Application of locating supratrochlear artery and supraorbital artery in combined transfrontal and intranasal endoscopic approaches.
10.3760/cma.j.cn115330-20210805-00526
- VernacularTitle:滑车上动脉和眶上动脉定位在内外联合径路额窦内镜手术中的应用
- Author:
Zhi Peng CHEN
1
;
Xi Fu WU
2
;
Bo Wen ZHENG
3
;
Qi Long CHEN
4
;
Tian YUAN
2
;
Rui ZHENG
2
;
Jing Yuan CHEN
2
;
Wei Feng KONG
2
;
Shuo WU
2
;
Zhuang KANG
4
;
Jie REN
3
;
Qin Tai YANG
2
Author Information
1. Department of Ophthalmology and Otorhinolaryngology, the Second People's Hospital of Longgang District, Shenzhen 518112, China.
2. Department of Otorhinolaryngology Head and Neck Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
3. Department of Ultrasonography, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
4. Department of Radiology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Aged;
Angiography;
Arteries;
Endoscopy;
Female;
Humans;
Male;
Middle Aged;
Postoperative Complications;
Young Adult
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2022;57(8):931-936
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the localization methods of supratrochlear artery (STA) and supraorbital artery (SOA), and to explore the clinical benefit of locating nerve via accompanying vascular localization in combined transfrontal and intranasal endoscopic approaches. Methods: From June 2019 to May 2021, 14 patients, including 11 males and 3 females, aging from 18 to 69 years old, were underwent frontal sinus surgery through the combined transfrontal and intranasal endoscopic approaches in the Department of Otorhinolaryngology Head and Neck Surgery of the Third Affiliated Hospital of Sun Yat-sen University. Before the surgery, localization of STA and SOA was determined by color doppler flow imaging (CDFI), computerized topographic angiography (CTA) and contrast enhanced magnetic resonance angiography (CE-MRA) respectively, and the distances between STA and SOA from facial midline were measured on 28 eyebrows. The position of external incision was determined according to the preoperative localization of STA and SOA. The examination time, cost and postoperative complications of the three methods were recorded. The accuracy of localization at 14 sides was verified by the surgery. GraphPad Prism 8.3 software was used for statistical analysis. Results: STA and SOA could be located by CDFI, CTA and CE-MRA. There was no significant difference in the measurement of the distance between STA and SOA from the facial midline among 3 methods (all P>0.05). Determining the position of external incision according to the localization of STA and SOA could protect both the blood vessels and accompanying nerves. No postoperative complications such as numbness of the forehead skin occurred. The measurement time of CDFI, CTA and CE-MRA was 22.50 (15.75, 30.00), 30.00 (28.00, 34.25) and 48.00 (44.00, 52.75) min (M (Q1, Q3)), respectively (all P<0.05). CDFI incurred the lowest costs and took the shortest time. Conclusions: CDFI is an efficient and economic localization method. The localization of STA and SOA facilitates the precise selection of the position of external incision, protects the accompanying nerve and reduces postoperative complications.
