Gagliardi Filippo, Boari Nicola, Roberti Fabio, Caputy Anthony J, Mortini Pietro
Department of Neurosurgery, Vita-Salute University, San Raffaele Scientific Institute, Milan, Italy.
Department of Neurosurgery, Vita-Salute University, San Raffaele Scientific Institute, Milan, Italy.
J Craniomaxillofac Surg. 2014 Sep;42(6):1000-4. doi: 10.1016/j.jcms.2014.01.024. Epub 2014 Jan 15.
Comparative anatomical studies have proved to be invaluable in the evaluation of advantages and drawbacks of single approaches to access established target areas. Approach-related exposed areas do not necessarily represent useful areas when performing surgical manoeuvres. Accordingly the concept of "operability" has recently been introduced as a qualitative assessment of the ability to execute surgical manoeuvres. The authors propose an innovative model for the quantitative assessment of the operability, defined as "operability score" (OS), which can be effectively and easily applied to comparative studies on surgical anatomy.
A microanatomical study was conducted on six cadaveric heads.
Morphometric measurements were collected and operability scores in selected target points of the surgical field were calculated. As illustrative example, the operability score was applied to the extradural subtemporal transzygomatic approach (ESTZ).
The operability score is effective in grading system of surgical operability, and instruments manipulation capability. It is a useful tool to evaluate, in a single approach, areas that can be exposed, and to quantify how those areas are suitable for surgical manoeuvres.
比较解剖学研究已被证明在评估进入既定目标区域的单一方法的优缺点方面具有极高价值。与入路相关的暴露区域在进行手术操作时不一定代表有用区域。因此，“可操作性”这一概念最近被引入，作为对执行手术操作能力的定性评估。作者提出了一种用于可操作性定量评估的创新模型，定义为“可操作性评分”（OS），它可以有效且轻松地应用于手术解剖学的比较研究。
对六个尸体头部进行了显微解剖研究。
收集了形态测量数据，并计算了手术区域选定靶点的可操作性评分。作为示例，可操作性评分应用于硬膜外颞下经颧弓入路（ESTZ）。
可操作性评分在手术可操作性分级系统和器械操作能力方面是有效的。它是一种有用的工具，可用于在单一入路中评估可暴露的区域，并量化这些区域适合手术操作的程度。
