Caversaccio M, Zheng G, Nolte L-P
Klinik für HNO, Kopf- und Halschirurgie, Inselspital, Universität Bern, Freiburgstrasse, 3010 Bern, Schweiz.
HNO. 2008 Apr;56(4):376-8, 780-2. doi: 10.1007/s00106-008-1705-2.
Endoscopic or microscopic surgery for chronic rhinosinusitis with or without nasal polyps is a routine intervention in daily practice. It is often a delicate and difficult minimally invasive intervention in a narrow space, with a tunnel view of 4 mm in the case of endoscopy and frequent bleeding in chronically inflamed tissue. Therefore, orientation in such a "labyrinth" is often difficult. In the case of polyp recurrence or tumors, the normal anatomical landmarks are often missing, which renders orientation even more difficult. In such cases, computer-aided navigation together with images such as those from computed tomography or magnetic resonance imaging can support the surgeon to make the operation more accurate and, in some cases, faster. Computer-aided surgery also has great potential for education.
对于伴有或不伴有鼻息肉的慢性鼻窦炎,内镜手术或显微手术是日常医疗实践中的常规干预手段。这通常是在狭窄空间内进行的精细且困难的微创手术,在内镜手术中视野通道仅有4毫米,而且慢性炎症组织经常出血。因此,在这样一个“迷宫”中定位往往很困难。在息肉复发或存在肿瘤的情况下,正常的解剖标志常常缺失,这使得定位更加困难。在这种情况下,计算机辅助导航结合计算机断层扫描或磁共振成像等图像,可以帮助外科医生使手术更精确,在某些情况下还能更快完成。计算机辅助手术在教育方面也有很大潜力。