导航引导单侧眼眶骨折重建术技术流程及操作的专家共识

Expert consensus on navigation-guided unilateral orbital fractures and orbital floor reconstruction techniques

眼眶骨折重建手术术区视野暴露有限,手术风险较高。在数字化技术出现之前,眶壁重建的手术方案设计与实施主要依赖影像学直观理解和术者的临床经验,有很强的不可预见性和经验依赖性。大量文献报告证实,外科手术导航具备实时定位及显像功能,应用于眼眶重建手术中,既可以实时探测手术位置,规避风险,又可以在术前手术计划的帮助下,辅助定位重建位置,确保眼眶重建的精确度。单侧眼眶骨折眼眶重建手术也是颌面部手术中导航技术应用最早、最广泛的术式之一。中华口腔医学会口腔颌面外科专业委员会组织专家经过充分讨论,制定导航引导单侧眼眶骨折重建术技术流程及操作的专家共识,以规范该技术的临床操作流程,促进其推广应用。

Orbital fractures and orbital floor reconstruction surgery is characterized by limited surgical exposure and high risks.Before the advent of digital technology,the design and implementation of the surgical scheme of orbital floor reconstruction surgery mainly depended on the intuitive understanding of imaging and the clinical experience of the surgeons,with strong unpredictability and experience dependence.Surgical navigation systems with real-time positioning and imaging functions,when used in orbital reconstruction surgery,can detect the real-time intraoperative position,avoid risks,and assist locating the reconstruction position to ensure the accuracy of orbital reconstruction,with the help of a preoperative surgical plan.Many studies have confirmed its effect.Unilateral orbital fractures and orbital floor reconstruction surgery is one of the earliest and most widely used surgical techniques in maxillofacial surgery.Experts from the Oral and Maxillofacial Surgery Committee of the Chinese Stomatological Association have fully discussed and formulated this expert consensus on navigation-guided unilateral orbital fractures and orbital floor reconstruction techniques,to standardize the clinical surgical procedures and promote its application.