Miss Zhang, who works in fashion and beauty, has recently felt a little uncomfortable in her neck. She went to Taipei Veterans General Hospital for treatment. After examination, it was found that there was a tumor on her thyroid less than 1 cm, which was suspected to be malignant. Miss Zhang said that she has to participate in many social activities at work, fearing that traditional surgery will leave scars on her neck and affect her appearance. After the doctor's evaluation and advice, she accepted "oral endoscopic thyroidectomy", which not only had no scar on her neck, but also recovered well after operation, which made her very satisfied.
The number of women aged 3 and 40 is increasing year by year.
Dr. Chen Ruiyu, Center for General Surgery and Thyroid Medicine, Department of Surgery, Taipei Veterans General Hospital, said that thyroid diseases are common in young women aged 30 to 40. Common thyroid diseases are thyroid nodules, thyroid cancer and hyperthyroidism, most of which are benign. However, according to the latest data from the Ministry of Health, Labor and Welfare, thyroid cancer has ranked the fifth most common cancer among women, and the number of cases is increasing year by year. The patient's breathing and swallowing function may be affected by tumor growth and compression of trachea or esophagus, or surgical thyroidectomy may be needed because of suspected malignant tumor.
The scars left by traditional surgery, oral endoscope will not leave scars.
The traditional surgical method is through the neck incision, which will leave a surgical scar as long as 6 to 7 cm in the neck. Some patients may also have swollen crab feet, and the wound scar will be more obvious. They often wear necklaces, scarves and silk scarves to cover their wounds, which affects their appearance and attracts attention. With the progress of medical technology, thyroid surgery has developed from traditional neck scar to small scar, and then to the surgical method of hiding scar. In recent years, it has developed into a scar-free surgical method, that is, it is entered through the mouth of a person and taken out through endoscopic surgery.
3D printer customization device for avoiding mental nerve injury
"Oral endoscopic thyroidectomy" is performed by entering the vestibule of lower lip through endoscope and related instruments. There will be no wound on the neck after operation. During the operation, doctors can also use the high-quality magnifying effect of the endoscope to avoid damaging peripheral nerves. The mental nerve is located on both sides of the mandible and is responsible for the sensation of the lower lip. If nerve compression or injury is caused inadvertently during operation, the lower lip will be numb, which will affect the quality of life. Because the position of nerve foramen varies greatly among individuals, it is an important topic for doctors to see nerve foramen during surgery to avoid nerve injury.
In order to solve the problem, Dr. Chen Ruiyu cooperated with Dr. Ye Yiting, a pediatric surgeon who is good at medical 3D image reconstruction and 3D printing, combined with the resources of Beirong 3D Printing Center, and designed a customized "safety device" after using the patient's own computerized tomography reconstruction, which can point out the location of the nerve hole during the operation, so that the doctor is more confident that the nerve will not be injured when operating the scalpel. Beirong has applied this innovative safety device in oral endoscopic thyroid surgery. At present, there is no record of mental nerve injury, which not only considers the beauty of patients, but also ensures the safety of surgery. This safety device has also obtained a new patent right from the Intellectual Property Office of the Ministry of Economic Affairs.
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