Three-dimensional image-guided endonasal surgery with a microdebrider

被引:22
作者
Gunkel, AR
Freysinger, W
Martin, A
Volklein, C
Bale, RJ
Vogele, M
Thumfart, WF
机构
[1] ENT Department, University of Innsbruck, Innsbruck
[2] University of Innsbruck, ENT Department, A-6020 Innsbruck
关键词
D O I
10.1097/00005537-199706000-00020
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
We report the first intraoperative use of a microdebrider as a stereotactic three-dimensional (3D) navigation instrument in paranasal and frontobasal surgery. The microdebrider uses rotating blades and an integrated suction device for controlled removal of tissue under video-endoscopic view. The ISG Viewing Wand uses the patient's computed tomography/magnetic resonance (CT/MR) data and a 3D reconstruction thereof and a high-precision position-sensitive mechanical arm for intraoperative three-dimensional navigation. We have linked the microdebrider to the Viewing Wand to transform it into a continuously available intraoperative stereotactic localizing device. We discuss the problems related to this extension of the Viewing Wand and demonstrate the practical use in an exemplary polypectomy.
引用
收藏
页码:834 / 838
页数:5
相关论文
共 15 条
[1]  
Anon JB, 1995, OPERATIVE TECHNIQUES, V6, P163
[2]   Minimally invasive head holder to improve the performance of frameless stereotactic surgery [J].
Bale, RJ ;
Vogele, M ;
Freysinger, W ;
Gunkel, AR ;
Martin, A ;
Bumm, K ;
Thumfart, WF .
LARYNGOSCOPE, 1997, 107 (03) :373-377
[3]   COMPUTER-ASSISTED FRONTAL SINUSOTOMY [J].
CARRAU, RL ;
SNYDERMAN, CH ;
CURTIN, HB ;
WEISSMAN, JL .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1994, 111 (06) :727-732
[4]   COMPUTER-ASSISTED MEDICAL INTERVENTIONS - PASSIVE AND SEMIACTIVE AIDS [J].
CINQUIN, P ;
BAINVILLE, E ;
BARBE, C ;
BITTAR, E ;
BOUCHARD, V ;
BRICAULT, I ;
CHAMPLEBOUX, G ;
CHENIN, M ;
CHEVALIER, L ;
DELNONDEDIEU, Y ;
DESBAT, L ;
DESSENNE, V ;
HAMADEH, A ;
HENRY, D ;
LAIEB, N ;
LAVALLEE, S ;
LEFEBVRE, JM ;
LEITNER, F ;
MENGUY, Y ;
PADIEU, F ;
PERIA, O ;
POYET, A ;
PROMAYON, M ;
ROUAULT, S ;
SAUTOT, P ;
TROCCAZ, J ;
VASSAL, P .
IEEE ENGINEERING IN MEDICINE AND BIOLOGY MAGAZINE, 1995, 14 (03) :254-263
[5]   ISC VIEWING WAND SYSTEM [J].
DRAKE, JM ;
RUTKA, JT ;
HOFFMAN, HJ .
NEUROSURGERY, 1994, 34 (06) :1094-1097
[6]  
GOLDSMITH MM, 1995, AM J OTOL, V16, P475
[7]  
GREVERS G, 1995, LARYN RHINOL OTOL, V74, P366
[8]   Surgical decompression in endocrine orbitopathy - A three-dimensional locating device ensures greater safety [J].
Korves, B ;
Klimek, L ;
Mosges, R .
ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY AND ITS RELATED SPECIALTIES, 1996, 58 (01) :46-50
[9]   COMPUTER-ASSISTED LOCALIZER FOR PLANNING OF SURGERY AND INTRAOPERATIVE ORIENTATION [J].
LABORDE, G ;
GILSBACH, J ;
HARDERS, A ;
KLIMEK, L ;
MOESGES, R ;
KRYBUS, W .
ACTA NEUROCHIRURGICA, 1992, 119 (1-4) :166-170
[10]  
OSSOFF RH, 1994, J OTOLARYNGOL, V23, P354