Brucoli Matteo, Boccafoschi Francesca, Boffano Paolo, Broccardo Emanuele, Benech Arnaldo
University of Eastern Piedmont, Novara, Italy.
University of Eastern Piedmont, Novara, Italy.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2018 Oct;126(4):317-321. doi: 10.1016/j.oooo.2018.04.006. Epub 2018 May 2.
The anatomy of the head and neck region is complex as are its implications for maxillofacial pathologic conditions and their surgical treatments. We hypothesize that the assessment of the surgical management of orbital floor fractures by using titanium mesh could represent an appropriate first experimental field for the use of the Anatomage Table in maxillofacial surgery.
Patients with unilateral orbital floor fractures were searched for in the hospital database of Novara University Hospital, Novara, Italy. The Digital Imaging and Communications in Medicine data of preoperative and postoperative computed tomography examinations were retrieved and were uploaded in the Anatomage Table device. Then, a workstation was used to create anatomic dissection coronal and sagittal images together with the corresponding computed tomography scans. Finally, 10 maxillofacial surgery residents and young surgeons were involved in the assessment of the images.
The young surgeons reported a higher clarity of anatomic dissection images in comparison with computed tomography scans both in preoperative and postoperative images.
The fields of application of this new technology are wide and promising, ranging from the education, to the follow-up, to patient informed consent.
头颈部区域的解剖结构复杂，其对颌面部病理状况及其外科治疗的影响也很复杂。我们假设，使用钛网评估眶底骨折的外科治疗可成为在颌面部手术中使用Anatomage Table的一个合适的首个实验领域。
在意大利诺瓦拉诺瓦拉大学医院的医院数据库中搜索单侧眶底骨折患者。检索术前和术后计算机断层扫描检查的医学数字成像和通信数据，并上传到Anatomage Table设备中。然后，使用工作站创建解剖分离冠状面和矢状面图像以及相应的计算机断层扫描。最后，10名颌面部外科住院医师和年轻外科医生参与了图像评估。
年轻外科医生报告称，与术前和术后图像的计算机断层扫描相比，解剖分离图像的清晰度更高。
这项新技术的应用领域广泛且前景广阔，涵盖教育、随访以及患者知情同意等方面。
