Minimally Invasive Multiport Surgery of the Lateral Skull Base
Identifieur interne : 003192 ( Ncbi/Checkpoint ); précédent : 003191; suivant : 003193Minimally Invasive Multiport Surgery of the Lateral Skull Base
Auteurs : Igor Stenin [Allemagne] ; Stefan Hansen [Allemagne] ; Meike Becker [Allemagne] ; Georgios Sakas [Allemagne] ; Dieter Fellner [Allemagne] ; Thomas Klenzner [Allemagne] ; Jörg Schipper [Allemagne]Source :
- BioMed Research International [ 2314-6133 ] ; 2014.
Abstract
Url:
DOI: 10.1155/2014/379295
PubMed: 25101276
PubMed Central: 4101962
Affiliations:
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Minimally Invasive Multiport Surgery of the Lateral Skull Base</title>
<author><name sortKey="Stenin, Igor" sort="Stenin, Igor" uniqKey="Stenin I" first="Igor" last="Stenin">Igor Stenin</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Otorhinolaryngology, University Hospital Düsseldorf, 40225 Düsseldorf, Germany</nlm:aff>
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<author><name sortKey="Hansen, Stefan" sort="Hansen, Stefan" uniqKey="Hansen S" first="Stefan" last="Hansen">Stefan Hansen</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Otorhinolaryngology, University Hospital Düsseldorf, 40225 Düsseldorf, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
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<author><name sortKey="Becker, Meike" sort="Becker, Meike" uniqKey="Becker M" first="Meike" last="Becker">Meike Becker</name>
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<region type="district" nuts="2">District de Darmstadt</region>
<settlement type="city">Darmstadt</settlement>
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<author><name sortKey="Sakas, Georgios" sort="Sakas, Georgios" uniqKey="Sakas G" first="Georgios" last="Sakas">Georgios Sakas</name>
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<author><name sortKey="Fellner, Dieter" sort="Fellner, Dieter" uniqKey="Fellner D" first="Dieter" last="Fellner">Dieter Fellner</name>
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<author><name sortKey="Klenzner, Thomas" sort="Klenzner, Thomas" uniqKey="Klenzner T" first="Thomas" last="Klenzner">Thomas Klenzner</name>
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<author><name sortKey="Schipper, Jorg" sort="Schipper, Jorg" uniqKey="Schipper J" first="Jörg" last="Schipper">Jörg Schipper</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Otorhinolaryngology, University Hospital Düsseldorf, 40225 Düsseldorf, Germany</nlm:aff>
<country xml:lang="fr">Allemagne</country>
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<series><title level="j">BioMed Research International</title>
<idno type="ISSN">2314-6133</idno>
<idno type="eISSN">2314-6141</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><p><italic>Objective</italic>
. Minimally invasive procedures minimize iatrogenic tissue damage and lead to a lower complication rate and high patient satisfaction. To date only experimental minimally invasive single-port approaches to the lateral skull base have been attempted. The aim of this study was to verify the feasibility of a minimally invasive multiport approach for advanced manipulation capability and visual control and develop a software tool for preoperative planning. <italic>Methods</italic>
. Anatomical 3D models were extracted from twenty regular temporal bone CT scans. Collision-free trajectories, targeting the internal auditory canal, round window, and petrous apex, were simulated with a specially designed planning software tool. A set of three collision-free trajectories was selected by skull base surgeons concerning the maximization of the distance to critical structures and the angles between the trajectories. <italic>Results</italic>
. A set of three collision-free trajectories could be successfully simulated to the three targets in each temporal bone model without violating critical anatomical structures. <italic>Conclusion</italic>
. A minimally invasive multiport approach to the lateral skull base is feasible. The developed software is the first step for preoperative planning. Further studies will focus on cadaveric and clinical translation.</p>
</div>
</front>
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