Sinonasal and skull base malignancies represent a rare, heterogenous group of pathologies with an incidence of 0.556 per 100,000 persons in the population. Given the numerous critical anatomic structures located adjacent to the sinonasal cavity and skull base, surgery for tumors in this region requires careful pre-operative planning with the assistance of radiological imaging and intraoperative image guidance technologies to reduce the risk of complications. Virtual surgical planning (VSP) and three-dimensional models (3DMs) are adjunctive technologies which assist clinicians to better visualize patient anatomy using enhanced digital radiological images and physical stereolithographic models based on patients’ personal imaging. This review summarizes our institutional experience with VSP and 3DMs in sinonasal and skull base surgical oncology. A clinical case series is used to thematically illustrate the application of VSP and 3DMs in surgical ablation, reconstruction, patient communication, medical education, and interdisciplinary teamwork in sinonasal and skull base surgery.
鼻窦及颅底恶性肿瘤是一类罕见且异质性强的疾病，其人群发病率为每10万人中0.556例。鉴于鼻窦腔及颅底区域毗邻众多关键解剖结构，该部位肿瘤手术需借助影像学检查及术中导航技术进行精细的术前规划，以降低并发症风险。虚拟手术规划与三维模型作为辅助技术，能够通过增强的数字影像数据及基于患者个体影像构建的实体光固化模型，帮助临床医生更直观地理解患者解剖结构。本文综述了本机构在鼻窦及颅底肿瘤外科中应用虚拟手术规划与三维模型的实践经验，通过临床病例系列系统阐述该技术在鼻窦颅底手术的肿瘤切除、缺损重建、医患沟通、医学教育及多学科协作中的具体应用。
肿瘤(癌症)患者之家