Three-dimensional digital model of the facial nerve assisted in the excision of benign parotid tumors based on 3D-DESS-WE-MRI
Abstract This study proposes a novel surgical technique for the excision of benign parotid tumors, utilizing a extracapsular dissection guided by a three dimensional digital model of the facial nerve(3DFN-ECD) and compares its clinical efficacy with the extracapsular dissection (ECD) method. This pr...
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| Language: | English |
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Nature Portfolio
2024-12-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-81498-5 |
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| author | Chunshi Tong Shuwen Luo Zhonglin Li Yonghui Dong Zhenhui Liu Xin Meng Zhi Zou Liwei Peng |
| author_facet | Chunshi Tong Shuwen Luo Zhonglin Li Yonghui Dong Zhenhui Liu Xin Meng Zhi Zou Liwei Peng |
| author_sort | Chunshi Tong |
| collection | DOAJ |
| description | Abstract This study proposes a novel surgical technique for the excision of benign parotid tumors, utilizing a extracapsular dissection guided by a three dimensional digital model of the facial nerve(3DFN-ECD) and compares its clinical efficacy with the extracapsular dissection (ECD) method. This prospective study included 68 patients with benign parotid tumors. The control group (40 patients) received the ECD treatment, while the experimental group (28 patients), underwent the 3DFN-ECD approach proposed in this study. Preoperative three-dimensional double-echo steady-state water excitation sequence (3D-DESS-WE) of MRI was employed to visualize the tumor and facial nerve, and the Mimics software was used to reconstruct a three-dimensional digital model of the facial nerve and parotid tumor. The surgical incision and facial nerve dissection were planned based on the relationship between the tumor and the facial nerve. Postoperative facial nerve function and aesthetic outcomes of the incisions were compared between the two surgical techniques. There was no significant difference in the postoperative complications between the two groups. Postoperative facial nerve function scores in the 3DFN-ECD group were significantly higher than those in the control group at 1 week (p < 0.001) and 4 weeks (p < 0.001). The incidence of temporary facial nerve paralysis was significantly lower in the 3DFN-ECD group (P = 0.036), and the visual analogue scale score for aesthetic outcomes of the surgical incision was significantly improved (p < 0.001). The novel 3DFN-ECD surgical approach proposed in this study significantly reduces the risk of facial nerve injury and improves the aesthetic outcomes of the parotid tumor surgical incision. |
| format | Article |
| id | doaj-art-8be5c67995f944b1a635ed89fb02f19f |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-8be5c67995f944b1a635ed89fb02f19f2024-12-29T12:25:00ZengNature PortfolioScientific Reports2045-23222024-12-0114111010.1038/s41598-024-81498-5Three-dimensional digital model of the facial nerve assisted in the excision of benign parotid tumors based on 3D-DESS-WE-MRIChunshi Tong0Shuwen Luo1Zhonglin Li2Yonghui Dong3Zhenhui Liu4Xin Meng5Zhi Zou6Liwei Peng7Department of Stomatology, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan University People’s HospitalDepartment of Stomatology, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan University People’s HospitalDepartment of Radiology, Department of Medical Imaging, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan University People’s HospitalDepartment of Orthopedics, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan University People’s HospitalDepartment of Orthopedics, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan University People’s HospitalDepartment of Stomatology, Henan Provincial People’s Hospital, Henan University School of StomatologyDepartment of Radiology, Department of Medical Imaging, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan University People’s HospitalDepartment of Stomatology, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Henan University People’s HospitalAbstract This study proposes a novel surgical technique for the excision of benign parotid tumors, utilizing a extracapsular dissection guided by a three dimensional digital model of the facial nerve(3DFN-ECD) and compares its clinical efficacy with the extracapsular dissection (ECD) method. This prospective study included 68 patients with benign parotid tumors. The control group (40 patients) received the ECD treatment, while the experimental group (28 patients), underwent the 3DFN-ECD approach proposed in this study. Preoperative three-dimensional double-echo steady-state water excitation sequence (3D-DESS-WE) of MRI was employed to visualize the tumor and facial nerve, and the Mimics software was used to reconstruct a three-dimensional digital model of the facial nerve and parotid tumor. The surgical incision and facial nerve dissection were planned based on the relationship between the tumor and the facial nerve. Postoperative facial nerve function and aesthetic outcomes of the incisions were compared between the two surgical techniques. There was no significant difference in the postoperative complications between the two groups. Postoperative facial nerve function scores in the 3DFN-ECD group were significantly higher than those in the control group at 1 week (p < 0.001) and 4 weeks (p < 0.001). The incidence of temporary facial nerve paralysis was significantly lower in the 3DFN-ECD group (P = 0.036), and the visual analogue scale score for aesthetic outcomes of the surgical incision was significantly improved (p < 0.001). The novel 3DFN-ECD surgical approach proposed in this study significantly reduces the risk of facial nerve injury and improves the aesthetic outcomes of the parotid tumor surgical incision.https://doi.org/10.1038/s41598-024-81498-5Parotid gland tumorsFacial nerve3D-DESS-WE3D digital model |
| spellingShingle | Chunshi Tong Shuwen Luo Zhonglin Li Yonghui Dong Zhenhui Liu Xin Meng Zhi Zou Liwei Peng Three-dimensional digital model of the facial nerve assisted in the excision of benign parotid tumors based on 3D-DESS-WE-MRI Scientific Reports Parotid gland tumors Facial nerve 3D-DESS-WE 3D digital model |
| title | Three-dimensional digital model of the facial nerve assisted in the excision of benign parotid tumors based on 3D-DESS-WE-MRI |
| title_full | Three-dimensional digital model of the facial nerve assisted in the excision of benign parotid tumors based on 3D-DESS-WE-MRI |
| title_fullStr | Three-dimensional digital model of the facial nerve assisted in the excision of benign parotid tumors based on 3D-DESS-WE-MRI |
| title_full_unstemmed | Three-dimensional digital model of the facial nerve assisted in the excision of benign parotid tumors based on 3D-DESS-WE-MRI |
| title_short | Three-dimensional digital model of the facial nerve assisted in the excision of benign parotid tumors based on 3D-DESS-WE-MRI |
| title_sort | three dimensional digital model of the facial nerve assisted in the excision of benign parotid tumors based on 3d dess we mri |
| topic | Parotid gland tumors Facial nerve 3D-DESS-WE 3D digital model |
| url | https://doi.org/10.1038/s41598-024-81498-5 |
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