华西口腔医学杂志2024，Vol.42Issue(1)：104-110,7.DOI:10.7518/hxkq.2024.2023239
经口腔内窥镜在三维可视化及实时导航技术下切除咽旁及侧颅底良性肿瘤初探
Preliminary study on the resection of parapharyngeal and lateral skull base tumors by using transoral endoscopy with 3D visualization and navigation technologies
闫冰 1骆献阳 2胡妮婷 3洪志聪 2关丽梅 2薛丽丽4
作者信息
- 1. 口腔疾病防治全国重点实验室 国家口腔医学中心 国家口腔疾病临床医学研究中心四川大学华西口腔医院头颈肿瘤外科,成都 610041
- 2. 厦门大学附属第一医院耳鼻咽喉头颈外科,厦门 361003||厦门大学医学院,厦门 361003||厦门市耳鼻咽喉头颈外科重点实验室,厦门 361003
- 3. 厦门大学附属第一医院耳鼻咽喉头颈外科,厦门 361003||厦门大学医学院,厦门 361003
- 4. 厦门大学医学院,厦门 361003||厦门大学附属第一医院口腔科,厦门 361003
- 折叠
摘要
Abstract
Objective With the assistance of 3D visualization and real-time navigation technologies,the tumors in the parapharyngeal and lateral skull base should be removed through oral the approach with endoscopy.Methods The preoperative CT data of eight patients with parapharyngeal or lateral skull base soft tissue tumors were modeled,and the anatomical position relationship between the tumor and surrounding blood vessels and other important structures was re-constructed using 3D visualization technology,and preop-erative design was performed.The intraoperative oral ap-proach and real-time navigation guidance were adopted in the endoscopic resection of soft tissue tumors in the parapharyngeal and lateral skull base,and the clinical ap-plication value of this method was evaluated.Results The blood loss during the operation was controlled within 150 mL,and the average blood loss was approximately 125 mL.The incidence of postoperative complications was low,and patients could recover well through functional training.The oral approach did not leave any wounds nor scars on the patient's facial skin after the operation and had no effect on the patient's appearance.Conclusion The combination of 3D visualization technology,intraoperative real-time navigation,and endoscopy provides a beautiful,safe,and minimally invasive surgical method for patients with parapharyngeal or lateral skull base tumors.关键词
三维可视化技术/导航技术/内窥镜/咽旁肿瘤/侧颅底肿瘤Key words
3D visualization technology/navigation technology/endoscope/parapharyngeal tumor/lateral skull base tumor分类
医药卫生引用本文复制引用
闫冰,骆献阳,胡妮婷,洪志聪,关丽梅,薛丽丽..经口腔内窥镜在三维可视化及实时导航技术下切除咽旁及侧颅底良性肿瘤初探[J].华西口腔医学杂志,2024,42(1):104-110,7.
