Application of computer-aided design and navigation technology in skull base and infratemporal fossa tumor surgery.
- Author:
Yu-xing GUO
1
;
Xin PENG
1
;
Xiao-jing LIU
1
;
Lei ZHANG
1
;
Guang-yan YU
1
;
Chuan-bin GUO
2
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Child; Child, Preschool; Computer-Aided Design; Cranial Fossa, Middle; diagnostic imaging; pathology; surgery; Female; Follow-Up Studies; Humans; Imaging, Three-Dimensional; Male; Middle Aged; Neoplasm Recurrence, Local; Postoperative Complications; Skull Base; diagnostic imaging; pathology; surgery; Skull Base Neoplasms; diagnostic imaging; pathology; surgery; Tomography, X-Ray Computed; Treatment Outcome; Young Adult
- From: Chinese Journal of Stomatology 2013;48(11):645-647
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the application of computer-aided design and navigation technology in skull base and infratemporal fossa tumor surgery and to analyze its advantages and disadvantages.
METHODSTwenty-nine cases with tumor of skull base and infratemporal fossa were treated with computer-aided design and navigation surgery. The Parameters of age, gender, primary or recurrent tumor, tumor nature and surgical approach were recorded.
RESULTSEn bloc resection was performed in 20 cases and subtotal resection in 9 cases. The margin status was negative margin in 8 cases, near-tumor margin in 17 cases and positive resection margin in 4 cases. Postoperative complication rate was 14% (4/29). During the follow-up period, 2 benign cases recurred.In the malignant group, there were 7 cases of recurrence, 2 cases of metastasis and 3 deaths. The 5-year overall survival and progression-free survival rate were 69% and 40% respectively.
CONCLUSIONSNavigation technology can enhance the confidence of the surgeons and operation safety in handling malignant tumors in skull base and infratemporal fossa.