Ji Yefeng, Jiang Hongbing, Wan Linzhong, Yuan Hua
Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology.
Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University, Nanjing, P. R. China..
J Craniofac Surg. 2018 Oct;29(7):e723-e726. doi: 10.1097/SCS.0000000000004986.
Foreign bodies retained in oral and maxillofacial regions include different types and properties. Road traffic accident is one of the major causes of the maxillofacial trauma. Foreign bodies can cause direct or indirect damage to the body, even life-threatening. It is a demanding procedure to detect the accurate position and implement surgical removal of the embedded fragments in the soft tissue in clinic.Usually, foreign bodies are close to important structures such as the head and neck region with limited intraoperative visibility and anatomical intricacies. Therefore, the key to remove foreign bodies in head and neck surgery is precise localization and reasonable surgical approaches. The authors reported that the foreign bodies adjacent to large vessels in a case were successfully removed assisted by AccuNavi-A surgical navigation system.
留存于口腔颌面部区域的异物包括不同类型和性质。道路交通事故是颌面部创伤的主要原因之一。异物可对身体造成直接或间接损害,甚至危及生命。在临床上,准确检测异物的位置并实施手术取出软组织内嵌入的碎片是一项要求很高的操作。通常,异物靠近头部和颈部等重要结构,术中视野有限且解剖结构复杂。因此,头颈部手术中取出异物的关键是精确的定位和合理的手术入路。作者报告称,在一例病例中,借助AccuNavi-A手术导航系统成功取出了与大血管相邻的异物。