医学
透视
卵圆孔(心脏)
经皮
外科
放射科
穿刺
触诊
卵圆孔未闭
数学
统计
作者
Wenchang Guo,Hongbo Shi,Wen Xu,Qian Tao
出处
期刊:Operative Neurosurgery
[Oxford University Press]
日期:2022-03-03
卷期号:22 (5): 315-321
被引量:1
标识
DOI:10.1227/ons.0000000000000123
摘要
The classic puncture method of percutaneous microcompression using fluoroscopy might be difficult to precisely locate and visualize the foramen ovale. Various new surgical tools to increase the accuracy of finding the foramen ovale location have been introduced. However, all of these systems require some complicated operating steps and/or advanced devices to complete the work.To describe the use of a simple method for foramen ovale puncture by percutaneous microcompression based on preoperative image simulation.Forty-five patients were included in the study. All patients underwent a computed tomography examination. Among them, the simulated preoperative puncture pathway was reconstructed on the basis of computed tomography scan examination for 22 patients. Procedures were performed by 2 surgeons: one experienced surgeon and another young surgeon with surgical qualification. The puncturing time and cumulative radiation exposure dose, from start of the puncturing until reaching the foramen ovale, were recorded. Postoperative pain relief, facial hypoesthesia, masticatory muscle weakness, and other complications were recorded.In all cases, the procedure of cannulation was completed successfully. The puncturing time for both the experienced and young surgeon with the use of preoperative image simulation seemed to be time-saving. The young surgeon had less cumulative radiation exposure with the use of preoperative image simulation. Moreover, the intraoperative puncture pathways were almost consistent with the preoperative simulated images. The rest of the process went smoothly. Short-term outcomes of all the 45 patients were satisfactory.Based on our preliminary experience, the preoperative image simulation-guided technique is useful during these cases.
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