Fitzgerald Conall W, Hararah Mohammad, Mclean Tim, Woods Robbie, Dogan Snjezana, Tabar Viviane, Ganly Ian, Matros Evan, Cohen Marc A
Department of Surgery, Head & Neck Division, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Department of Plastic & Microvascular Reconstructive Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Cancers (Basel). 2023 Oct 14;15(20):4989. doi: 10.3390/cancers15204989.
Sinonasal and skull base malignancies represent a rare, heterogenous group of pathologies with an incidence of 0.556 per 100,000 persons in the population. Given the numerous critical anatomic structures located adjacent to the sinonasal cavity and skull base, surgery for tumors in this region requires careful pre-operative planning with the assistance of radiological imaging and intraoperative image guidance technologies to reduce the risk of complications. Virtual surgical planning (VSP) and three-dimensional models (3DMs) are adjunctive technologies which assist clinicians to better visualize patient anatomy using enhanced digital radiological images and physical stereolithographic models based on patients' personal imaging. This review summarizes our institutional experience with VSP and 3DMs in sinonasal and skull base surgical oncology. A clinical case series is used to thematically illustrate the application of VSP and 3DMs in surgical ablation, reconstruction, patient communication, medical education, and interdisciplinary teamwork in sinonasal and skull base surgery.
鼻窦和颅底恶性肿瘤是一组罕见的、异质性的病理类型，人群发病率为每10万人中有0.556例。鉴于鼻窦腔和颅底附近有众多关键解剖结构，该区域肿瘤的手术需要在放射影像学和术中图像引导技术的辅助下进行仔细的术前规划，以降低并发症风险。虚拟手术规划（VSP）和三维模型（3DM）是辅助技术，可帮助临床医生利用增强的数字放射影像和基于患者个人影像的实体立体光刻模型更好地可视化患者解剖结构。本综述总结了我们机构在鼻窦和颅底外科肿瘤学中使用VSP和3DM的经验。通过一个临床病例系列，专题阐述VSP和3DM在鼻窦和颅底手术的手术切除、重建、患者沟通、医学教育及跨学科团队合作中的应用。
