Obstacles for accessing customised craniofacial implants in low- and middle-income countries

Introduction: Many low resourced low- and middle-income countries (LMICs) do not have access to (high tech) developments in the medical field. The aim of this study is to research how a contemporary high-tech solution, such as customized medical implants, can be transferred to low resource LMICs. Ma...

Full description

Saved in:
Bibliographic Details
Main Authors: Stijn E.F. Huys, Anthony F. Markus, Maurice Y. Mommaerts
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Journal of Oral Biology and Craniofacial Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2212426821001275
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850060894105501696
author Stijn E.F. Huys
Anthony F. Markus
Maurice Y. Mommaerts
author_facet Stijn E.F. Huys
Anthony F. Markus
Maurice Y. Mommaerts
author_sort Stijn E.F. Huys
collection DOAJ
description Introduction: Many low resourced low- and middle-income countries (LMICs) do not have access to (high tech) developments in the medical field. The aim of this study is to research how a contemporary high-tech solution, such as customized medical implants, can be transferred to low resource LMICs. Materials and methods: We explored the internet to retrieve data regarding internet coverage, services providing free email accounts, and the availability of connecting devices. Additionally, a computerized search was performed for currently available PSI concepts and other important emerging technologies with potential value in craniomaxillofacial surgery. Lastly, we searched the internet for the availability of CT scan devices and smartphones in the LMICs. Results: Internet penetration and access to computers/smartphones is low in the LMICs. Moreover, availability of radiology departments and radiologists is very limited (60 radiologists per 190 million Nigerian inhabitants) and a lack of knowledge concerning import regulations and customs clearance, limits the accessibility/availability for patient-specific implants, since this is crucial in developing and delivering these devices. Lastly, appropriate training and instrumentation are vital (yet, currently difficult) to acquire and foresee, in order to achieve the best post-operative results. Conclusion: This research confirms great difficulties achieving our aims but with persistence and adoption of well-constructed programs it should be possible.
format Article
id doaj-art-4db392bc9e854814a8454c3dc49bdf74
institution DOAJ
issn 2212-4268
language English
publishDate 2022-01-01
publisher Elsevier
record_format Article
series Journal of Oral Biology and Craniofacial Research
spelling doaj-art-4db392bc9e854814a8454c3dc49bdf742025-08-20T02:50:26ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682022-01-01121808510.1016/j.jobcr.2021.10.011Obstacles for accessing customised craniofacial implants in low- and middle-income countriesStijn E.F. Huys0Anthony F. Markus1Maurice Y. Mommaerts2KU Leuven, Department of Mechanical Engineering, Biomechanics Section, Leuven, Belgium; Corresponding author.Poole Hospital, University of Bournemouth, United KingdomEuropean Face Centre, Universitair Ziekenhuis Brussel, VUB, 1090, Brussels, BelgiumIntroduction: Many low resourced low- and middle-income countries (LMICs) do not have access to (high tech) developments in the medical field. The aim of this study is to research how a contemporary high-tech solution, such as customized medical implants, can be transferred to low resource LMICs. Materials and methods: We explored the internet to retrieve data regarding internet coverage, services providing free email accounts, and the availability of connecting devices. Additionally, a computerized search was performed for currently available PSI concepts and other important emerging technologies with potential value in craniomaxillofacial surgery. Lastly, we searched the internet for the availability of CT scan devices and smartphones in the LMICs. Results: Internet penetration and access to computers/smartphones is low in the LMICs. Moreover, availability of radiology departments and radiologists is very limited (60 radiologists per 190 million Nigerian inhabitants) and a lack of knowledge concerning import regulations and customs clearance, limits the accessibility/availability for patient-specific implants, since this is crucial in developing and delivering these devices. Lastly, appropriate training and instrumentation are vital (yet, currently difficult) to acquire and foresee, in order to achieve the best post-operative results. Conclusion: This research confirms great difficulties achieving our aims but with persistence and adoption of well-constructed programs it should be possible.http://www.sciencedirect.com/science/article/pii/S2212426821001275Maxillofacial prosthesis implantationCraniofacial abnormalitiesLow- and middle-income countries
spellingShingle Stijn E.F. Huys
Anthony F. Markus
Maurice Y. Mommaerts
Obstacles for accessing customised craniofacial implants in low- and middle-income countries
Journal of Oral Biology and Craniofacial Research
Maxillofacial prosthesis implantation
Craniofacial abnormalities
Low- and middle-income countries
title Obstacles for accessing customised craniofacial implants in low- and middle-income countries
title_full Obstacles for accessing customised craniofacial implants in low- and middle-income countries
title_fullStr Obstacles for accessing customised craniofacial implants in low- and middle-income countries
title_full_unstemmed Obstacles for accessing customised craniofacial implants in low- and middle-income countries
title_short Obstacles for accessing customised craniofacial implants in low- and middle-income countries
title_sort obstacles for accessing customised craniofacial implants in low and middle income countries
topic Maxillofacial prosthesis implantation
Craniofacial abnormalities
Low- and middle-income countries
url http://www.sciencedirect.com/science/article/pii/S2212426821001275
work_keys_str_mv AT stijnefhuys obstaclesforaccessingcustomisedcraniofacialimplantsinlowandmiddleincomecountries
AT anthonyfmarkus obstaclesforaccessingcustomisedcraniofacialimplantsinlowandmiddleincomecountries
AT mauriceymommaerts obstaclesforaccessingcustomisedcraniofacialimplantsinlowandmiddleincomecountries