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计算机辅助手术和手术导航提高鼻眶筛骨折内眦韧带复位的可靠性

Increased Reliability in Medial Canthal Tendon Reposition in Nasoorbitoethmoidal Fractures with Computer-assisted Surgery and Surgical Navigation.

作者信息

Alamillos Francisco J, Sanjuan Alba, Centella Inmaculada, Dean Alicia

机构信息

From the Maxillofacial Surgery Department, Reina Sofía University Hospital, Maimonides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba, Spain.

Medical School, Córdoba University, Córdoba, Spain.

出版信息

Plast Reconstr Surg Glob Open. 2023 May 22;11(5):e5026. doi: 10.1097/GOX.0000000000005026. eCollection 2023 May.

DOI:10.1097/GOX.0000000000005026
PMID:37360236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10287121/
Abstract

Avulsion of the medial canthal tendon secondary to nasoorbitoethmoidal fractures leads to severe aesthetic and functional impairments. The tendon should be repositioned at the posterior lacrimal crest. Owing to the complexity of nasoorbitoethmoidal fractures, accurate location of this point during surgery can be challenging. With the aid of computer-assisted planning and surgical navigation, the point at which the medial canthal tendon should be repositioned can be easily and precisely located. We have developed an innovative navigation-assisted technique that increases the reliability and safety of internal canthus repositioning. We performed a case series of three consecutive patients who underwent medial canthal tendon repositioning using computer-assisted planning and surgical navigation. We believe that this innovation provides a new and useful application of computer-assisted planning and surgical navigation in craniomaxillofacial surgery.

摘要

鼻眶筛骨折继发内眦韧带撕脱会导致严重的美学和功能障碍。该韧带应重新定位至泪后嵴。由于鼻眶筛骨折的复杂性,手术中准确找到这一点具有挑战性。借助计算机辅助规划和手术导航,内眦韧带应重新定位的点能够轻松且精确地找到。我们开发了一种创新的导航辅助技术,提高了内眦复位的可靠性和安全性。我们对连续3例使用计算机辅助规划和手术导航进行内眦韧带复位的患者进行了病例系列研究。我们认为,这项创新为计算机辅助规划和手术导航在颅颌面外科手术中提供了一种新的、有用的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c58/10287121/3de1d2e5b11b/gox-11-e5026-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c58/10287121/e45d2060ff11/gox-11-e5026-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c58/10287121/54586fc9137c/gox-11-e5026-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c58/10287121/1c0b7e74d026/gox-11-e5026-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c58/10287121/3de1d2e5b11b/gox-11-e5026-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c58/10287121/e45d2060ff11/gox-11-e5026-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c58/10287121/54586fc9137c/gox-11-e5026-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c58/10287121/1c0b7e74d026/gox-11-e5026-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c58/10287121/3de1d2e5b11b/gox-11-e5026-g004.jpg

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Ophthalmic Complications in Maxillofacial Trauma: A Prospective Study.颌面部创伤中的眼科并发症:一项前瞻性研究。
Cureus. 2022 Aug 2;14(8):e27608. doi: 10.7759/cureus.27608. eCollection 2022 Aug.
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