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首页> 外文期刊>Laryngo- rhino- otologie >First experience in endonasal surgery using a new 3D-chipendoscope [Erste Erfahrungen in der endonasalen Chirurgie mit einem neuen 3D-Chipendoskop]
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First experience in endonasal surgery using a new 3D-chipendoscope [Erste Erfahrungen in der endonasalen Chirurgie mit einem neuen 3D-Chipendoskop]

机译：使用新的3D芯片内窥镜进行鼻内手术的首次经验[使用新的3D芯片内窥镜进行鼻内手术的第一次经验]

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摘要

Background: Endoscopic surgery for treatment of nasal, paranasal and anterior skull base pathologies is an established treatment modality. Available rigid endoscopes with angled views provide a 2-dimensional view with restriction of depth perception. In this study we report about our first experience with a new 3D-Chipendoscope in surgery at the nose, paranasal sinuses und anterior skull base. Material and Methods: 30 patients were enrolled in this study with chronic rhinosinusitis, inverted papilloma, frontal sinus mucocele, frontal sinus osteoma, chronic dacryocystitis and pituitary adenoma. All patients were subjected to standard endonasal endoscopic surgery using 3D-endoscopes. Results: Surgery was performed by the use of the 3D-endoscope in all patients. The operative handling of the 3D-endoscopes was user friendly in regard to design and weight of the endoscopes. The problem of fogging during endoscopic surgery diminishing the quality of view was not observed. Blood crusts on the endoscope tip however was able to changed the 3D-view to a 2D-view. To close positioning of the 3D-endoscopes to the surgical field reduced image quality. The visualisation of the frontal sinus was limited. Conclusion: 3D-endoscopic surgery is an interesting development in endonasal surgery of pathologies at the nose, paranasal sinuses and anterior skull base.
机译：背景：内窥镜手术治疗鼻，鼻旁和前颅底病变是一种既定的治疗方式。可用的具有角度视图的刚性内窥镜可提供二维视图，并限制了深度感知。在这项研究中，我们报告了我们在鼻子，鼻旁窦和前颅底手术中使用新型3D内窥镜的首次经验。材料与方法：30例慢性鼻-鼻窦炎，倒置性乳头状瘤，额窦窦粘膜囊肿，额窦窦骨瘤，慢性泪囊炎和垂体腺瘤患者入选本研究。所有患者均使用3D内窥镜进行标准的鼻内窥镜手术。结果：所有患者均使用3D内窥镜进行手术。就内窥镜的设计和重量而言，对3D内窥镜的操作性操作是用户友好的。没有观察到在内窥镜手术期间起雾的问题，这降低了观看质量。但是，内窥镜尖端的血rust能够将3D视图更改为2D视图。将3D内窥镜靠近手术区域的位置降低了图像质量。额窦的可视化是有限的。结论：3D内窥镜手术是在鼻，鼻旁窦和前颅底病变的鼻内窥镜手术中一个有趣的发展。

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