Design of Laser-Assisted Automatic Continuous Distraction Osteogenesis Device for Oral and Maxillofacial Reconstruction Applications

Majlesi Journal of Electrical Engineering

مقاله 13، دوره 13، شماره 4، اسفند 2019، صفحه 135-145   

نوع مقاله: Review Article

نویسندگان

Katayoun Hatefi¹؛ Shahrokh Hatefi^{* 2}؛ Javad Alizargar³؛ Khaled Abou-El-Hossein²

¹Isfahan University of Technology

²Precision Engineering Laboratory, Nelson Mandela University, Port Elizabeth, South Africa

³Research Center for Healthcare Industry Innovation, National Taipei University of Nursing and Health Sciences, Taipei City 112, Taiwan

چکیده

Distraction Osteogenesis (DO) is a novel limb lengthening technique for bone tissue reconstruction in human. The DO method has got an important role in Maxillofacial Reconstruction Applications (MRA) for reconstruction of skeletal deformities and bone defects. Recently, the application of Automatic Continuous Distraction Osteogenesis (ACDO) devices are emerging; for enabling an automatic and enhanced DO procedure while achieving superior results in terms of bone formation and consolidation quality, compared to conventional manual methods. It has shown that developed ACDO devices could fulfill technical features while providing an automatic continuous procedure based on the standard DO protocol. One of the main limitations in developed ACDO devices is limited distraction vector; in which the positioning of the Bone Segment (BS) has been limited to one-axis or specifically designed curve-linear paths. Enabling moving the BS in more than one axis, while the positioning of the BS is automatically and precisely controlled, could enhance the outcome of the DO treatment and expand the application of this novel reconstruction technique. In addition, using laser therapy during the treatment would enhance the bone formation quality. In this paper, a two-axes automatic continuous controller for using in a novel ACDO device is designed. Design specifications and simulation results have validated the functionality of the proposed system. By using the designed controller as well as the intra-oral distractor, applying two continuous forces onto the BS, and moving the BS in linear and curve-linear paths is possible. The application of developed ACDO devices are still limited to experimental and animal studies. More research and investigations need to be done to fulfill this gap and solve existing limitations; for enabling an ultimate ACDO procedure in human MRA.

کلیدواژه‌ها

Automatic Continuous Distractor؛ Automatic Distraction Osteogenesis؛ Laser-Assisted Distraction Osteogenesis؛ Medical Devices

مراجع

1. Codivilla, A., The classic: on the means of lengthening, in the lower limbs, the muscles and tissues which are shortened through deformity. Clinical orthopaedics and related research, 2008. 466(12): p. 2903-2909.

2. Peacock, Z.S., et al., Automated continuous distraction osteogenesis may allow faster distraction rates: A preliminary study. Journal of Oral and Maxillofacial Surgery, 2013. 71(6): p. 1073-1084.

3. Ilizarov, G.A., The tension-stress effect on the genesis and growth of tissues: Part I. The influence of stability of fixation and soft-tissue preservation. Clinical orthopaedics and related research, 1989. 238: p. 249-281.

4. Ilizarov, G.A., The tension-stress effect on the genesis and growth of tissues: Part II. The influence of the rate and frequency of distraction. Clinical orthopaedics and related research, 1989. 239: p. 263-285.

5. Ilizarov, G.A., The principles of the Ilizarov method. Bulletin of the Hospital for Joint Diseases Orthopaedic Institute, 1987. 48(1): p. 1-11.

6. Djasim, U.M., et al., Continuous versus discontinuous distraction: evaluation of bone regenerate following various rhythms of distraction. Journal of Oral and Maxillofacial Surgery, 2009. 67(4): p. 818-826.

7. Mofid, M.M., et al., Craniofacial distraction osteogenesis: a review of 3278 cases. Plastic and reconstructive surgery, 2001. 108(5): p. 1103-14; discussion 1115-7.

8. Keßler, P., J. Wiltfang, and F.W. Neukam, A new distraction device to compare continuous and discontinuous bone distraction in mini-pigs: a preliminary report. Journal of Cranio-Maxillofacial Surgery, 2000. 28(1): p. 5-11.

9. Dzhorov, A. and I. Dzhorova, Maxillofacial surgery and distraction osteogenesis--history, present, perspective. Khirurgiia, 2002. 59(6): p. 30-35.

10. Zheng, L., et al., High-rhythm automatic driver for bone traction: an experimental study in rabbits. International journal of oral and maxillofacial surgery, 2008. 37(8): p. 736-740.

11. Djasim, U.M., Craniofacial Distraction Osteogenesis: Effects of rhythm of distraction on bone regeneration. 2008, Erasmus MC: University Medical Center Rotterdam.

12. McCarthy, J.G., et al., Distraction osteogenesis of the craniofacial skeleton. Plastic and reconstructive surgery, 2001. 107(7): p. 1812-1827.

13. Aykan, A., et al., Mandibular distraction osteogenesis with newly designed electromechanical distractor. Journal of Craniofacial Surgery, 2014. 25(4): p. 1519-1523.

14. Peacock, Z.S., et al., Bilateral Continuous Automated Distraction Osteogenesis: Proof of Principle. The Journal of craniofacial surgery, 2015. 26(8): p. 2320-2324.

15. Hatefi, S., et al., Continuous distraction osteogenesis device with MAAC controller for mandibular reconstruction applications. Biomedical engineering online, 2019. 18(1): p. 43.

16. Zheng, L.W., M.C. Wong, and L.K. Cheung, Quasi-continuous autodriven system with multiple rates for distraction osteogenesis. Surgical innovation, 2011. 18(2): p. 156-159.

17. Chung, M., et al., An Implantable Battery System for a Continuous Automatic Distraction Device for Mandibular Distraction Osteogenesis. Journal of Medical Devices, 2010. 4(4): p. 045005.

18. Park, J.-T., et al., A piezoelectric motor-based microactuator-generated distractor for continuous jaw bone distraction. Journal of Craniofacial Surgery, 2011. 22(4): p. 1486-1488.

19. Le Roux, F., et al., Design of Rechargeable Battery System for Mandibular Distraction Osteogenesis Device. 2019.

20. Peacock, Z.S., et al., Skeletal and soft tissue response to automated, continuous, curvilinear distraction osteogenesis. Journal of Oral and Maxillofacial Surgery, 2014. 72(9): p. 1773-1787.

21. Ritter, L., et al., Range of curvilinear distraction devices required for treatment of mandibular deformities. Journal of oral and maxillofacial surgery, 2006. 64(2): p. 259-264.

22. Freddo, A.L., et al., Influence of a magnetic field and laser therapy on the quality of mandibular bone during distraction osteogenesis in rabbits. Journal of Oral and Maxillofacial Surgery, 2016. 74(11): p. 2287. e1-2287. e8.

23. Taha, S.K., et al., Effect of Laser Bio-Stimulation on Mandibular Distraction Osteogenesis: An Experimental Study. Journal of Oral and Maxillofacial Surgery, 2018. 76(11): p. 2411-2421.

24. Abd-Elaal, A., et al., Evaluation of the effect of low-level diode laser therapy applied during the bone consolidation period following mandibular distraction osteogenesis in the human. International journal of oral and maxillofacial surgery, 2015. 44(8): p. 989-997.

25. Shuai, C., et al., Physical stimulations and their osteogenesis-inducing mechanisms. Int. J. Bioprint, 2018. 4: p. 138-158.

26. Cakarer, S., et al., Acceleration of consolidation period by thrombin peptide 508 in tibial distraction osteogenesis in rats. British Journal of Oral and Maxillofacial Surgery, 2010. 48(8): p. 633-636.

27. Freddo, A.L., et al., Effect of low-level laser therapy after implantation of poly-L-lactic/polyglycolic acid in the femurs of rats. Lasers in medical science, 2009. 24(5): p. 721-728.

28. Miloro, M., J.J. Miller, and J.A. Stoner, Low-level laser effect on mandibular distraction osteogenesis. Journal of oral and maxillofacial surgery, 2007. 65(2): p. 168-176.

29. Matsumoto, H., et al., Pulsed electromagnetic fields promote bone formation around dental implants inserted into the femur of rabbits. Clinical oral implants research, 2000. 11(4): p. 354-360.

30. Pereira, A.N., et al., Effect of low‐power laser irradiation on cell growth and procollagen synthesis of cultured fibroblasts. Lasers in Surgery and Medicine: The Official Journal of the American Society for Laser Medicine and Surgery, 2002. 31(4): p. 263-267.

31. Kana, J.S. and G. Hutschenreiter, Effect of low—power density laser radiation on healing of open skin wounds in rats. Archives of Surgery, 1981. 116(3): p. 293-296.

32. Lyons, R.F., et al., Biostimulation of wound healing in vivo by a helium-neon laser. Annals of plastic surgery, 1987. 18(1): p. 47-50.

33. Prabhu, V., et al., Development and Evaluation of Fiber Optic Probe-based Helium–Neon Low-level Laser Therapy System for Tissue Regeneration—An In Vivo Experimental Study. Photochemistry and Photobiology, 2010. 86(6): p. 1364-1372.

34. Safavi, S.M., et al., Effects of low-level He–Ne laser irradiation on the gene expression of IL-1β, TNF-α, IFN-γ, TGF-β, bFGF, and PDGF in rat’s gingiva. Lasers in medical science, 2008. 23(3): p. 331-335.

35. Pires Oliveira, D.A., et al., Evaluation of low-level laser therapy of osteoblastic cells. Photomedicine and laser surgery, 2008. 26(4): p. 401-404.

36. Sarmadi, S., et al., The Effect of Photobiomodulation on Distraction Osteogenesis. J Lasers Med Sci, 2019. 10(4): p. 330-337.

37. Hatefi, S., O. Ghahraei, and B. Bahraminejad, Design and Development of a Novel Multi-Axis Automatic Controller for Improving Accuracy in CNC Applications. Majlesi Journal of Electrical Engineering, 2017. 11(1).

38. Hatefi, S., O. Ghahraei, and B. Bahraminejad, Design and Development of a Novel CNC Controller for Improving Machining Speed. Majlesi Journal of Electrical Engineering, 2016. 10(1): p. 7.

39. Hatefi, K., S. Hatefi, and M. Etemadi Distraction Osteogenesis in Oral and Maxillofacial Reconstruction Applications: Feasibility Study of Design and Development of an Automatic Continuous Distractor. Majlesi Journal of Electrical Engineering, 2018. 12(3).

40. dos Santos Santinoni, C., et al., Influence of low-level laser therapy on the healing of human bone maxillofacial defects: A systematic review. Journal of Photochemistry and Photobiology B: Biology, 2017. 169: p. 83-89.

41. Hosseinpour, S., et al., Molecular impacts of photobiomodulation on bone regeneration: a systematic review. Progress in biophysics and molecular biology, 2019.

42. Gurler, G. and B. Gursoy, Investigation of effects of low level laser therapy in distraction osteogenesis. Journal of stomatology, oral and maxillofacial surgery, 2018. 119(6): p. 469-476.

43. Garcia, V.G., et al., Effect of LLLT on autogenous bone grafts in the repair of critical size defects in the calvaria of immunosuppressed rats. Journal of Cranio-Maxillofacial Surgery, 2014. 42(7): p. 1196-1202.

44. de Oliveira Gonçalves, J.B., et al., Effects of low-level laser therapy on autogenous bone graft stabilized with a new heterologous fibrin sealant. Journal of Photochemistry and Photobiology B: Biology, 2016. 162: p. 663-668.

45. Bosco, A.F., et al., Effects of low-level laser therapy on bone healing of critical-size defects treated with bovine bone graft. Journal of Photochemistry and Photobiology B: Biology, 2016. 163: p. 303-310.

46. Aragão-Neto, A.C., et al., Combined therapy using low level laser and chitosan-policaju hydrogel for wound healing. International journal of biological macromolecules, 2017. 95: p. 268-272.

47. Massotti, F.P., et al., Histomorphometric assessment of the influence of low-level laser therapy on peri-implant tissue healing in the rabbit mandible. Photomedicine and laser surgery, 2015. 33(3): p. 123-128.

48. Landucci, A., et al., Efficacy of a single dose of low-level laser therapy in reducing pain, swelling, and trismus following third molar extraction surgery. International journal of oral and maxillofacial surgery, 2016. 45(3): p. 392-398.