Endoscopic-Assisted Navigation-Guided Removal of Long-standing Metallic Foreign Body Near to the Sphenoid
Endoscopic-Assisted Navigation-Guided Removal of Long-standing Metallic Foreign Body Near to the Sphenoid
复制标题
内窥镜辅助导航引导去除蝶骨附近长期存在的金属异物
DOI：
10.1097/scs.0000000000001345
复制
发表时间：
2015-03
影响因子：
0.9
通讯作者：
Wang, Xudong
中科院分区：
文献类型：
--
作者：
Zhang, Lei;Yang, Chi;Shen, Steve G. F.;Wang, Xudong
目的金属异物在蝶骨大翼颞面滞留20年的情况并不多见。由于邻近解剖结构的变化和难以进入微妙的结构，取出该异物似乎具有挑战性。手术导航系统的应用与其他方向的内窥镜检查相结合，可以减少切除过程中对周围组织的损伤，降低手术风险。结果头颅CT显示，最终位置为眶外侧壁后的蝶骨大翼颞面。为减轻患者因金属异物引起的持续疼痛，采用手术导航系统结合内窥镜取出异物。分别制作两个不同的切口以放置导航探头和内窥镜，这样我们在到达金属异物时可以更好地查看解剖结构。患者的问题得到了安全有效的解决。未观察到后遗症。结论在解剖结构复杂的情况下，手术导航系统结合内窥镜从另一个方向取出异物是一种实用、安全的方法。
PurposeIt is unusual to see a metallic foreign body having stayed at the temporal surface of the sphenoid greater wing for 2 decades. Because of the change of proximity anatomy and the difficult access to delicate structure, removal of this foreign body seemed challenging. The application of surgical navigation system combined with endoscopy from other directions could reduce damage to the surrounding tissues during the removal and lower the risk. ResultsComputed tomographic scan on the head indicated that finalposition was the temporal surface of the sphenoid greater wing posterior to the lateral orbital wall. To relieve the patient from sustaining pain caused by the metallic foreign body, surgical navigation system combined with endoscopy was adopted to remove the foreign body. Two different incisions were made to place the probe of the navigation and the endoscope respectively, in which way we could get a better view of the anatomic structures when reaching the metallic foreign body. The patient’s problem was solved safely and efficiently. No sequela was observed. ConclusionsIn case of complicated anatomic structure, surgical navigation system combined with endoscopy from another direction proved to be a practical and safe method to remove foreign bodies.
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影响因子：
4.3
作者：
Felisati, Giovanni;Lozza, Paolo;Borloni, Roberto
通讯作者：
Borloni, Roberto
DOI：
10.1016/j.joms.2010.05.069
发表时间：
2010-11
期刊：
Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
影响因子：
--
作者：
S. Shuker
通讯作者：
S. Shuker
DOI：
10.1016/j.bjoms.2012.07.014
发表时间：
2013-06
期刊：
The British journal of oral & maxillofacial surgery
影响因子：
--
作者：
Biao Li;Lei zhang;Zeliang Zhao;G. Shen;Xudong Wang
通讯作者：
Biao Li;Lei zhang;Zeliang Zhao;G. Shen;Xudong Wang
DOI：
10.1017/s0022215100130920
发表时间：
1995-07
期刊：
The Journal of Laryngology & Otology
影响因子：
--
作者：
P. Donald;A. Gadre
通讯作者：
P. Donald;A. Gadre
影响因子：
0.9
作者：
Li, Biao;Zhang, Lei;Wang, Xudong
通讯作者：
Wang, Xudong