Comparison of application of three dimensional microscope and optical microscope in oral and maxillofacial vascular anastomosis
10.12016/j.issn.2096-1456.2023.06.005
- Author:
REN Xiaoyan
1
;
NAN Xinrong
2
;
YAN Xingquan
3
Author Information
1. School of Stomatology, Shanxi Medical University
2. School of Stomatology, Shanxi Medical University Department of Oral and Maxillofacial, Shanxi Medical University and the First Hospital
3. Department of Oral and Maxillofacial, Shanxi Medical University and the First Hospital
- Publication Type:Journal Article
- Keywords:
3D microscope;
optical microscope;
oral and maxillofacial surgery;
microsurgical;
vascular anastomosis;
free flap;
vascular crisis;
the flap survived
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2023;31(6):414-419
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application value of 3D microscope in vascular anastomosis in oral and maxillofacial surgery, to provide a reference for clinicians.
Methods :Eighty-seven cases of free flap reconstruction in oral and maxillofacial surgery were retrospectively included, including 30 cases in the 3D microscope group and 57 cases in the optical microscope group. The differences in intraoperative vascular anastomosis time, postoperative flap survival rate and doctor evaluation scores between the 3D microscope group and the optical microscope group were compared and statistically analyzed, and the feasibility of using three-dimensional microscope in surgery was evaluated.
Results :The arterial anastomosis time was (26.53±3.83) min/root in the 3D microscope group and (24.88 ± 2.97) min/root in the optical microscope group, and the difference was statistically significant (P<0.05). The venous anastomosis time was (30.68 ± 3.51) min/root in the three-dimensional microscope group and (28.70 ± 2.91) min/root in the optical microscope group, and the difference was statistically significant (P<0.05). There was no significant difference in the survival rate of flaps between the 3D microscope group (n = 28, 93.33%) and the optical microscope group (n = 53, 92.98%) (P>0.05). The doctor's evaluation scores of visual fatigue, training and learning, operative difficulty index, image sharing in the three-dimensional microscope group were higher than those in the optical microscope group, and the differences were statistically significant (P<0.05).
Conclusion : 3D microscope has good reliability and safety in surgery, a strong sense of three-dimensionality, and the convenience of teaching and training. It can be well applied to vascular anastomosis in oral and maxillofacial surgery.
- Full text:三维显微镜与光学显微镜在口腔颌面血管吻合术中应用比较.pdf
