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The Academic Centre of Reconstructive Science (ARCS) is nationally and internationally recognised as a Centre of Excellence for Maxillofacial and Craniofacial Rehabilitation.

Our clinic and research seek to reconstruct or regenerate cranio-facial structures missing due to cancer or congenital defects aiming to mitigate and, in the future eliminate the burden of facial disfigurement in affected people.

The Academic Centre of Reconstructive Science

People

Trevor Coward

Professor /Hon Consultant in Maxillofacial & Craniofacial Rehabilitation

Lucy (Luciana) Di Silvio

Professor of Tissue Engineering

Naimesha  Patel

Senior Lecturer in Maxillofacial Prosthetic Education

Projects

CPAP
CPAP

CPAP therapy is effective in reducing sleep apnoea and less expensive than other treatments, however, some people find it extremely uncomfortable. Patients complain of feeling trapped, having chest discomfort, and skin or nose irritation, all caused by the mask. Much of the sales literature from companies that make CPAP systems focuses on the comfort of their masks. One way of helping patient comfort and compliance is to ensure that the mask fits the nose and face well and does not cause any discomfort. The material of manufacture of the mask is also important with hardness/softness, flexibility, durability, and hypo-allergenicity all considerations. Custom making the mask to fit the patient should ensure an improved level of comfort over the more generic masks which currently exist. The aim of this project is to 3D print the customised mask inserts in silicone that fit specifically to individual patients faces and within commercial companies’ generic masks.

    3D Printing of Facial/Body Prostheses
    3D Printing of Facial/Body Prostheses

    Facial prostheses are required by patients who have lost eyes, ears, noses or combinations of these from trauma (road traffic accident), surgery (cancerous tumour) and congenital malformations. The current process of manufacturing prostheses involves taking an impression of defect site, pouring a working model in stone, carving/sculpturing a wax trial prosthesis, creation of a 2/3 part mould into which pigmented silicone is placed prior to curing. Finally, it is sometimes necessary to add further pigmentation when the prosthesis is fitted onto the patient. This process involves 5 to 7 patient appointments varying between 1 -1.5 hours. Adaptation of digital technology into the process could reduce the number of appointments to 2 and would be free from variability caused by individual artistic and colour interpretation skills required by the clinician. The aim of this projects is to directly 3D print facial prostheses with the desired material characteristics of skin and to match the patients surrounding natural tissue.

    Perfusable, stem cells-derived blood vessels in custom lab-on-chip devices
    Perfusable, stem cells-derived blood vessels in custom lab-on-chip devices

    Induced Pluripotent Stem cells (iPSC) technology holds the promise to grow specific tissues which can be used to meet the >1M annual demand for tissue and organ transplants. One bottleneck in realising this potential is achieving vascularisation of SC-derived micro-tissues, to grow functional tissues of sufficient size. To address this need we are creating lab-on-chip platforms to culture stem cells-derived Endothelial (EC) and vascular mural cells (Pericytes, Pc and Smooth Muscle Cells, SMC) under controlled perfusion conditions. With these tools we are investigating the basic mechanisms driving blood vessels assembly and maturation under defined chemical and physical conditions. This research will increase our understanding of vasculogenesis, angiogenesis and vessels maturation and deliver novel platforms to grow vascularised micro-tissues in vitro. For more information regarding this project contact Dr Lorenzo Veschini (lorenzo.1.veschini@kcl.ac.uk)

      Publications

        Awards

        Grant: Digitised Technology: Its use in the manufacture of Prosthetic ears

        Action Research: £22,094.00

        Award: Spectrophotommetry  & Colour Formulation

        Kings College Hospital IT Fund: £21,000

        Grant: Facial Masks

        DSTL: £8138

        Grant: Silicone

        DSTL: £1111.00

        Grant: Application of Digital technology in colour measurement and formulation in Prosthetic facial rehabilitation

        DSTL: £32,500

        Grant: Devices

        DSTL: £131,672.00

        Grant: Colour Formulation Ethnic Groups

        DSTL: £5000.00

        Grant: No Title (undisclosed)

        DSTL: £8000.00

        Grant: Masks

        DSTL: £4500.00

        Grant: Silicone Models

        DSTL: £29,030.00

        Grant: Oral Lift Project

        Added Dimension Dentistry Award: £21,186.00

        Grant: Naked Man Project

        DSTL: £24,000.00

         Grant: Application of Digital technology in the manufacture of Facial / Body prostheses

        DSTL: £69,000.00

        Award: 3D imaging – Handheld camera

        Friends of guys: £14,250

        Grant: A pilot clinical trial of augmented reality wearable computer to restore the visual field of monocular patients.

        Fight for Sight (British Eye Foundation): £11,169.00

        Grant: 3D Models

        DSTL : £6478.05

        Grant: Research Epidermolysis Bullosa Orthotics

        Kings Together: £26,847.18

        Award: Imaging/Printing in the manufacture of Bio-compatible Silicone Sleep Apnoea Therapy Masks

        KCL Seed Funding Scheme: £48,500

        Grant: Improvement of Physiological relevance of pre-clinical denture adhesive Properties

        GSK/EPSRC Commercial Award: £111,096.00

        Award: Investigating blood vessels assembly and maturation with round-up approach employing iPSC-derived endothelial and vascular accessory cells in custom perfusion bioreactors

        KCL Studentship award: £97,512.00

        Grant: 3D Nano printable Nano Composite

        Kings Health Partners Research & Development Challenge Fund: £9,500.00

        Award: 3D Printer

        Capital Bid GSTT for 3D Printer: £95,718.00

        Activities

        Developing advanced image
        Developing advanced image analysis techniques for the phenotyping of stem cells-derived endothelial cells

        Stem cells cell technology promises to deliver a potentially unlimited amount of specialised somatic cells (e.g. hepatocytes, pancreatic beta-cells, cardiomyocytes and endothelial cells) for regenerative therapies. To fulfil this promise it is necessary to refine the techniques to derive specialised cells of interest from stem cells and to phenotype them accurately to validate their identity and functions. We are using high-throughput and high-content image analysis techniques to phenotype stem cells-derived endothelial cells under different experimental conditions. Endothelial cells are phenotypically heterogeneous among different organs and tissues and this is reflected into subtle morphological and phenotypical differences. High-content image analysis allows extracting rich information on cell phenotype allowing to evaluate cell functional status and to capture differences in cell phenotype such at sub cellular level. This research is producing valuable software tools to aid refinement of stem cells differentiation protocols toward specialised endothelia. For more information regarding this project contact Dr Lorenzo Veschini (lorenzo.1.veschini@kcl.ac.uk)

        News

        The life-changing art of making facial prosthetics

        Caroline Reed, Maxillofacial Prosthetist, shares her work with the Financial Times Magazine.

        prosthetics-fodocs

        3D Printing Centre

        ACRS has developed a 3D printing centre which is currently housed on floor 17 & 20 of Guy's Tower and is available to all staff including PDRAs, PhD and MSc students of FoDOCS for both clinical provision and research. The ACRS team already provides 3D printing services to GSTT for Restorative Dentistry, Oncology, Plastic Reconstruction, ENT and Orthognathic surgery planning, designing/ supplying preoperative templates, surgical cutting guides, surgical wafers and preoperative models for surgery planning and rehearsal.

        This facility is a joint collaborative project between ACRS with the 3D commercial company iMakr, and we now have a number of 3D printers and scanners that will not only enhance the research capabilities but will add innovation and viability to clinical services of FoDOCS. Currently ACRS has 11 3D printers ranging from FDM, Multijet, DLP and a bioplotter all available for use and capable of printing in various materials (PEEK, PVA, PLA PCL, Nylon, ABS), bio-compatible light cure resins, biocompatible inks (colloidal gels, collagen, TCP and HA) and pellets (PCL) and resolutions.

        People

        Trevor Coward

        Professor /Hon Consultant in Maxillofacial & Craniofacial Rehabilitation

        Lucy (Luciana) Di Silvio

        Professor of Tissue Engineering

        Naimesha  Patel

        Senior Lecturer in Maxillofacial Prosthetic Education

        Projects

        CPAP
        CPAP

        CPAP therapy is effective in reducing sleep apnoea and less expensive than other treatments, however, some people find it extremely uncomfortable. Patients complain of feeling trapped, having chest discomfort, and skin or nose irritation, all caused by the mask. Much of the sales literature from companies that make CPAP systems focuses on the comfort of their masks. One way of helping patient comfort and compliance is to ensure that the mask fits the nose and face well and does not cause any discomfort. The material of manufacture of the mask is also important with hardness/softness, flexibility, durability, and hypo-allergenicity all considerations. Custom making the mask to fit the patient should ensure an improved level of comfort over the more generic masks which currently exist. The aim of this project is to 3D print the customised mask inserts in silicone that fit specifically to individual patients faces and within commercial companies’ generic masks.

          3D Printing of Facial/Body Prostheses
          3D Printing of Facial/Body Prostheses

          Facial prostheses are required by patients who have lost eyes, ears, noses or combinations of these from trauma (road traffic accident), surgery (cancerous tumour) and congenital malformations. The current process of manufacturing prostheses involves taking an impression of defect site, pouring a working model in stone, carving/sculpturing a wax trial prosthesis, creation of a 2/3 part mould into which pigmented silicone is placed prior to curing. Finally, it is sometimes necessary to add further pigmentation when the prosthesis is fitted onto the patient. This process involves 5 to 7 patient appointments varying between 1 -1.5 hours. Adaptation of digital technology into the process could reduce the number of appointments to 2 and would be free from variability caused by individual artistic and colour interpretation skills required by the clinician. The aim of this projects is to directly 3D print facial prostheses with the desired material characteristics of skin and to match the patients surrounding natural tissue.

          Perfusable, stem cells-derived blood vessels in custom lab-on-chip devices
          Perfusable, stem cells-derived blood vessels in custom lab-on-chip devices

          Induced Pluripotent Stem cells (iPSC) technology holds the promise to grow specific tissues which can be used to meet the >1M annual demand for tissue and organ transplants. One bottleneck in realising this potential is achieving vascularisation of SC-derived micro-tissues, to grow functional tissues of sufficient size. To address this need we are creating lab-on-chip platforms to culture stem cells-derived Endothelial (EC) and vascular mural cells (Pericytes, Pc and Smooth Muscle Cells, SMC) under controlled perfusion conditions. With these tools we are investigating the basic mechanisms driving blood vessels assembly and maturation under defined chemical and physical conditions. This research will increase our understanding of vasculogenesis, angiogenesis and vessels maturation and deliver novel platforms to grow vascularised micro-tissues in vitro. For more information regarding this project contact Dr Lorenzo Veschini (lorenzo.1.veschini@kcl.ac.uk)

            Publications

              Awards

              Grant: Digitised Technology: Its use in the manufacture of Prosthetic ears

              Action Research: £22,094.00

              Award: Spectrophotommetry  & Colour Formulation

              Kings College Hospital IT Fund: £21,000

              Grant: Facial Masks

              DSTL: £8138

              Grant: Silicone

              DSTL: £1111.00

              Grant: Application of Digital technology in colour measurement and formulation in Prosthetic facial rehabilitation

              DSTL: £32,500

              Grant: Devices

              DSTL: £131,672.00

              Grant: Colour Formulation Ethnic Groups

              DSTL: £5000.00

              Grant: No Title (undisclosed)

              DSTL: £8000.00

              Grant: Masks

              DSTL: £4500.00

              Grant: Silicone Models

              DSTL: £29,030.00

              Grant: Oral Lift Project

              Added Dimension Dentistry Award: £21,186.00

              Grant: Naked Man Project

              DSTL: £24,000.00

               Grant: Application of Digital technology in the manufacture of Facial / Body prostheses

              DSTL: £69,000.00

              Award: 3D imaging – Handheld camera

              Friends of guys: £14,250

              Grant: A pilot clinical trial of augmented reality wearable computer to restore the visual field of monocular patients.

              Fight for Sight (British Eye Foundation): £11,169.00

              Grant: 3D Models

              DSTL : £6478.05

              Grant: Research Epidermolysis Bullosa Orthotics

              Kings Together: £26,847.18

              Award: Imaging/Printing in the manufacture of Bio-compatible Silicone Sleep Apnoea Therapy Masks

              KCL Seed Funding Scheme: £48,500

              Grant: Improvement of Physiological relevance of pre-clinical denture adhesive Properties

              GSK/EPSRC Commercial Award: £111,096.00

              Award: Investigating blood vessels assembly and maturation with round-up approach employing iPSC-derived endothelial and vascular accessory cells in custom perfusion bioreactors

              KCL Studentship award: £97,512.00

              Grant: 3D Nano printable Nano Composite

              Kings Health Partners Research & Development Challenge Fund: £9,500.00

              Award: 3D Printer

              Capital Bid GSTT for 3D Printer: £95,718.00

              Activities

              Developing advanced image
              Developing advanced image analysis techniques for the phenotyping of stem cells-derived endothelial cells

              Stem cells cell technology promises to deliver a potentially unlimited amount of specialised somatic cells (e.g. hepatocytes, pancreatic beta-cells, cardiomyocytes and endothelial cells) for regenerative therapies. To fulfil this promise it is necessary to refine the techniques to derive specialised cells of interest from stem cells and to phenotype them accurately to validate their identity and functions. We are using high-throughput and high-content image analysis techniques to phenotype stem cells-derived endothelial cells under different experimental conditions. Endothelial cells are phenotypically heterogeneous among different organs and tissues and this is reflected into subtle morphological and phenotypical differences. High-content image analysis allows extracting rich information on cell phenotype allowing to evaluate cell functional status and to capture differences in cell phenotype such at sub cellular level. This research is producing valuable software tools to aid refinement of stem cells differentiation protocols toward specialised endothelia. For more information regarding this project contact Dr Lorenzo Veschini (lorenzo.1.veschini@kcl.ac.uk)

              News

              The life-changing art of making facial prosthetics

              Caroline Reed, Maxillofacial Prosthetist, shares her work with the Financial Times Magazine.

              prosthetics-fodocs

              3D Printing Centre

              ACRS has developed a 3D printing centre which is currently housed on floor 17 & 20 of Guy's Tower and is available to all staff including PDRAs, PhD and MSc students of FoDOCS for both clinical provision and research. The ACRS team already provides 3D printing services to GSTT for Restorative Dentistry, Oncology, Plastic Reconstruction, ENT and Orthognathic surgery planning, designing/ supplying preoperative templates, surgical cutting guides, surgical wafers and preoperative models for surgery planning and rehearsal.

              This facility is a joint collaborative project between ACRS with the 3D commercial company iMakr, and we now have a number of 3D printers and scanners that will not only enhance the research capabilities but will add innovation and viability to clinical services of FoDOCS. Currently ACRS has 11 3D printers ranging from FDM, Multijet, DLP and a bioplotter all available for use and capable of printing in various materials (PEEK, PVA, PLA PCL, Nylon, ABS), bio-compatible light cure resins, biocompatible inks (colloidal gels, collagen, TCP and HA) and pellets (PCL) and resolutions.

              Group lead

              Contact us

              Dr Trevor Coward
              Head of the Academic Centre of Reconstructive Science
              Reader /Hon Consultant in Maxillofacial & Craniofacial Rehabilitation

              Guy's Tower Wing
              Guy's Hospital