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[术中导航辅助经鼻内镜切除大型复发性颅咽管瘤]

[Endonasal removal of a large recurrent craniopharyngioma using intraoperative navigation].

作者信息

Wurm J, Bumm K, Steinhart H, Fahlbusch R, Iro H

机构信息

Klinik und Poliklinik für Hals-Nasen-Ohren-Kranke der Universität Erlangen-Nürnberg.

出版信息

HNO. 2005 Nov;53(11):973-7. doi: 10.1007/s00106-004-1192-z.

DOI:10.1007/s00106-004-1192-z
PMID:15580332
Abstract

In recent years computer-navigation systems have been commonly used in the field of otorhinolaryngology. Taking its limitations and possible failures into account, this technology is considered reasonable and helpful in routine paranasal sinus surgery, particularly in revision cases and complex approaches to the lateral skull base. We report on a patient with a large recurrent craniopharyngioma, and show that the use of intraoperative navigation might even be necessary to accomplish the desired postoperative outcome in certain cases. Future developments will demonstrate whether computer assisted surgery can extend the indications for operative procedures in complex anatomical regions.

摘要

近年来,计算机导航系统已在耳鼻咽喉科领域得到广泛应用。考虑到其局限性和可能出现的故障,这项技术在常规鼻窦手术中被认为是合理且有帮助的,尤其是在翻修病例以及外侧颅底复杂手术入路中。我们报告了一例巨大复发性颅咽管瘤患者,并表明在某些情况下,使用术中导航对于实现理想的术后效果甚至可能是必要的。未来的发展将证明计算机辅助手术是否能够扩大复杂解剖区域手术操作的适应证范围。

相似文献

1
[Endonasal removal of a large recurrent craniopharyngioma using intraoperative navigation].[术中导航辅助经鼻内镜切除大型复发性颅咽管瘤]
HNO. 2005 Nov;53(11):973-7. doi: 10.1007/s00106-004-1192-z.
2
Recurrent craniopharyngioma with nasopharyngeal extension.复发性颅咽管瘤伴鼻咽部侵犯。
Pediatr Neurosurg. 2000 Mar;32(3):140-4. doi: 10.1159/000028919.
3
Image-guided endoscopic endonasal resection of a recurrent craniopharyngioma.影像引导下经鼻内镜复发性颅咽管瘤切除术
Am J Otolaryngol. 2006 Jul-Aug;27(4):266-7. doi: 10.1016/j.amjoto.2005.09.014.
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Management of recurrent craniopharyngioma.复发性颅咽管瘤的管理
Acta Neurochir (Wien). 1998;140(5):447-54. doi: 10.1007/s007010050123.
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Malignant transformation of craniopharyngioma associated with moyamoya syndrome.颅咽管瘤与烟雾病综合征相关的恶性转化
Neurol Med Chir (Tokyo). 2010;50(7):599-603. doi: 10.2176/nmc.50.599.
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Nasopharyngeal craniopharyngioma in an unusual location.罕见部位的鼻咽部颅咽管瘤。
AJNR Am J Neuroradiol. 1995 Jun-Jul;16(6):1372-4.
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Recurrent craniopharyngioma invading the orbit, cavernous sinus and skull base: a case report.复发性颅咽管瘤侵犯眼眶、海绵窦和颅底:一例报告
Neuroradiology. 1993;35(4):261-3. doi: 10.1007/BF00602608.
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Less is less.越少越不足。
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Stereotactic options in the management of craniopharyngioma.颅咽管瘤治疗中的立体定向治疗方案
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引用本文的文献

1
[Soft tissue navigation and image-guided removal of foreign bodies in head and neck surgery].[头颈部手术中软组织导航与影像引导下异物取出术]
HNO. 2009 Oct;57(10):1016-22. doi: 10.1007/s00106-008-1779-x.
2
[The influence of navigation on endoscopic sinus surgery].[导航在内镜鼻窦手术中的影响]
HNO. 2008 Feb;56(2):151-4, 156-7. doi: 10.1007/s00106-007-1580-2.
3
[Navigated "targeted surgery" for skull base malignomas: additional space for surgical manipulation by neoadjuvant tumor downsizing].[导航“靶向手术”治疗颅底恶性肿瘤:新辅助肿瘤降期增加手术操作空间]

本文引用的文献

1
The role of transsphenoidal surgery in the treatment of craniopharyngiomas.经蝶窦手术在颅咽管瘤治疗中的作用。
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3
[Common errors of intraoperative navigation in lateral skull base surgery].[侧颅底手术中术中导航的常见错误]
HNO. 2007 Jun;55(6):465-71. doi: 10.1007/s00106-006-1466-8.
HNO. 2003 May;51(5):386-93. doi: 10.1007/s00106-002-0738-1. Epub 2003 Mar 28.
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Limited benefit of intraoperative low-field magnetic resonance imaging in craniopharyngioma surgery.
Neurosurgery. 2003 Jul;53(1):72-80; discussion 80-1. doi: 10.1227/01.neu.0000068728.08237.af.
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Neural conservation in skull base surgery.
Otolaryngol Clin North Am. 2002 Apr;35(2):411-24, ix. doi: 10.1016/s0030-6665(02)00006-3.
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HNO. 2002 Oct;50(10):928-34. doi: 10.1007/s00106-001-0620-6.
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