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Application of 3D reconstruction for midline glossectomy in OSA patients

  • Haibo Lu
  • Jie Qin
  • Ruiyi Yue
  • Chun Liu
  • Shuhua Li
  • Dahai WuEmail author
Miscellaneous

Abstract

Objective

To explore the application of three-dimensional (3D) reconstruction technology for midline glossectomy in patients with obstructive sleep apnea (OSA).

Methods

Fifteen patients with OSA were included in this study. Each of them received computed tomography angiography (CTA) examination of lingual arteries in the resting tongue position and fully extended tongue position respectively. The two-dimensional CTA images were converted to 3D models using 3D reconstruction technology. We simulated the midline glossectomy in different tongue positions with a safe margin of 3 mm. The differences in the distances between bilateral lingual arteries, the depths of the lingual arteries and the surgical resectable volumes of the tongue were compared between different tongue positions in 3D models.

Results

The depths of the lingual arteries, the distances between bilateral lingual arteries based on three measuring sections and the surgical resectable volumes of the tongue in the fully extended tongue position were significantly smaller than those in the resting tongue position (P < 0.01 or 0.05).

Conclusion

The 3D reconstruction technology can show the course of lingual artery stereoscopically and visually, and can be more beneficial to guide surgery than two-dimensional examination. Lingual artery examination in the fully extended tongue position has higher specificity in displaying intraoperative actual situation.

Keywords

Obstructive sleep apnea 3D reconstruction Lingual artery Midline glossectomy 

Notes

Funding

There are no funding sources in this study.

Compliance with ethical standards

Ethical statement

The study is in compliance with ethical standards.

Conflict of interest

The authors have no financial conflicts of interest to report.

Informed consent

All patients wrote informed consent.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2020

Authors and Affiliations

  1. 1.Postgraduate CollegeJinzhou Medical UniversityJinzhouChina
  2. 2.Department of OtolaryngologyGeneral Hospital of Northern Theater CommandShenyangChina

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