Stenin, Igor ; Hansen, Stefan ; Becker, Meike ; Sakas, Georgios ; Fellner, Dieter W. ; Klenzner, Thomas ; Schipper, Jörg (2014)
Minimally Invasive Multiport Surgery of the Lateral Skull Base.
In: BioMed Research International, 2014 (ArticleID379295)
doi: 10.1155/2014/379295
Artikel, Bibliographie
Kurzbeschreibung (Abstract)
Objective: Minimally invasive procedures minimize iatrogenic tissue damage and lead to a lower complication rate and high patient satisfaction. To date only experimental minimally invasive single-port approaches to the lateral skull base have been attempted. The aim of this study was to verify the feasibility of a minimally invasive multiport approach for advanced manipulation capability and visual control and develop a software tool for preoperative planning. Methods: Anatomical 3D models were extracted from twenty regular temporal bone CT scans. Collision-free trajectories, targeting the internal auditory canal, round window, and petrous apex, were simulated with a specially designed planning software tool. A set of three collision-free trajectories was selected by skull base surgeons concerning the maximization of the distance to critical structures and the angles between the trajectories. Results: A set of three collision-free trajectories could be successfully simulated to the three targets in each temporal bone model without violating critical anatomical structures. Conclusion: A minimally invasive multiport approach to the lateral skull base is feasible. The developed software is the first step for preoperative planning. Further studies will focus on cadaveric and clinical translation.
| Typ des Eintrags: | Artikel |
|---|---|
| Erschienen: | 2014 |
| Autor(en): | Stenin, Igor ; Hansen, Stefan ; Becker, Meike ; Sakas, Georgios ; Fellner, Dieter W. ; Klenzner, Thomas ; Schipper, Jörg |
| Art des Eintrags: | Bibliographie |
| Titel: | Minimally Invasive Multiport Surgery of the Lateral Skull Base |
| Sprache: | Englisch |
| Publikationsjahr: | 2014 |
| Titel der Zeitschrift, Zeitung oder Schriftenreihe: | BioMed Research International |
| Jahrgang/Volume einer Zeitschrift: | 2014 |
| (Heft-)Nummer: | ArticleID379295 |
| DOI: | 10.1155/2014/379295 |
| Kurzbeschreibung (Abstract): | Objective: Minimally invasive procedures minimize iatrogenic tissue damage and lead to a lower complication rate and high patient satisfaction. To date only experimental minimally invasive single-port approaches to the lateral skull base have been attempted. The aim of this study was to verify the feasibility of a minimally invasive multiport approach for advanced manipulation capability and visual control and develop a software tool for preoperative planning. Methods: Anatomical 3D models were extracted from twenty regular temporal bone CT scans. Collision-free trajectories, targeting the internal auditory canal, round window, and petrous apex, were simulated with a specially designed planning software tool. A set of three collision-free trajectories was selected by skull base surgeons concerning the maximization of the distance to critical structures and the angles between the trajectories. Results: A set of three collision-free trajectories could be successfully simulated to the three targets in each temporal bone model without violating critical anatomical structures. Conclusion: A minimally invasive multiport approach to the lateral skull base is feasible. The developed software is the first step for preoperative planning. Further studies will focus on cadaveric and clinical translation. |
| Freie Schlagworte: | Business Field: Visual decision support, Research Area: (Interactive) simulation (SIM), Research Area: Modeling (MOD), Forschungsgruppe Semantic Models, Immersive Systems (SMIS), Forschungsgruppe Medical Computing (MECO), Operation planning, Minimally invasive surgery, Computer assisted surgery, Medical simulation, Medical sciences |
| Fachbereich(e)/-gebiet(e): | 20 Fachbereich Informatik 20 Fachbereich Informatik > Graphisch-Interaktive Systeme |
| Hinterlegungsdatum: | 12 Nov 2018 11:16 |
| Letzte Änderung: | 04 Feb 2022 12:39 |
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