Department of Otorhinolaryngology Head and Neck Surgery.
Shandong Key Laboratory of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Qingdao University.
J Craniofac Surg. 2020 Nov/Dec;31(8):2304-2309. doi: 10.1097/SCS.0000000000006913.
Three-dimensional (3D) technology including 3D reconstruction and 3D printing technology, has been widely used in clinical treatment, especially in surgical planning, and image navigation technology, which can make surgical procedures more accurate, now is also increasingly favored by surgeons. But the combination of those 2 technologies was rarely reported. Thus, this study will preliminarily investigate the feasibility and the effect of the combination of 2 technologies in endonasal skull base surgery. Eight patients were involved in this study (from October 2016 to July 2017 at The Affiliated Hospital of Qingdao University), 5 cases of nasal skull base tumors and 3 cases of foreign body perforation. All operations were done under the assistance of 3D technology and image guidance system. Surgical discussion with patient, preoperative planning and clinical teaching were investigated between 2D images and 3D models by voting. For all cases, 3D reconstruction model and 3D printed model were deemed to be more helpful than CT/MRI images in surgical discussion with the patient; surgical simulation on 3D model in preoperative planning was largely deemed to be helpful and very helpful; and in clinical teaching, 3D models combined with image guidance system were deemed to be more helpful in understanding the disease than using 2D images. Besides, all patients recovered well after surgery, no recurrence and complications were found in the follow-up. The combination of 3D technology and electromagnetic image guidance system could improve surgical efficiency and the quality of clinical teaching.
三维（3D）技术包括 3D 重建和 3D 打印技术，已广泛应用于临床治疗，尤其是在手术规划和图像导航技术方面，可以使手术过程更加精确，现在也越来越受到外科医生的青睐。但这两种技术的结合很少有报道。因此，本研究将初步探讨这两种技术在经鼻颅底手术中的结合的可行性和效果。本研究纳入了 8 例患者（2016 年 10 月至 2017 年 7 月在青岛大学附属医院），其中 5 例为鼻腔颅底肿瘤，3 例为异物穿孔。所有手术均在 3D 技术和图像引导系统的辅助下进行。通过投票，对患者进行手术讨论、术前规划和临床教学，对 2D 图像和 3D 模型进行了比较。对于所有病例，与 CT/MRI 图像相比，3D 重建模型和 3D 打印模型在与患者进行手术讨论时被认为更有帮助；在术前规划中对 3D 模型进行手术模拟被认为是非常有帮助的；在临床教学中，与使用 2D 图像相比，3D 模型结合图像引导系统被认为更有助于理解疾病。此外，所有患者术后恢复良好，随访中未发现复发和并发症。3D 技术与电磁图像引导系统的结合可以提高手术效率和临床教学质量。
