Journal of Shanghai Jiao Tong University (Medical Science) >

2021 , Vol. 41 >Issue 5: 695 - 700

DOI: https://doi.org/10.3969/j.issn.1674-8115.2021.05.023

Techniques and methods

Image-fusion-based surgical navigation in sclerotherapy for low-flow vascular malformations in the risky regions of head and neck

  • Hao GU ,
  • Xi YANG ,
  • Zi-min ZHANG ,
  • Yun-bo JIN ,
  • Li HU ,
  • Hui CHEN ,
  • Xiao-xi LIN
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  • 1.Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
    2.Department of Radiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China

Online published: 2021-05-27

Supported by

Three-Year Plan of Clinical Skills and Innovation Program of Shanghai Shenkang Hospital Development Center(16CR1007A);Clinical Research Program of Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine(JYLJ001);Special Fund for Biobank of Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine(YBKA201902)

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Abstract

Objective

·To evaluate the feasibility and safety of image-guided surgical navigation, a real-time stereotactic guidance technique, in sclerotherapy of low-flow vascular malformations in the risky regions of head and neck.

Methods

·The patients with low-flow vascular malformations in the heads or necks who underwent surgical navigation-assisted sclerotherapy in the Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine were retrospectively included. The preoperative CT images and magnetic resonance images were fused to design the puncture trajectory. During the operation, the navigation system was used to puncture according to the designed path, and the results were verified by digital subtraction angiography. The technical success rate of intralesional needle placement and postoperative complications were analyzed.

Results

·A total of 19 procedures for 30 lesions performed on 10 patients with low-flow vascular malformations (6 cases with intraorbital lesions, and 4 cases with pharyngeal lesions) were included. The average age of initial procedure was 20.9 years. The technical success rate was 80.0% (24/30). No other complications were observed except a case of pneumonia caused by sclerosing agent-induced glottic ulcer after one procedure.

Conclusion

·Image-guided surgical navigation is a feasible and safe auxiliary technique for the lesions in the risky regions of head and neck.

Key words： surgical navigation; image fusion; vascular malformation; sclerotherapy; head and neck

Cite this article

Hao GU , Xi YANG , Zi-min ZHANG , Yun-bo JIN , Li HU , Hui CHEN , Xiao-xi LIN . Image-fusion-based surgical navigation in sclerotherapy for low-flow vascular malformations in the risky regions of head and neck[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2021 , 41(5) : 695 -700 . DOI: 10.3969/j.issn.1674-8115.2021.05.023

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