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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        Personalized light-curable polyurethane palatal

                                        prosthesis designed and fabricated based on
                                        computer fluid dynamics and 3D printing to

                                        repair palatal fistula



                                        Qiwei Chen , Haihuan Gong , Yilin Wang , Yanyan Zhao , Hong Zhao ,
                                                                2†
                                                  1†
                                                                            1
                                                                                                   4
                                                                                        3
                                        Zhiwei Lin , Jingya Yang , Manoj Kumar Vashisth , Lixiang Zhao ,
                                                             6,7
                                                 5
                                                                                               8
                                                                                  1
                                        Yunlu Dai *, and Wenhua Huang 1,4,6 *
                                                9
                                        1 Department of Anatomy, Guangdong Provincial Key Laboratory of Medical Biomechanics, School
                                        of Basic Medical Sciences, Southern Medical University, Guangzhou, Guangdong, China
                                        2 Department of Periodontics, Affiliated Stomatology Hospital of Guangzhou Medical University,
                                        Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine,
                                        Guangzhou, Guangdong, China
                                        3 Department  of  Science  and  Education,  The  Second  Affiliated  Hospital  of  Henan  University  of
                                        Science and Technology, Luoyang, Henan, China
                                        4 Department  of  Nursing  and  Health,  Huizhou  Economics  and  Polytechnic  College,  Huizhou,
                                        Guangdong, China
                                        5
                                        School of Basic Medical Sciences, Guangdong Medical University, Dongguan, Guangdong, China
                                        6 Department of Otolaryngology - Head and Neck Surgery, The Third Affiliated Hospital of Southern
                                        Medical University, Guangzhou, Guangdong, China
            † These authors contributed equally   7
            to this work.               School of Basic Medical Sciences, Guangxi Medical University, Nanning, Guangxi, China
                                        8 Department  of  Oral  and  Maxillofacial  Surgery,  Hospital  of  Stomatology,  Guangxi  Medical
            *Corresponding authors:     University, Nanning, Guangxi, China
            Wenhua Huang
            (Huangwenhua2009@139.com)   9 Faculty of Health Sciences and MoE Frontiers Science Center for Precision Oncology, University
                                        of Macau, Macau, China
            Yunlu Dai
            (yldai@um.edu.mo)
            Citation: Chen Q, Gong H, Wang Y,
            et al. Personalized light-curable
            polyurethane palatal prosthesis   Abstract
            designed and fabricated based on
            computer fluid dynamics and 3D   Cleft palate surgery most commonly results in palatal fistula, but this complication
            printing to repair palatal fistula.    can also be observed in congenital malformations, palatal tumors, and autoimmune
            Int J Bioprint. 2024;10(4):2516.
            doi: 10.36922/ijb.2516      diseases. Palatal fistula repair is crucial in restoring everyday speech and swallowing
                                        function, improving patients’ psychological and social well-being. However, treating
            Received: December 23, 2023
            Accepted: February 15, 2024  palatal fistula remains challenging for oral and maxillofacial surgeons. In addition,
            Published Online: March 19, 2024  fabricating a palatal fistula prosthesis with a precise fit to the fistula using traditional
            Copyright: © 2024 Author(s).   techniques is hardly achievable in the design and production process. In recent
            This is an Open Access article   years, digital technology has been increasingly applied in palatal fistula prosthesis
            distributed under the terms of the   fabrication. Based on computer fluid dynamics (CFD)-assisted design and three-
            Creative Commons Attribution
            License, permitting distribution,   dimensional printing technology, we developed a personalized palatal prosthesis
            and reproduction in any medium,   made of light-cured polyurethane to repair palatal fistula and restore normal airflow
            provided the original work is   during speech. Material property tests show that this light-cured polyurethane
            properly cited.
                                        material has excellent hydrophilicity, mechanical properties, water resistance, and
            Publisher’s Note: AccScience   good rheological performance. The excellent biocompatibility of the polyurethane
            Publishing remains neutral with   palatal prosthesis was confirmed in in vivo and in vitro experiments. The study results
            regard to jurisdictional claims in
            published maps and institutional   also indicate that CFD pre-analysis provides accurate guidance for palatal fistula
            affiliations.               design and future evaluation of outcomes. Therefore, CFD pre-analysis and additive



            Volume 10 Issue 4 (2024)                       263                                doi: 10.36922/ijb.2516
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