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Interactive Navigation-Guided Ophthalmic Plastic Surgery: The Usefulness of Computed Tomography Angiographic Image Guidance
- Source :
- Ophthalmic Plastic & Reconstructive Surgery. 32:393-398
- Publication Year :
- 2016
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2016.
-
Abstract
- The aim of this study was to illustrate the techniques and usefulness of navigation-guided computed tomography angiography in ophthalmic plastic surgery.Stereotactic surgeries using computed tomography angiography as the intraoperative image-guiding tool were performed in 3 patients. One patient had widespread eyelid and orbital vascular malformation and the other 2 had orbital mass lesions located in crucial vascular areas. Two procedures used the external approach and one was performed using the endoscopic orbital approach. All the surgeries were performed using the intraoperative image-guided StealthStation system in the electromagnetic mode. The usefulness of intraoperative angiographic anatomical guidance and the ability to anticipate and avoid vascular injuries at crucial phases of surgery were noted.Intraoperative geometric localization of feeder vessels to a lesion could be easily achieved. The cauterization of the direct feeder to the lesion reduced the much anticipated blood loss while operating a widespread vascular malformation. Orbital mass lesions with vessels in the vicinity could be operated upon with utmost vascular safety and precision, thereby avoiding complications. Detailed preoperative navigation-guided planning of risk structures with intraoperative distance control was found to be essential for successful outcomes.Computed tomography angiography-guided navigation surgery is very useful in cases with complex vascular malformations and while operating in the vicinity of crucial vascular structures in the orbit.
- Subjects :
- Adult
Male
medicine.medical_specialty
Eye Diseases
Ophthalmic plastic surgery
Computed Tomography Angiography
Computed tomography
Ophthalmologic Surgical Procedures
Young Adult
03 medical and health sciences
Imaging, Three-Dimensional
0302 clinical medicine
Humans
Medicine
Image guidance
Computed tomography angiography
medicine.diagnostic_test
business.industry
General Medicine
Plastic Surgery Procedures
Ophthalmology
Surgery, Computer-Assisted
030221 ophthalmology & optometry
Female
Surgery
Radiology
business
030217 neurology & neurosurgery
Ophthalmologic Surgical Procedure
Subjects
Details
- ISSN :
- 07409303
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- Ophthalmic Plastic & Reconstructive Surgery
- Accession number :
- edsair.doi.dedup.....e570f14803ec19add63751296f9633aa