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International Journal of Bioprinting                                  3D printing prosthesis for palatal fistula




            experimental groups, silicone rubber groups, and control   Funding
            groups on days 1, 3, and 5 (p > 0.05).
                                                               This work was financially supported by the National Key
            3.7.2. In vivo biocompatibility                    R&D  Program  of  China  (Grant  no.  2022YFB4600600),
            Figure 8C depicts the procedure of the subcutaneous   the National Natural Science Foundation of China
            implantation experiment. All wounds display successful   (Grant no. 31972915 and no. 32271181), the Guangdong
            healing in the end.                                Basic and Applied Basic Research Foundation
               Fibrous capsules were observed in the experimental   (Grant no. 2020B1515120001), and the Guangzhou
            and control groups. The H&E staining results of the   Science and Technology Plan—Municipal School
            fibrous capsule around the implants at weeks 4 and 8   Joint Funding Basic and Applied Research Project
            are shown in Figure 8D. Microscopic observation under   (No. 202201020156).
            10× magnification revealed that there was no significant
            difference in the fibrous capsule and tissue between the PU   Conflict of interest
            group and the control group, and there was no apparent   The authors declare no conflicts of interest.
            inflammatory  infiltration.  The  H&E-stained  tissues  of
            the internal organs revealed no massive inflammatory   Author contributions
            cell infiltration and no abnormalities (Figure 8E). Taken
            together, the PU elastomers showed good biocompatibility,   Conceptualization: Qiwei Chen, Haihuan Gong
            as evidenced by the in vivo experiments.           Formal analysis: Zhiwei Lin, Manoj Kumar Vashisth
                                                               Investigation:  Yilin Wang, Yanyan Zhao, Hong Zhao,
            4. Conclusion                                         Zhiwei Lin, Jingya Yang, Lixiang Zhao
                                                               Methodology: Yilin Wang, Yanyan Zhao, Hong Zhao
            In this study, we developed a personalized palatal fistula   Writing – original draft: Qiwei Chen, Haihuan Gong,
            prosthesis made of light-cured PU to repair the palatal   Writing – review & editing: Yunlu Dai, Wenhua Huang
            fistula and restore normal airflow during speech based
            on CFD-assisted design and 3D printing technology.   Ethics approval and consent to participate
            After repairing the defect of the palatal fistula, the airflow
            pattern exhibits high degree of resemblance to that of the   The experimental protocol was approved by the Laboratory
            healthy side, and the repaired palatal fistula exhibited good   Animal Welfare and Ethics Committee, Southern Medical
            sealing effect. In addition, repairing palatal fistula defect   University, in accordance with the Guide for the Care and
            with  this  prosthesis  effectively  separated the  oronasal   Use of Laboratory Animals (SMUL2022312).
            cavity. Furthermore, light-cured PU printing ink with
            good biological safety, which could be manufactured by   Consent for publication
            an LCD light-curing 3D printer for rapid prototyping, was   Not applicable.
            designed and synthesized. The light-cured PU possesses
            excellent hydrophilicity, mechanical properties, water   Availability of data
            resistance, and good rheological performance. In summary,
            a new optimization strategy for structure design by CFD   The data presented in this study are available from the
            analysis and fabrication of palatal fistula prosthesis made   corresponding author upon reasonable request.
            of 3D-printed light-cured PU was devised. This strategy
            holds immense potential for reducing the difficulty of   References
            prosthesis fabrication and maximizing the restoration
            effect and quality of life for patients. Future study will   1.   Ohno T, Hojo K, Fujishima I. Soft obturator prosthesis
                                                                  for  postoperative  soft  palate  carcinoma:  a  clinical  report.
            entail a comprehensive comparison with state-of-the-art   J Prosthet Dent. 2018;119(5):845-847.
            materials, aiming to provide compelling evidence for their   doi: 10.1016/j.prosdent.2017.06.024
            potential clinical applications.
                                                               2.   Urken ML, Roche AM, Kiplagat KJ, et al. Comprehensive
            Acknowledgments                                       approach to functional palatomaxillary reconstruction using
                                                                  regional and free tissue transfer: report of reconstructive
            The authors extend their gratitude to Southern Medical   and prosthodontic outcomes of 140 patients.  Head Neck.
            University and University of Macau for providing      2018;40(8):1639-1666.
            laboratory and technical supports.                    doi: 10.1002/hed.25134





            Volume 10 Issue 4 (2024)                       278                                doi: 10.36922/ijb.2516
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