Developing a temporary external fixator (TEF) for mandibular reconstruction using two-phase QFD and TRIZ approach

A temporary external fixator (TEF) is a device used to bridge resection defects after sequestrectomy and before secondary mandibular reconstruction surgery. A well-designed TEF should be customizable and adjustable to accommodate individual patient needs. This study developed a TEF for mandibular re...

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Main Authors: Rungsan Chaiyachet, Apichart Boonma, Teerawat Paipongna
Format: Article
Language:English
Published: Penerbit Universiti Kebangsaan Malaysia 2024
Online Access:http://journalarticle.ukm.my/24043/
http://journalarticle.ukm.my/24043/1/SEE%2017.pdf
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author Rungsan Chaiyachet,
Apichart Boonma,
Teerawat Paipongna,
author_facet Rungsan Chaiyachet,
Apichart Boonma,
Teerawat Paipongna,
author_sort Rungsan Chaiyachet,
building UKM Institutional Repository
collection Online Access
description A temporary external fixator (TEF) is a device used to bridge resection defects after sequestrectomy and before secondary mandibular reconstruction surgery. A well-designed TEF should be customizable and adjustable to accommodate individual patient needs. This study developed a TEF for mandibular reconstruction using the quality function deployment (QFD) and the theory of inventive problem-solving (TRIZ). Customer needs (CNs) were investigated from literature reviews and a survey. Subsequently, a questionnaire was developed, refined, and delivered to 22 experts to identify the essential principles of TEF. Afterwards, the QFD priorities were analyzed based on the acquired CNs and technical requirements (TRs), and the top priorities were found to be safety and adequate operational space. The guidelines for developing a TEF with TRIZ were established as follows: First, using carbon fiber epoxy composite and Ti-6Al-4V as the material for TEFs is recommended Second, permanent magnet should be inserted into the clamp lock bolts to prevent them from falling off during surgery. Last, replacing one Schanz screw with three Bicortical screws is recommended for the fixator pins. Additionally, it was also found that changing the screw size from 2.5–4.0 mm to 2.0–2.4 mm could reduce hole defects in the mandible.
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spelling oai:generic.eprints.org:240432024-08-19T05:17:52Z http://journalarticle.ukm.my/24043/ Developing a temporary external fixator (TEF) for mandibular reconstruction using two-phase QFD and TRIZ approach Rungsan Chaiyachet, Apichart Boonma, Teerawat Paipongna, A temporary external fixator (TEF) is a device used to bridge resection defects after sequestrectomy and before secondary mandibular reconstruction surgery. A well-designed TEF should be customizable and adjustable to accommodate individual patient needs. This study developed a TEF for mandibular reconstruction using the quality function deployment (QFD) and the theory of inventive problem-solving (TRIZ). Customer needs (CNs) were investigated from literature reviews and a survey. Subsequently, a questionnaire was developed, refined, and delivered to 22 experts to identify the essential principles of TEF. Afterwards, the QFD priorities were analyzed based on the acquired CNs and technical requirements (TRs), and the top priorities were found to be safety and adequate operational space. The guidelines for developing a TEF with TRIZ were established as follows: First, using carbon fiber epoxy composite and Ti-6Al-4V as the material for TEFs is recommended Second, permanent magnet should be inserted into the clamp lock bolts to prevent them from falling off during surgery. Last, replacing one Schanz screw with three Bicortical screws is recommended for the fixator pins. Additionally, it was also found that changing the screw size from 2.5–4.0 mm to 2.0–2.4 mm could reduce hole defects in the mandible. Penerbit Universiti Kebangsaan Malaysia 2024 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/24043/1/SEE%2017.pdf Rungsan Chaiyachet, and Apichart Boonma, and Teerawat Paipongna, (2024) Developing a temporary external fixator (TEF) for mandibular reconstruction using two-phase QFD and TRIZ approach. Sains Malaysiana, 53 (5). pp. 1201-1218. ISSN 0126-6039 https://www.ukm.my/jsm/english_journals/vol53num5_2024/contentsVol53num5_2024.html
spellingShingle Rungsan Chaiyachet,
Apichart Boonma,
Teerawat Paipongna,
Developing a temporary external fixator (TEF) for mandibular reconstruction using two-phase QFD and TRIZ approach
title Developing a temporary external fixator (TEF) for mandibular reconstruction using two-phase QFD and TRIZ approach
title_full Developing a temporary external fixator (TEF) for mandibular reconstruction using two-phase QFD and TRIZ approach
title_fullStr Developing a temporary external fixator (TEF) for mandibular reconstruction using two-phase QFD and TRIZ approach
title_full_unstemmed Developing a temporary external fixator (TEF) for mandibular reconstruction using two-phase QFD and TRIZ approach
title_short Developing a temporary external fixator (TEF) for mandibular reconstruction using two-phase QFD and TRIZ approach
title_sort developing a temporary external fixator (tef) for mandibular reconstruction using two-phase qfd and triz approach
url http://journalarticle.ukm.my/24043/
http://journalarticle.ukm.my/24043/
http://journalarticle.ukm.my/24043/1/SEE%2017.pdf