Oakley Gretchen M, Barham Henry P, Harvey Richard J
Rhinology and Skull Base Research Group, Applied Medical Research Centre, University of New South Wales, 405 Liverpool St, Sydney, NSW 2011, Australia.
Department of Otolaryngology Head and Neck Surgery, Louisiana State University, 433 Bolivar St, New Orleans, LA 70112, USA.
Otolaryngol Clin North Am. 2016 Aug;49(4):975-88. doi: 10.1016/j.otc.2016.03.021. Epub 2016 Jun 18.
The frontal sinus can present a challenging surgical dissection for the endoscopic surgeon. Image guidance as a surgical adjunct has become widely accepted for surgeries in this area. It can help verify vital structures and manage disorienting surgical conditions, improving surgeon confidence in performing safer and more complete surgery. It is relied upon heavily for placement of limited external frontal sinusotomies for disease beyond the endoscopic reach, and for mapping the frontal sinus for osteoplastic flap bony cuts. Its use has contributed to the expanding role of endoscopic surgical approaches for paranasal sinus inflammatory and neoplastic disease.
对于内镜外科医生而言，额窦手术的解剖操作颇具挑战性。图像引导作为一种手术辅助手段，已在该领域的手术中被广泛接受。它有助于确认重要结构并应对令人迷失方向的手术情况，增强外科医生实施更安全、更完整手术的信心。对于在内镜难以触及的部位治疗疾病时进行有限的外部额窦切开术，以及绘制额窦用于骨成形瓣截骨，它都具有重要作用。其应用推动了内镜手术方法在鼻窦炎性和肿瘤性疾病治疗中作用的不断扩大。
