Klimek L, Klein H M, Mösges R, Schmelzer B, Schneider W, Voy E D
Klinik für Hals-, Nasen-, Ohrenheilkunde, Plastische Kopf- und Halschirurgie, Medizinische Fakultät der RWTH Aachen.
HNO. 1992 Nov;40(11):446-52.
Preoperative evaluation of the operating site is essential in planning surgical procedures. The relationship of pathology to adjacent tissues and vital anatomical structures needs to be analyzed to determine the intraoperative procedures required. For this the surgeon mentally simulates the procedure planned. For complicated conditions or reconstructive surgery in extensive bony defects, surgery can be simulated with three-dimensional reconstruction on either a monitor screen or on an individually manufactured plastic model of the patient. For this purpose different procedures for 3 D representation and manipulation of tomographic image data have been developed in our departments and the technique of stereolithography used experimentally to create custom-made plastic model of patients. A computerized video image manipulator was also developed for simulation of aesthetic plastic surgical procedures.
手术部位的术前评估对于手术方案的规划至关重要。需要分析病变与相邻组织及重要解剖结构的关系，以确定所需的术中操作。为此，外科医生会在脑海中模拟计划的手术过程。对于复杂情况或广泛骨缺损的重建手术，可以在监视器屏幕上或根据患者个体制作的塑料模型上通过三维重建来模拟手术。为此，我们科室开发了不同的三维断层图像数据呈现和操作程序，并实验性地使用立体光刻技术制作患者定制塑料模型。还开发了一种计算机化视频图像操纵器用于模拟美容整形手术过程。
