gms | German Medical Science

80. 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.

20.05. - 24.05.2009, Rostock

Operative volumetry in ENT-surgery for objectification of surgery outcome (Volume Control System VCS)

Meeting Abstract

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  • author Nuschin Bahrami - Kopfzentrum Leipzig, Leipzig, Germany
  • corresponding author Gero Strauß - HNO-Uniklinik Leipzig/Kopfzenrum Leipzig, Leipzig, Germany
  • S. Hipp - Karl Storz GmbH&Co, Tuttlingen, Germany
  • T. Munz - BMBF Innovation Center Computer Assisted Surgery ICAAS University of Leipzig, Leipzig, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Rostock, 20.-24.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09hno082

DOI: 10.3205/09hno082, URN: urn:nbn:de:0183-09hno0824

Veröffentlicht: 22. Juli 2009

© 2009 Bahrami 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 vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

At present there doesn´t exist any system to measure distances or volume precisely in endoscopic or other restricted surgical accesses. With VCS a multipoint laser-evaluation system is tested for the first time in clinical application for ENT-surgery.

The VCS measures by means of auto recognition of laser-points in the surgical situs.

A laboratory test examines the precision and accuracy in anatomic exact models of parasinuses and the middle-ear by flexible endoscopic visualization. The real data are known as calibrated distances ( 90 pair of values). The clinical test is to prove the operative applicability and encases 32 patients. The measuring in the laboratory test showed an average aberration of 7.1%. The precision was between 0.2 and 0.5 mm. The system could be applicated in every patient. Altogether 97 measured data were collected.

The additionally time needed to install the system was less than 2 minutes. The handling of the flexible endoscope was restricted because of its length and difficult steering adjustment. Many results led to clinically relevant interpretations and operative consequences.

For first time ever VCS shows an operative applicable measuring-function for distances, surfaces and volume. The system could prove its capability in vivo. Necessary modifications for the wide application require manageable effort. There are a variety of useful application possibilities in ENT-surgery and other surgical fields.