gms | German Medical Science

78. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2007, München

Experiences with the navigation system in relation to ear operations. Sense or nonsense?

Meeting Abstract

Suche in Medline nach

  • corresponding author Thomas Guenzel - Klinikum Frankfurt (Oder) GmbH, HNO-Klinik, Frankfurt/Oder, Germany
  • author Nils Heinze - Klinikum Frankfurt (Oder) GmbH, HNO-Klinik, Frankfurt/Oder, Germany
  • author Ulrike Pester - Klinikum Frankfurt (Oder) GmbH, HNO-Klinik, Frankfurt/Oder, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 78th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Munich, 16.-20.05.2007. Düsseldorf, Köln: German Medical Science; 2007. Doc07hno055

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2007/07hno055.shtml

Veröffentlicht: 8. August 2007

© 2007 Guenzel et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: The computer-assisted surgery is firmly set up in the ENT.

Above all she offers more security, especially in the endonasal sinus surgery.

In a prospective study advantages and disadvantage are analized by ear operations under navigation.

We hope to get with it more statements to the security in particular with beginners of the ear operations.

Material and methods: From autumn 2006 ear operations are carried out navigated using the navigation system Vector Vision Compact (Brain LaB).

Patients reference is carried out by application of the firmly fixable star in the cranial calotte and laser surfaces scanning by the Z-touch.

During the operation the navigation occurs about microscope use, the pointer and navigated instruments (for instance drills).

Results: The navigation offers potentially more security by operations, also in the ear surgery.

Ear instruments with navigation are too heavy and often annoying.

Drilling with navigation is an expandable tool.

Very often and efficiently the pointer is used for orientation.

In the course of the operation itself changing picture record must not be included with progress of the operation in the other steps.

Summary: After visiting courses for ear operations and virtual training of preparation one can learn navigated of sure ear operations under supervision of an experienced ear surgeon.

The navigation does not substitute for the intensive study of the anatomy and exercises in the model, better in funeral preparations.

The available systems are still expandable where determining innovations of the future will bring to the surgeon even more security.


References

1.
Strauss G, et al. The navigation-controlled drill in temporal bone surgery: a feasibility study. Laryngoscope. 2007;117(3):434-41.
2.
Strauss G, et al. Clinical efficiency and the influence of human factors on ear, nose, and throat navigation systems. HNO. 2006;54(12):947-57.
3.
Schipper J, et al. Navigation-controlled cochleostomy. Is an improvement in the quality of results for cochlear implant surgery possible? HNO. 2004;52(4):329-35.