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轨道皮质囊中的侧向轨道切除术的先进数字工作流:整合点治疗制造和手术内导航

Gonzalo Ruiz-de-Leon¹, Manuel Tousidonis^1,2,3, Jose-Ignacio Salmeron^1,2

¹Department of Oral and Maxillofacial Surgery, Gregorio Marañon University Hospital, 28007 Madrid, Spain.

Journal of clinical medicine

|February 13, 2026

概括

使用虚拟手术规划和照顾点制造的新数字工作流改善了复杂的轨道皮质囊手术的精度和安全性,确保完全切除和优异的患者结果.

科学领域:

眼科医生眼科眼科
神经外科神经外科
医疗技术医疗技术医学技术

背景情况:

轨道皮质囊虽然很常见,但由于靠近重要结构而深入或复发时会带来手术挑战.
传统的横向轨道切除技术可能会使精确的骨切除和重建变得困难.

研究的目的:

评估一个完全数字化的,基于医院的护理点 (POC) 工作流程,以提高轨道皮质囊复杂手术的精度和安全性.
评估虚拟手术规划 (VSP) 和患者特异性植入物 (PSI) 在管理具有挑战性的轨道病变方面的有效性.

主要方法:

三名患有轨道皮质囊的患者的病例系列使用了数字工作流程,包括VSP,3D建模,以及切割指南和PSI的内部POC制造.
手术技术包括压电骨切除术,手术内导航和手术内CT或结构光扫描.

主要成果:

皮质囊的完整整体切除在所有情况下都能实现,没有像囊破裂或视神经损伤这样的并发症.
术内成像证实了完全去除和精确的PSI匹配;结构光扫描提供了无辐射监测.
在随访期间,患者保持了完全的眼动力,视力敏度和面部对称性,没有复发.

结论:

将VSP,POC制造和图像引导手术集成到侧向轨道切除术中,为复杂的轨道皮质囊切除提供了可重复的工作流.
这种数字化方法提高了手术的精度和安全性,从而达到最佳的功能和美学效果.

关键词:

运营内导航航运营内导航航运营内导航轨道瘤是什么意思轨道瘤轨道切除术 (orbitotomy) 是一个轨道切除术.患者特定的植入物植入物.压电外科手术是如何进行的结构化的光扫描扫描.三维打印是三维打印的一种方式.虚拟手术规划虚拟手术规划

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