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头颈肿瘤外科手术中的导航:一个新兴概念。

Navigation in head and neck oncological surgery: an emerging concept.

作者信息

Gangloff P, Mastronicola R, Cortese S, Phulpin B, Sergeant C, Guillemin F, Eluecque H, Perrot C, Dolivet G

机构信息

Centre Alexis Vautrin, Head & Neck & Dental Surgery Service, 6 avenue de Bourgogne, 54511 Vandoeuvre-les-Nancy, France.

出版信息

Rev Laryngol Otol Rhinol (Bord). 2011;132(4-5):203-7.

PMID:22908541
Abstract

Navigation surgery, initially applied in rhinology, neurosurgery and orthopaedic cases, has been developed over the last twenty years. Surgery based on computed tomography data has become increasingly important in the head and neck region. The technique for hardware fusion between RMI and computed tomography is also becoming more useful. We use such device since 2006 in head and neck carcinologic situation. Navigation allows control of the resection in order to avoid and protect the precise anatomical structures (vessels and nerves). It also guides biopsy and radiofrequency. Therefore, quality of life is much more increased and morbidity is decreased for these patients who undergo major and mutilating head and neck surgery. Here we report the results of 33 navigation procedures performed for 31 patients in our institution.

摘要

导航手术最初应用于鼻科、神经外科和骨科病例,在过去二十年中得到了发展。基于计算机断层扫描数据的手术在头颈部区域变得越来越重要。RMI与计算机断层扫描之间的硬件融合技术也变得越来越有用。自2006年以来,我们在头颈部癌症病例中使用了这种设备。导航可以控制切除范围,以避免和保护精确的解剖结构(血管和神经)。它还可以指导活检和射频治疗。因此,对于接受重大且致残性头颈部手术的患者来说,生活质量得到了显著提高,发病率也有所降低。在此,我们报告了我们机构为31例患者进行的33次导航手术的结果。

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