Aportaciones de la cirugía guiada por ordenador y navegación en oncología de cabeza y cuello. Una revisión bibliográfica sistemática y actualización

Abstract

IntroductionThe aim of this paper is to perform an updated review of the literature on surgical planning and navigation in the management of head and neck oncological pathology, and to assess and determine its current applications. Material and methodsAn electronic search was conducted using the terms: “craniomaxillofacial tumors”, “head and neck cancer”, “navigation system”, “computer-assisted surgery”, and “oral cancer”. ResultsSixteen articles have been published between 1991 and 2014. These are 5 reviews, 6 case series, and 5 case reports, but no systematic review. There were 10 articles that provided complete information regarding oncological disease managed with surgical navigation technology. Navigation applications in head and neck oncology can currently be divided into the following categories: guided biopsy, tumor resection and reconstruction, monitoring tumor volume, control of surgical resection margins based on CT, MRI or PET, and interdisciplinary communication network. ConclusionsCurrently, there are a limited number of publications on the applications of surgical navigation in the new field of head and neck oncology. Despite the lack of systematic reviews, there seems to be a promising future for the valuable contribution made by navigation to the management of head and neck tumors, by providing anatomic and diagnostic accuracy, and surgical safety. Navigation will show to be of great use in the multidisciplinary cancer treatment.