Computer-assisted surgery in the ENT specialty. Developments and experiences from the first decade

Laryngo- rhino- otologie
L Klimek, R Mösges

Abstract

Computer-Assisted-Surgery (CAS) names a method that allows intraoperative navigation in the surgical field based on digital image data like CT, MRT, MRA, DSA and others. A computer processes the image data in real time and is intraoperatively connected to a measuring system for coordinate determination. CAS is used in ENT surgery since 1986. The authors developed several generations of CAS systems. In a first approach, a passive robot arm was applied. Self-developed electromechanical and infrared optical coordinate measuring devices followed. CAS was applied to several fields of otorhinolaryngologic surgery including the paranasal sinuses, the orbit, the rhinobasis and otobasis and other. CAS was found to be useful for surgery of acoustic neuromas, the paranasal sinuses in cases of massive disease or revision surgery, decompression of orbit or optiv nerve, extraction of deep seated foreign bodies, stereotaxy-like biopsies, for educational purposes and others. CAS in its current state of development is a useful tool that can be routinely applied. However, further technical development is necessary.

Citations

Jul 9, 2017·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·Katharina FeigeGero Strauss
Apr 10, 2013·International Journal of Computer Assisted Radiology and Surgery·Vincent TrévillotLouis Crampette
Jul 1, 2000·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·M Bansal

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