导航引导下颞下颌关节强直切除术提高了颅底手术的安全性。
Navigation-guided resection of temporomandibular joint ankylosis promotes safety in skull base surgery.
作者信息
Schmelzeisen Rainer, Gellrich Nils-Claudius, Schramm Alexander, Schön Ralf, Otten Jörg-Elard
机构信息
Department of Oral and Maxillofacial Surgery, Freiburg, Skull Base Center, Albert-Ludwigs-University Freiburg, Freiburg, Germany.
出版信息
J Oral Maxillofac Surg. 2002 Nov;60(11):1275-83. doi: 10.1053/joms.2002.35724.
PURPOSE
Computer-assisted surgery (CAS) has not been a routine part of craniomaxillofacial surgery to date. This report investigates the use of CAS to promote the safe removal of ankylosed temporomandibular joint bone in the skull base.
PATIENTS AND METHODS
Out of a total pool of experience with 102 navigation-guided CAS procedures between January 1998 and December 2000, we report on 2 cases of navigation-aided resection of severe ankylosis of the mandibular condyle with a predetermined safety margin of the resection toward the middle cranial fossa, and identification of the foramen ovale.
RESULT
The use of CAS with navigation resulted in the promotion of safe surgical excision of the ankylosed skull base tissue.
CONCLUSIONS
We regard navigation-aided resection of an ankylosis fo the mandibular condyle as a valuable additional technique in this potentially complicated procedure.
目的
计算机辅助手术（CAS）至今尚未成为颅颌面外科手术的常规组成部分。本报告探讨使用CAS促进安全切除颅底强直性颞下颌关节骨。
患者与方法
在1998年1月至2000年12月间102例导航引导CAS手术的全部经验中，我们报告2例导航辅助切除下颌髁突严重强直并朝着中颅窝预设切除安全 margins以及识别卵圆孔的病例。
结果
使用带导航的CAS促进了强直性颅底组织的安全手术切除。
结论
我们认为导航辅助切除下颌髁突强直是这一潜在复杂手术中有价值的附加技术。
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