导航内镜鼻窦手术(NESS)常见标志的系统回顾。

IF 1.5 4区 医学 Q3 SURGERY
Tomislav Baudoin, Tomislav Gregurić, Filip Bacan, Boris Jelavić, Goran Geber, Andro Košec
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引用次数: 1

摘要

背景:导航技术为功能性内窥镜鼻窦手术(FESS)带来了巨大的进步。当相应升级后,FESS成为导航内窥镜鼻窦手术(NESS)。术中导航的适应症可以扩展到几乎所有FESS病例。在晚期鼻窦手术中,NESS目前仍未被常规使用,需要系统的实践指南。目的:本文的目的是报告根据循证医学(EBM)原则执行高级NESS时常见的地标。材料和方法:这篇综述论文是按照PRISMA指南汇编的。PubMed和Scopus (EMBASE)检索功能性内窥镜和导航鼻窦手术的解剖标志,结果为47例。其中,只有14篇(29.8%)包含原始数据,构成了现有证据质量最高的综合。结果:解剖标志被认为是FESS手术中导航系统最佳使用的最重要的定位点。最常见的显著标志如下:(1)上颌窦口;(2)眶壁;(3)额隐窝;(4)颅底;(5)地面片层;(6)后中央窝;(7)蝶窦口。结论:建立共同的地标是执行NESS的必要条件。这对高级和新手外科医生都是如此,并提供了系统地使用导航系统的可能性,利用内窥镜导航手术的所有好处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A systematic review of common landmarks in navigated endoscopic sinus surgery (NESS).

Background: Navigation brought about a tremendous improvement in functional endoscopic sinus surgery (FESS). When upgraded accordingly, FESS becomes navigated endoscopic sinus surgery (NESS). Indications for intraoperative use of navigation can be broadened to almost any FESS case. NESS in advanced sinus surgery is currently still not used routinely and requires systematic practice guidelines.

Purpose: The purpose of this paper is to report on commonly identified landmarks while performing advanced NESS according to evidence-based medicine (EBM) principles.

Material and methods: This review paper has been assembled following PRISMA guidelines. A PubMed and Scopus (EMBASE) search on anatomical landmarks in functional endoscopic and navigated sinus surgery resulted in 47 results. Of these, only 14 (29.8%) contained original data, constituting the synthesis of best-quality available evidence.

Results: Anatomical landmarks are considered to be the most important points of orientation for optimal use of navigation systems during FESS surgery. The most commonly identified significant landmarks are as follows: (1) Maxillary sinus ostium; (2) Orbital wall; (3) Frontal recess; (4) Skull base; (5) Ground lamella; (6) Fovea posterior; (7) Sphenoid sinus ostium. Conclusions: Establishing common landmarks are essential in performing NESS. This is true for advanced and novice surgeons alike and offers a possibility to use navigation systems systematically, taking advantage of all the benefits of endoscopic navigated surgery.

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来源期刊
Computer Assisted Surgery
Computer Assisted Surgery Medicine-Surgery
CiteScore
2.30
自引率
0.00%
发文量
13
审稿时长
10 weeks
期刊介绍: omputer Assisted Surgery aims to improve patient care by advancing the utilization of computers during treatment; to evaluate the benefits and risks associated with the integration of advanced digital technologies into surgical practice; to disseminate clinical and basic research relevant to stereotactic surgery, minimal access surgery, endoscopy, and surgical robotics; to encourage interdisciplinary collaboration between engineers and physicians in developing new concepts and applications; to educate clinicians about the principles and techniques of computer assisted surgery and therapeutics; and to serve the international scientific community as a medium for the transfer of new information relating to theory, research, and practice in biomedical imaging and the surgical specialties. The scope of Computer Assisted Surgery encompasses all fields within surgery, as well as biomedical imaging and instrumentation, and digital technology employed as an adjunct to imaging in diagnosis, therapeutics, and surgery. Topics featured include frameless as well as conventional stereotactic procedures, surgery guided by intraoperative ultrasound or magnetic resonance imaging, image guided focused irradiation, robotic surgery, and any therapeutic interventions performed with the use of digital imaging technology.
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