Surgical planning of Isshiki type I thyroplasty using an open-source Digital Imaging and Communication in Medicine viewer OsiriX.

Conclusion: Preoperative surgical planning of Isshiki type I thyroplasty with the Digital Imaging and Communication in Medicine (DICOM) viewer OsiriX can be used for strategic and predictable type I thyroplasty. Objectives: The aim of this study was to determine the efficacy of the preoperative plan...

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Publicado en:Acta Oto-Laryngologica Vol. 134; no. 6; pp. 620 - 626
Autores principales: Hara, Hirotaka, Hori, Takeshi, Sugahara, Kazuma, Yamashita, Hiroshi
Formato: diagnostic images research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jun2014
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.3109/00016489.2014.880796
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        atl: Surgical planning of Isshiki type I thyroplasty using an open-source Digital Imaging and Communication in Medicine viewer OsiriX.
      aug:
        au:
          Hara, Hirotaka
          Hori, Takeshi
          Sugahara, Kazuma
          Yamashita, Hiroshi
        affil: Department of Otolaryngology, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan
      sug:
        subj:
          DICOM Utilization
          Laryngoplasty Methods
          Vocal Cord Paralysis Surgery
          Voice Disorders Surgery
          Preoperative Care
          Human
          Tomography, X-Ray Computed Methods
          Male
          Female
          Middle Age
          Aged
          Adult
          Vocal Cords Radiography
          Data Analysis Software
          Wilcoxon Signed Rank Test
          Treatment Outcomes
          Middle Aged: 45-64 years
          Aged: 65+ years
          Adult: 19-44 years
          Male
          Female
      ab: Conclusion: Preoperative surgical planning of Isshiki type I thyroplasty with the Digital Imaging and Communication in Medicine (DICOM) viewer OsiriX can be used for strategic and predictable type I thyroplasty. Objectives: The aim of this study was to determine the efficacy of the preoperative planning of type I thyroplasty using the DICOM viewer OsiriX. Methods: Five patients with unilateral vocal cord paralysis and severe breathy dysphonia were included in this study. Multidetector computed tomography (CT) DICOM data were obtained and breath holding was performed during image acquisition. Using three-dimensional multiplanar reconstruction, we outlined the optimal location for a window. Type I thyroplasty was performed using Isshiki's original method, and only the placement of the window was decided according to the preoperative simulation point. To verify the advantages of this method, we compared our data with the previous data for total operation time and voice quality at 3 months after the operation without the DICOM viewer planning. Results: All patients are free from dysphonia and their glottic closures have resolved satisfactorily. Postoperative CT revealed that appropriate implant positioning resulted in successful surgical intervention. The comparison of total operation time showed that with the new method, operation duration was shortened by 12 min.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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