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[Skull base surgery with an opto-electronic navigation system].
- Source :
-
HNO [HNO] 2001 Dec; Vol. 49 (12), pp. 1019-25. - Publication Year :
- 2001
-
Abstract
- Background and Objective: The exact localization of pathological anatomy is the basis of a successful operation. Malformations, tumors, or previous operations can make intraoperative orientation considerably more difficult. Navigation systems can be useful tools in such cases.<br />Methods: The OTS is an optoelectrical navigation system which was used on 34 patients with disorders of the skull base region. Clinical accuracy, practicability, and intraoperative usefulness of the system were evaluated.<br />Results: In clinical use, an accuracy of approximately 1.5 mm could only be achieved with the use of head fixation and bone-anchored reference markers. When using the VBH mouthpiece for dynamic referencing with flexible head positioning, deviations of less than 2 mm were observed. The preoperative preparation time was 15-25 min, depending on the operation schedule.<br />Conclusions: The intraoperative orientation system represents a significant aid for orientation, particularly where anatomical alterations are present. Further modifications to improve both accuracy and the integration of the system into working practice are, however, essential.
- Subjects :
- Adult
Aged
Equipment Design
Female
Humans
Image Processing, Computer-Assisted instrumentation
Male
Microcomputers
Middle Aged
Paranasal Sinus Diseases pathology
Paranasal Sinus Neoplasms pathology
Skull Base pathology
Skull Base surgery
Skull Base Neoplasms pathology
Software
Surgical Instruments
Paranasal Sinus Diseases surgery
Paranasal Sinus Neoplasms surgery
Skull Base Neoplasms surgery
Stereotaxic Techniques instrumentation
Surgery, Computer-Assisted instrumentation
Subjects
Details
- Language :
- German
- ISSN :
- 0017-6192
- Volume :
- 49
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- HNO
- Publication Type :
- Academic Journal
- Accession number :
- 11793917
- Full Text :
- https://doi.org/10.1007/s001060170006