that extends to the top of the body.
  • the third hole 170 is a hole that is opened on the extension portion for observing or constructing or constructing and plotting the left and right symmetrical third reference point P3 of the face.
  • the third reference point P3 is a reference point located on the face side of the first reference point P1.
  • a center point between the fingernails can be preferably set.
  • the second linear holes 180 are formed in the first hole 120 and the third hole 140 on the extended portion 160 to form a line connecting the first hole 120 and the third hole 140. [ Which is a long hole.
  • the third hole and the second linear hole are illustratively structurally connected.
  • the first hole 120, the second hole 130, and the third hole 170 of the longitudinal guide 100 are formed on the face in such a manner that the first reference point P1 and the second reference point P2,
  • the first and second linear holes 140 and 180 are aligned with the third reference point P3 and the first and second reference points P1 and P2 are symmetrical,
  • the center line of the face connecting the third reference point P3 can be formed.
  • the center line of the face may be formed by two points, but it is preferable that the center line is formed by three reference points.
  • the straight line is made up of two points but three reference points are defined as a straight line between the first reference point and the second reference point when a straight line is drawn with only the first reference point and the second reference point and a straight line between the first reference point and the third reference point It is possible to confirm the linearity thereof.
  • the first hole 120, the second hole 130, and the third hole 170 are preferably formed as holes having a larger diameter than the linear holes.
  • Reference numeral 150 denotes a handle of a guide for nose-shaping surgery.
  • Figure 4 is a perspective view of a naso-plastic surgery guide according to another embodiment of the present invention.
  • the nose cosmetic guide further includes an extension guide in the previous embodiment.
  • the extension guide 200 is a structure that is connected at the end of the longitudinal guide of the above-described embodiment, and has an extension guide body 210 and a fourth hole 220 for constructing a first marking point T1 on the face.
  • the first marking point T1 is higher than the third reference point P3 of the face in a face view and is a point for indicating a position where the extension guide 200 is fixed.
  • the fourth hole 220 is a hole opened on the extension guide body 210 to construct the first marking point T1.
  • the extension guides 210 are connected to each other by a structure that can be folded while rotating at the ends of the longitudinal guides 100.
  • the structure to be pivoted can be implemented simply by forming a connection hole in the extension portion and the extension guide end, respectively, and inserting a shaft passing through the connection hole, but the present invention is not limited thereto. This is to allow the longitudinal guide to be folded upward on the upper part of the nose during the operation to check the centerline during surgery.
  • the extension guide 210 In order to more conveniently reposition the extension guide 210 to the first marking point T 1, the extension guide has a branched shape and is provided with a fourth hole 220 ) Is preferably formed.
  • Figure 6 is a perspective view of a naso-plastic surgery guide according to another embodiment of the present invention.
  • the nose surgery guide includes a lateral guide.
  • the transverse direction guide 300 includes a transverse body 310 positioned on the face to construct the aforementioned first reference point, second reference point, and third reference point, And a fifth hole 320.
  • the transverse body 310 is preferably mounted on the face for stable construction, generally consisting of a resilient material having a width W that is similar to the transverse shape of the face and narrower than the width of the face And may be used without limitation to materials such as plastics and iron, and transparent or translucent materials are preferable.
  • a fifth hole 320 is provided at the center of the transverse main body 310.
  • the fifth hole 320 is a hole for drawing the first reference point P1, the second reference point P2 and the third reference point P3, and the left and right lateral bodies 310
  • a scale 330 is provided on the left and right.
  • the lateral body 310 in order to construct the first reference point P1, it is possible to fix the lateral body 310 to the eye position and to find the center point from the inside of one eye to the inside of the other eye.
  • the lateral guide 300 is used while being detachably attached to the longitudinal guide 100.
  • the mounting of the longitudinal guide 100 of the lateral guide 300 can be done in various ways.
  • 7 is an exploded perspective view showing an embodiment showing the combination of the lateral guide and the longitudinal guide.
  • a fifth hole 320 is formed at the center of the transverse guide body 310 and the first hole 120 of the longitudinal guide body 110 passes through the protrusion 121 of the bottom surface, So that the protrusion can be fitted into the fifth hole 320 to be detachably connected.
  • the protrusions are provided with latching portions 123 at the ends thereof, It is possible to form the latching hole 330 in one area so that the latching part 123 can be passed only through the latching hole 330 so that the latching part 123 is inserted into the latching hole 330, desirable.
  • a sixth hole for constructing the second marking point T2 is provided.
  • the second marking point T2 is a point for indicating the fixed position of the lateral direction guide so that the nose shaping operation guide can be correctly positioned again like the first marking point T1.
  • the sixth hole 350 is a hole that is opened on the end of the transverse body to construct the second marking point T2.
  • a face-contacting pad 360 may further be provided at an end of the lateral direction guide.
  • the face contact pad can be stably attached to the face, and the coupling between the face contact pad 360 and the transverse guide end can be done in various ways, but a seventh hole 370 is formed in the face contact pad, And the sixth holes 350 are formed through the protrusions formed on the bottom surface so that the protrusions are inserted into the seventh holes 370 to be connected to each other.
  • FIG. 8 to 10 are perspective views showing various embodiments of the present invention.
  • the embodiment of FIG. 8 further includes a second lateral guide at the forehead region.
  • the second transverse guide allows the naso-plastic surgery guide to be more easily attached to the face.
  • FIG. 9 shows a structure in which the combination of the longitudinal guide and the transverse guide is made in a manner to fit in the groove in an interference fit. It will be appreciated by those skilled in the art that the longitudinal and transverse guides can be attached to each other in a variety of ways.
  • the transverse direction guide has elasticity and extends to function as a ruler without a function that can be worn on the face.
  • a lateral guide which is additionally placed on the eye
  • a third lateral guide which is located in the vicinity of the needle. The third transverse guide increases the adhesion to the face and makes the left and right reference points easier to construct.
  • FIG. 11 is a schematic view of the wearer of the nose-shaping operation guide according to the embodiment of FIG.
  • the guide for nasal cosmetic surgery can be tailored to the face of a patient. Since the height, face contour, and width of nose are different for every person, there is a possibility of failing to obtain an optimal center line when using standardized nose surgery guide.
  • the manufacturing method of the guide for nasal cosmetic surgery of the present embodiment includes a photographing step, a shape converting step, a modeling step, and a manufacturing step.
  • the imaging step is a step of imaging and imaging the head or the face of the patient.
  • the patient can obtain CT images of the patient by using the head CT before the cosmetic surgery.
  • the shape conversion step is a step of converting the face into a three-dimensional shape based on the taken CT image.
  • the 3D image of the face can be obtained through the photographing step and the shape converting step.
  • the modeling step is a step of performing modeling for 3D printing of a guide for nose shaping surgery suitable for a face converted into a three-dimensional shape.
  • a guide model for customized nose surgery is established for individual patients based on images. That is, a model for a nasal cosmetic surgery is modeled that includes a body of a shape according to a person's facial characteristics and a hole that can be formed or observed on the body.
  • FIG. 12 is a schematic view of a wearer wearing a facial three-dimensional modeling image and a guide for a nasal cosmetic surgery modeled accordingly.
  • the manufacturing step is to manufacture a guide for nose surgery with 3D printing.
  • the nose cosmetic guide has a simple shape that can be manufactured by 3D printing, so it is possible to manufacture in a short time from photography to manufacture.
  • FIG. 13 is a photograph of a guide for a nasal cosmetic surgery printed on an actual 3D printer.
  • Step 1 After taking the images before the operation (Step 1), after taking the images after the surgery with the guide for the nose plastic surgery (Step 2) (Step 3) to confirm that the operation was performed successfully.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Manufacturing & Machinery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Materials Engineering (AREA)
  • Chemical & Material Sciences (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un guide pour rhinoplastie, qui fournit une ligne de guidage utilisée pour positionner le nez de telle sorte que le pont du nez est redressé, lorsque la rhinoplastie est réalisée. Le guide pour rhinoplastie selon un mode de réalisation de la présente invention permet à un utilisateur d'établir la ligne centrale du nez et de tracer ainsi facilement la ligne centrale avant que la rhinoplastie ne soit effectuée. De plus, le guide pour rhinoplastie permet à l'utilisateur de mesurer si un implant est centré tandis que la rhinoplastie est réalisée, et permet à l'utilisateur de tracer une ligne centrale pour déterminer si le nez est asymétrique après que la rhinoplastie a été réalisée.
PCT/KR2018/002160 2017-08-21 2018-02-22 Guide pour rhinoplastie WO2019039681A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR1020170105204A KR101862833B1 (ko) 2017-08-21 2017-08-21 코 성형수술용 가이드
KR10-2017-0105204 2017-08-21

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WO2019039681A1 true WO2019039681A1 (fr) 2019-02-28

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Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102261601B1 (ko) * 2019-03-27 2021-06-07 주식회사 넥스트코어 코 성형 수술용 가이드
KR102215367B1 (ko) 2020-07-29 2021-02-15 애니메디솔루션 주식회사 수술용 가이드를 제작하는 방법, 수술용 가이드 및 회복용 가이드
KR102424229B1 (ko) 2021-07-29 2022-07-25 애니메디솔루션 주식회사 환자 의료 영상 데이터에 기초하여 설계되는 수술용 가이드를 제작하는 방법, 수술용 가이드 및 회복용 가이드
KR102452340B1 (ko) * 2022-05-24 2022-10-07 신종인 코 성형 수술기구

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2004222736A (ja) * 2002-11-22 2004-08-12 Moritex Corp 顔面撮像装置
KR200433852Y1 (ko) * 2006-09-19 2006-12-13 이미경 안면 성형 시술용 눈금보조자
KR20070020066A (ko) * 2004-05-04 2007-02-16 신세스 게엠바하 가운데 얼굴 확장기
CN102727310A (zh) * 2012-05-31 2012-10-17 中国人民解放军第三军医大学第二附属医院 隆鼻手术设计器
KR20150124052A (ko) * 2014-04-25 2015-11-05 포항공과대학교 산학협력단 환자 맞춤형 코 보형물 자동 디자인 방법

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2004222736A (ja) * 2002-11-22 2004-08-12 Moritex Corp 顔面撮像装置
KR20070020066A (ko) * 2004-05-04 2007-02-16 신세스 게엠바하 가운데 얼굴 확장기
KR200433852Y1 (ko) * 2006-09-19 2006-12-13 이미경 안면 성형 시술용 눈금보조자
CN102727310A (zh) * 2012-05-31 2012-10-17 中国人民解放军第三军医大学第二附属医院 隆鼻手术设计器
KR20150124052A (ko) * 2014-04-25 2015-11-05 포항공과대학교 산학협력단 환자 맞춤형 코 보형물 자동 디자인 방법

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