Department of Otolaryngology-Head and Neck Surgery, University of Arizona College of Medicine, 1501 North Campbell Avenue, Tucson, AZ 85724, USA.
Otolaryngol Clin North Am. 2021 Feb;54(1):175-187. doi: 10.1016/j.otc.2020.09.021.
Image-guided navigation is well established for surgery of the brain and anterior skull base. Although navigation workstations have been used widely by neurosurgeons and rhinologists for decades, utilization in the lateral skull base (LSB) has been less due to stricter requirements for overall accuracy less than 1 mm in this region. Endoscopic approaches to the LSB facilitate minimally invasive surgeries with less morbidity, yet there are risks of injury to critical structures. With improvements in technology over the years, image-guided navigation for endoscopic LSB surgery can reduce operative time, optimize exposure for surgical corridors, and increase safety in difficult cases.
影像引导导航技术在脑和前颅底手术中已经得到广泛应用。尽管神经外科医生和耳鼻喉科医生几十年来一直广泛使用导航工作站，但由于该区域对整体精度的要求严格（小于 1 毫米），因此在侧颅底（LSB）的应用较少。LSB 的内镜入路有助于实现微创手术，减少发病率，但存在损伤关键结构的风险。随着多年来技术的进步，内镜 LSB 手术的影像引导导航可以减少手术时间，优化手术通道的暴露，并提高困难情况下的安全性。
