Hintschich, Constantin A. and Fischer, Rene and Seebauer, Caroline and Schebesch, Karl-Michael and Bohr, Christopher and Kuehnel, Thomas (2022) A third hand to the surgeon: the use of an endoscope holding arm in endonasal sinus surgery and well beyond. EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 279 (4). pp. 1891-1898. ISSN 0937-4477, 1434-4726
Full text not available from this repository. (Request a copy)Abstract
Background Extended endoscopic endonasal operations of the sinuses and the frontal skull base require a bimanual action of the surgeon in many cases. Thus, typically an assistant guides the endoscope and centers the field of view. In this study, we investigate in which cases an endoscope holding arm can be used alternatively. Materials and methods The electromagnetic system ENDOFIXexo was used in different surgical interventions of the paranasal sinuses and beyond questioning ergonomics and geometrical limitations. The realized degrees of freedom were documented, and a topography of possible applications compiled. Results The presented system is limited by the anatomy of the anterior ethmoid and dynamic working conditions in the sagittal direction. Especially in extended interventions in the posterior ethmoid, in which parts of the nasal septum have been resected and a static position of the endoscope is desired the surgeon can greatly benefit from the robotic arm. Moreover, through the high flexibility of the endoscopic arm surgeries of the pharynx and larynx were performed, questioning the current gold standard of microscope-assisted surgical procedures. Conclusion Under the impression of an urging staff shortage and due to its unlimited patience, the ENDOFIXexo arm seems promising. Taking into account the complex anatomy and the limited access, we especially see a favorable field of application in the surgery of the pituitary gland and skull base tumors.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PITUITARY-ADENOMA; GUIDANCE; Paranasal sinuses; Skull base; Endoscopic surgery; Hypopharynx; Oropharynx; Larynx; Transoral approach |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde Medicine > Lehrstuhl für Neurochirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 19 Jul 2022 13:15 |
| Last Modified: | 19 Jul 2022 13:15 |
| URI: | https://pred.uni-regensburg.de/id/eprint/45865 |
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