Department of Neurosurgery, University Hospital of Basel.
Department of Oral and Cranio-Maxillo-Facial Surgery and 3D Print Lab, University Hospital of Basel, Basel, Switzerland.
J Craniofac Surg. 2024;35(1):220-222. doi: 10.1097/SCS.0000000000009640. Epub 2023 Aug 21.
Orbital cavernous hemangiomas are the most common primary orbital tumors in adults, providing challenges for optimal surgical approach planning within an anatomically complex area with close proximity to vital neurovascular structures. The authors present an individualized lateral mini-orbitozygomatic approach for the resection of an orbital cavernous haemangioma based on a preoperative 3-dimensional-printed model. This individualized approach enabled the surgeons to achieve optimal exposure while maintaining safety during the resection of the lesion, but also to respect the patient's physiognomy and hairline. In addition, the model was used for patient informed consent, helping the patient understand the procedure. Although adding additional effort to preoperative planning, 3-dimensional model-based approaches can offer great benefits when it comes to customizing surgical approaches, especially for anatomically challenging resections.
眼眶海绵状血管瘤是成年人最常见的原发性眼眶肿瘤，由于其位置紧邻重要的神经血管结构，在解剖结构复杂的区域内进行最佳手术入路规划极具挑战性。作者提出了一种个体化的外侧迷你眶颧入路，用于切除眼眶海绵状血管瘤，该方法基于术前的三维打印模型。这种个体化的方法使外科医生在切除病变的同时能够实现最佳暴露，同时保证安全性，但也能尊重患者的容貌和发际线。此外，该模型还用于患者知情同意，帮助患者了解手术过程。尽管术前规划需要增加额外的工作量，但基于三维模型的方法在定制手术入路方面具有很大的优势，特别是对于解剖结构复杂的切除。
