[Clinical efficiency and the influence of human factors on ear, nose, and throat navigation systems].

HNO
G StraussTim Lüth

Abstract

The aim of this study was to evaluate the Navibase navigation system for ear, nose, and throat (ENT) surgery. A new methodology for evaluating surgical and human factors is developed. The evaluation is based on 102 ENT surgical applications, including 89 cases of functional endoscopic sinus surgery (FESS). The evaluation of surgical and human factors was performed by seven ENT surgeons. To evaluate surgical performance, level of quality (LOQ) in the 89 cases of FESS was determined, comparing the surgeon's own impressions with those of the navigation system on a scale from 0 to 100 and further comparing them with clinical results. Intraoperative changes in surgical strategy were documented. The human factors of total confidence (trust), situation awareness, skill set requirement and workload shift were recorded as level of reliance (LOR). The maximum deviation amounted to 1.93 mm. Averaging the quality of information resulted in an LOQ of 63.59. Every second application of the navigation system (47.9%) led to a change in surgical strategy. Total confidence showed a positive evaluation of 3.35 points in LOR. Application-relevant information relevant to the application beyond only technical details permits comparison with other as...Continue Reading

References

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Citations

May 24, 2007·HNO·J Oeken, J Törpel
Feb 24, 2015·Artificial Intelligence in Medicine·Andrej MachnoJürgen Meixensberger
Jun 7, 2008·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Andreas DietzAthanassios Giannis
Mar 12, 2010·International Journal of Computer Assisted Radiology and Surgery·Arun Kumar Raj VorugantiOliver Burgert
Jun 29, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·K StelterB Olzowy
Oct 15, 2018·International Journal of Computer Assisted Radiology and Surgery·Chunxia QinXiaojun Chen
Nov 26, 2009·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Thomas NeumuthOliver Burgert

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