Skull-Base Surgery-A Narrative Review on Current Approaches and Future Developments in Surgical Navigation

被引：23

作者：

Tzelnick, Sharon ^{[1
,2
]}

Rampinelli, Vittorio ^{[3
,4
]}

Sahovaler, Axel ^{[2
,5
]}

Franz, Leonardo ^{[6
]}

Chan, Harley H. L. ^{[2
]}

Daly, Michael J. ^{[2
]}

Irish, Jonathan C. ^{[1
,2
]}

机构：

[1] Univ Toronto, Princess Margaret Canc Ctr, Div Head & Neck Surg, Toronto, ON M5G 2M9, Canada

[2] Univ Hlth Network, TECHNA Inst, Guided Therapeut GTx Program, Toronto, ON M5G 2C4, Canada

[3] Univ Brescia, Dept Med & Surg Specialties Radiol Sci & Publ Hlth, Unit Otorhinolaryngol Head & Neck Surg, I-25121 Brescia, Italy

[4] Univ Brescia, Dept Informat Engn, Technol Hlth PhD Program, I-25121 Brescia, Italy

[5] Univ Coll London Hosp, Head & Neck Surg Unit, London NW1 2PG, England

[6] Univ Padua, Dept Neurosci DNS, Otolaryngol Sect, I-35122 Padua, Italy

来源：

JOURNAL OF CLINICAL MEDICINE | 2023年 / 12卷 / 07期

关键词：

surgical navigation; skull-base surgery; augmented reality; ENDOSCOPIC SINUS SURGERY; IMAGE-GUIDED SURGERY; COMPUTER-ASSISTED NAVIGATION; INTRAOPERATIVE NAVIGATION; ENDONASAL APPROACH; PITUITARY SURGERY; RESECTION MARGINS; MALIGNANT-TUMORS; TASK WORKLOAD; GUIDANCE;

D O I：

10.3390/jcm12072706

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Surgical navigation technology combines patient imaging studies with intraoperative real-time data to improve surgical precision and patient outcomes. The navigation workflow can also include preoperative planning, which can reliably simulate the intended resection and reconstruction. The advantage of this approach in skull-base surgery is that it guides access into a complex three-dimensional area and orients tumors intraoperatively with regard to critical structures, such as the orbit, carotid artery and brain. This enhances a surgeon's capabilities to preserve normal anatomy while resecting tumors with adequate margins. The aim of this narrative review is to outline the state of the art and the future directions of surgical navigation in the skull base, focusing on the advantages and pitfalls of this technique. We will also present our group experience in this field, within the frame of the current research trends.

引用

页数：14

共 109 条

[1] Improved Surgical Safety via Intraoperative Navigation for Transnasal Transsphenoidal Resection of Pituitary Adenomas [J].