Additive Manufacturing of Medical Models--Applications in Rhinology.

In the paper we are introducing guidelines and suggestions for use of 3D image processing SW in head pathology diagnostic and procedures for obtaining physical medical model by additive manufacturing/rapid prototyping techniques, bearing in mind the improvement of surgery performance, its maximum security and faster postoperative recovery of patients. This approach has been verified in two case reports. In the treatment we used intelligent classifier-schemes for abnormal patterns using computer-based system for 3D-virtual and endoscopic assistance in rhinology, with appropriate visualization of anatomy and pathology within the nose, paranasal sinuses, and scull base area.

A Study of the Flexural Properties of PA12/Clay Nanocomposites.

Polymer nanocomposites consist of a polymer matrix and reinforcing particles that have at least one dimension under 100 nm. The processing of nanocomposite polymers is the most important stage, determining the final properties of nanocomposites. Nanocomposites are now preferentially prepared by melt-mixing using conventional compounding processes such as twin-screw extrusion. Many processing parameters (polymer matrix type, content and type of nanofiller, barrel temperature, screw speed, number and shape of extruder screws, etc.) affect the properties of nanocomposites. This research work represents an investigation of the influence of processing parameters (amount of nanoclay filler, the screw rotation speed, and extruder barrel temperature) on the flexural properties of polyamide 12/nanoclay-reinforced nanocomposite. From the test results, it is apparent that an increase in nanoclay content from 1 to 8% significantly increases flexural strength. The obtained nanocomposite has a 19% higher flexural strength and a 56% higher flexural modulus than pure PA12. Mathematical models that show the dependence of flexural strength and flexural modulus on the processing parameters used were obtained as a result of this analysis.

Virtual reality in rhinology-a new dimension of clinical experience.

There is often a need to more precisely identify the extent of pathology and the fine elements of intracranial anatomic features during the diagnostic process and during many operations in the nose, sinus, orbit, and skull base region. In two case reports, we describe the methods used in the diagnostic workup and surgical therapy in the nose and paranasal sinus region. Besides baseline x-ray, multislice computed tomography, and magnetic resonance imaging, operative field imaging was performed via a rapid prototyping model, virtual endoscopy, and 3-D imaging. Different head tissues were visualized in different colors, showing their anatomic interrelations and the extent of pathologic tissue within the operative field. This approach has not yet been used as a standard preoperative or intraoperative procedure in otorhinolaryngology. In this way, we tried to understand the new, visualized "world of anatomic relations within the patient's head" by creating an impression of perception (virtual perception) of the given position of all elements in a particular anatomic region of the head, which does not exist in the real world (virtual world). This approach was aimed at upgrading the diagnostic workup and surgical therapy by ensuring a faster, safer and, above all, simpler operative procedure. In conclusion, any ENT specialist can provide virtual reality support in implementing surgical procedures, with additional control of risks and within the limits of normal tissue, without additional trauma to the surrounding tissue in the anatomic region. At the same time, the virtual reality support provides an impression of the virtual world as the specialist navigates through it and manipulates virtual objects.