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International Journal of Bioprinting                                   3D printing of costal cartilage models






















































            Figure 5. Ear framework handcrafting curricula. (A) Learning curves of senior surgeons and residents applying 3D-printed models. (B) Handcrafting time
            spent by residents in pre-training and post-training. (C) Quantified slope of the linear fit of learning curves for senior surgeons and residents. (D) Total
            score of handcrafting confidence among 10 learners in pre-training and post-training. (E) Total score of the subjective perception of surgeons. (F) A senior
            surgeon was demonstrating how to fabricate an ear framework with a printed model.
            Notes: ns, no significant difference; *p < 0.05; ****p < 0.0001


            to perform operations for patients with more complex   and assessing innovative surgical methodologies, thereby
            conditions, such as calcification of costal cartilage and   facilitating enhanced proliferation of the technology and
            failed reconstructed ears.  The pre-operative simulation   exchange of ideas among centers and surgeons.
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            could improve success rates and release physicians’ pressure
            stemming from the complex condition and patients’ high   After comprehensively considering the results of
            expectations. In addition, customized models that have a   both the subjective and objective evaluation, the 75 A
            patient’s anatomic structures in the pre-operative setting,   material is considered the best option for manufacturing
            as well as in a modified fashion to simulate postoperative   costal cartilage models. Through the model development
            conditions, will be valuable for providing pre-operative   technology of this study, we can print high-fidelity costal
            counseling. Simulation of the operation provides patients   cartilage models for each patient using only a few dollars’
            with a better understanding of the intended procedures and   worth of material. However, the additional cost (tens of
            outcomes.  Additionally, the utilization of these models   thousands  of  US  dollars)  required  to  purchase  devices
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            in simulation presents an optimal means for developing   may limit their widespread use in hospitals, and another

            Volume 10 Issue 1 (2024)                       223                          https://doi.org/10.36922/ijb.1007
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