THANC (Thyroid, Head & Neck Cancer) Foundation, New York, New York, USA.
Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Head Neck. 2023 Oct;45(10):2690-2699. doi: 10.1002/hed.27498. Epub 2023 Aug 28.
We have demonstrated the effectiveness of 3D resection specimen scanning for communicating margin results. We now address the corresponding surgical defect by debuting 3D defect models, which allow for accurate annotations of harvested supplemental margins.
Surgical defects were rendered into 3D models, which were annotated to document the precise location of harvested supplemental margins. 3D defect scans were also compared with routine 2D photography and were analyzed for quality, clarity, and the time required to complete the scan.
Forty defects were scanned from procedures including segmental mandibulectomy, maxillectomy, and laryngopharyngectomy. Average duration of defect scan was 6 min, 45 s. In six of ten 2D photographs, the surgeon was unable to precisely annotate the extent of at least one supplemental margin.
3D defect scanning offers advantages in that this technique enables documentation of the precise location and breadth of supplemental margins harvested to address margins at-risk.
我们已经证明了 3D 切除标本扫描在沟通切缘结果方面的有效性。现在，我们通过推出 3D 缺陷模型来解决相应的手术缺陷，该模型允许对采集的补充切缘进行准确注释。
将手术缺陷渲染为 3D 模型，并对其进行注释，以记录采集的补充切缘的精确位置。还比较了 3D 缺陷扫描与常规 2D 摄影，并对其质量、清晰度以及完成扫描所需的时间进行了分析。
从节段性下颌骨切除术、上颌骨切除术和喉咽切除术等手术中扫描了 40 个缺陷。缺陷扫描的平均持续时间为 6 分 45 秒。在 2D 照片的十张中有六张，外科医生无法准确注释至少一个补充切缘的范围。
3D 缺陷扫描具有优势，因为该技术能够记录采集的补充切缘的精确位置和宽度，以解决有风险的切缘。
