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直接可视化面部内神经,协助状瘤切除

Lei-Hao Hu¹, Yao Yu¹, Zu-Nan Tang¹

¹Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & NHC Key Laboratory of Digital Stomatology & NMPA Key Laboratory for Dental Materials, Haidian District, Beijing, 100081, China.

Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery

|April 5, 2024

概括

使用混合现实和外科导航直接可视化面部内神经 (IFN) 有助于瘤切除. 这种新的方法准确地指导外科医生,有可能改善治疗结果,并在椎手术期间保护面部神经功能.

科学领域:

神经外科神经外科
医疗成像医学成像
手术技术手术技术

背景情况:

精确识别面部内神经 (IFN) 对于成功切除状瘤至关重要.
对IFN的损伤可以导致显著的面部神经功能障碍.

研究的目的:

评估状腺瘤切除过程中直接IFN可视化的应用和有效性.
评估使用混合现实和外科导航用于IFN指导的准确性和可行性.

主要方法:

15名瘤患者接受了专门的放射性扫描,以可视化IFN.
图像细分用于IFN的手术前直接可视化.
混合现实与外科导航相结合,提供了细分IFN的手术内实时3D全息图.

主要成果:

所有患者的IFN干在放射学上都可见.
图像细分实现了高精度,37个里程碑点中有36个被正确识别.
大多数患者的术后面部神经功能良好,其中4人获得了House-Brackmann I级.

结论:

直接IFN可视化是一种可行的,准确的新技术,用于状腺瘤手术.
这种方法有助于外科医生识别IFN,可能改善治疗结果并减少神经损伤.
进一步的研究可能会证实这项技术在提高椎手术安全性和疗效方面的好处.

关键词:

直接可视化的直接可视化.面部面部面部面部内侧面神经的内侧面神经.多式模式图像融合技术状腺瘤是什么意思

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