摘要：

近年来，随着社会经济的发展，人们对外科手术美观和微创的需求越来越高。内镜辅助下的外科手术作为微创外科（minimally invasive surgery，MIS）的典型代表，在外科领域中取得了快速发展。在胸部、腹部、盆腔等部位的手术中，内镜已经占据主流地位。在口腔颌面外科中，尽管很早就对内镜辅助的技术进行了应用和探索，但该技术至今尚未得到广泛推广和应用。近年来，随着外科理念的发展、人民群众需求的提升、内镜设备的进步及配套器械的完善，内镜在口腔颌面部的应用也迎来了新的发展机遇，并进入了新的发展阶段。本文将内镜技术在口腔颌面外科中应用的历史和现状作一归纳，阐述目前存在的瓶颈，希望能够使广大同行对内镜辅助口腔颌面外科发展付诸更多探索，以促进这一技术的快速发展。

关键词: 微创外科, 内镜, 美观, 口腔颌面外科, 肿瘤学

Abstract:

Recently, with the economic and social development, people have increasing demands for aesthetics and minimally invasive surgical procedures. As a typical representative of minimally invasive surgery(MIS), endoscope-assisted surgery has achieved rapid development and has occupied the mainstream position in thoracic, abdominal and pelvic surgeries. Although endoscope-assisted technology has been applied and explored very early in oral and maxillofacial surgery, it has not yet been widely promoted and applied. Recently, with the development of surgical concepts, the improvement of people′s needs, the advancement of endoscopic equipments and the improvement of supporting instruments, the application of endoscopy in the oral and maxillofacial surgery has also ushered in new development opportunities. In this article, we summarize the history and current situation of the application of endoscopy in oral and maxillofacial surgery, expounds the current bottlenecks, and hope to make more specialists put more exploration into the development of endoscope-assisted oral and maxillofacial surgery, so as to promote the rapid development of this technique.

Key words: minimally invasive surgery, endoscopy, aesthetics, oral and maxillofacial surgery, oncology

中图分类号: 

• R782