Isaacs Seth, Fakhri Samer, Luong Amber, Citardi Martin J
Department of Otorhinolaryngology-Head and Neck Surgery, University of Texas Medical School at Houston, Texas Sinus Institute, Texas Skull Base Institute, 6431 Fannin Street, MSB 5.036, Houston, TX 77030, USA.
Otolaryngol Clin North Am. 2009 Oct;42(5):765-79, viii. doi: 10.1016/j.otc.2009.08.014.
The applications of endoscopic techniques have expanded beyond the treatment of inflammatory sinus disease and toward the resection of anterior and middle skull base lesions. Image-guided surgery has emerged as an important tool that compensates for the limitations of surgical endoscopy. The disadvantage of image-guided surgery, however, is its dependence on preoperative imaging data. Intraoperative imaging provides near real-time imaging that has the potential to improve surgical outcomes and reduce operative morbidity. The role of intraoperative imaging in endoscopic sinus and skull base surgery has demonstrated great promise in recent literature. It has had an impact on surgical decision-making during functional endoscopic sinus surgery and the resection of anterior skull base neoplasia. Advances in portable MRI and volumetric CT technology have enhanced the efficiency and safety of intraoperative imaging. Although further studies are required to quantify the precise utility of this new technology, it appears that intraoperative imaging will be an important tool for rhinologic surgery.
内镜技术的应用已从治疗炎性鼻窦疾病扩展至切除前颅底和中颅底病变。影像引导手术已成为一种重要工具，可弥补手术内镜的局限性。然而，影像引导手术的缺点是依赖术前成像数据。术中成像可提供近实时成像，有可能改善手术效果并降低手术并发症发生率。术中成像在内镜鼻窦和颅底手术中的作用在最近的文献中已显示出巨大潜力。它对功能性内镜鼻窦手术和前颅底肿瘤切除术中的手术决策产生了影响。便携式MRI和容积CT技术的进步提高了术中成像的效率和安全性。尽管需要进一步研究来量化这项新技术的确切效用，但术中成像似乎将成为鼻科手术的重要工具。
