3D-PRINTING TECHNOLOGY

How can we use 3D printing to improve care for children?

Ten years ago, University of Michigan Health C.S. Mott Children’s Hospital kicked off a new frontier in children’s health. Pediatric otolaryngologist Glenn Green, M.D., and pediatric cardiothoracic surgeon Richard Ohye, M.D., implanted a 3D-printed splint in a child’s airway to treat a life-threatening condition.

Incredibly, that child is thriving, and Green continues to use these splints to treat critically ill children with severe lower airway collapse. And the medical 3D-printing revolution led by Green and pediatric otolaryngologist David Zopf, M.D., M.S., shows no signs of slowing.

Zopf is piloting a new device, developed with biomedical engineer Jeff Plott, Ph.D., to treat severe upper airway obstruction that conditions like cerebral palsy and hypotonic airway collapse can cause. The device is non-surgically placed in the nose. It extends down the airway, bypassing upper airway collapse, to help these medically complex kids avoid invasive surgeries, such as tracheostomies. It’s been an instant sigh of relief for families as kids almost immediately start to breathe easier.

Now, there’s a clinical trial underway, which received $3 million in NIH support, to test this specially designed device developed using 3D printing. It’s garnered strong national interest from clinicians desperate to help seriously ill children. With support from the U-M Coulter Translational Research Partnership Program, Zopf is also seeing remarkable promise treating extremely common adult obstructive sleep apnea with the same technology. In addition, Zopf’s 3D-printing labs are producing teaching tools, including high-fidelity medical and surgical simulators. These printed pieces replicate actual patient anatomy — this is particularly valuable with pediatric procedures where cadaveric models aren’t an option.

During the pandemic, Zopf and his colleagues developed a whole anatomy dissection course using 3D-printed simulators instead of traditional cadaveric dissection. They sent 3D-printed kits across the country, facilitating a virtual video session between 35 surgeons in training and 25 expert surgeons.

Zopf is using the same approach globally, most recently working with a group of surgeons in Burundi, Africa to expand craniofacial surgical education there.

As for what’s next, Zopf says there’s no limitation — any medical specialty could utilize these tools in a variety of creative ways to continue breaking barriers and making meaningful advancements for children.