Minimally Invasive Multiport Surgery of the Lateral Skull Base
Identifieur interne : 003192 ( Ncbi/Curation ); 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
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">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><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Otorhinolaryngology, University Hospital Düsseldorf, 40225 Düsseldorf</wicri:regionArea><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion></affiliation></author><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><wicri:regionArea>Department of Otorhinolaryngology, University Hospital Düsseldorf, 40225 Düsseldorf</wicri:regionArea><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion></affiliation></author><author><name sortKey="Becker, Meike" sort="Becker, Meike" uniqKey="Becker M" first="Meike" last="Becker">Meike Becker</name><affiliation wicri:level="3"><nlm:aff id="I2">Interactive Graphics Systems Group, Technical University Darmstadt, 64283 Darmstadt, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Interactive Graphics Systems Group, Technical University Darmstadt, 64283 Darmstadt</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Darmstadt</region><settlement type="city">Darmstadt</settlement></placeName></affiliation></author><author><name sortKey="Sakas, Georgios" sort="Sakas, Georgios" uniqKey="Sakas G" first="Georgios" last="Sakas">Georgios Sakas</name><affiliation wicri:level="3"><nlm:aff id="I2">Interactive Graphics Systems Group, Technical University Darmstadt, 64283 Darmstadt, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Interactive Graphics Systems Group, Technical University Darmstadt, 64283 Darmstadt</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Darmstadt</region><settlement type="city">Darmstadt</settlement></placeName></affiliation></author><author><name sortKey="Fellner, Dieter" sort="Fellner, Dieter" uniqKey="Fellner D" first="Dieter" last="Fellner">Dieter Fellner</name><affiliation wicri:level="3"><nlm:aff id="I2">Interactive Graphics Systems Group, Technical University Darmstadt, 64283 Darmstadt, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Interactive Graphics Systems Group, Technical University Darmstadt, 64283 Darmstadt</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Darmstadt</region><settlement type="city">Darmstadt</settlement></placeName></affiliation></author><author><name sortKey="Klenzner, Thomas" sort="Klenzner, Thomas" uniqKey="Klenzner T" first="Thomas" last="Klenzner">Thomas Klenzner</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><wicri:regionArea>Department of Otorhinolaryngology, University Hospital Düsseldorf, 40225 Düsseldorf</wicri:regionArea><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion></affiliation></author><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><wicri:regionArea>Department of Otorhinolaryngology, University Hospital Düsseldorf, 40225 Düsseldorf</wicri:regionArea><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25101276</idno><idno type="pmc">4101962</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4101962</idno><idno type="RBID">PMC:4101962</idno><idno type="doi">10.1155/2014/379295</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001C10</idno><idno type="wicri:Area/Pmc/Curation">001C10</idno><idno type="wicri:Area/Pmc/Checkpoint">000B15</idno><idno type="wicri:Area/Ncbi/Merge">003192</idno><idno type="wicri:Area/Ncbi/Curation">003192</idno></publicationStmt><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><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Otorhinolaryngology, University Hospital Düsseldorf, 40225 Düsseldorf</wicri:regionArea><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion></affiliation></author><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><wicri:regionArea>Department of Otorhinolaryngology, University Hospital Düsseldorf, 40225 Düsseldorf</wicri:regionArea><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion></affiliation></author><author><name sortKey="Becker, Meike" sort="Becker, Meike" uniqKey="Becker M" first="Meike" last="Becker">Meike Becker</name><affiliation wicri:level="3"><nlm:aff id="I2">Interactive Graphics Systems Group, Technical University Darmstadt, 64283 Darmstadt, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Interactive Graphics Systems Group, Technical University Darmstadt, 64283 Darmstadt</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Darmstadt</region><settlement type="city">Darmstadt</settlement></placeName></affiliation></author><author><name sortKey="Sakas, Georgios" sort="Sakas, Georgios" uniqKey="Sakas G" first="Georgios" last="Sakas">Georgios Sakas</name><affiliation wicri:level="3"><nlm:aff id="I2">Interactive Graphics Systems Group, Technical University Darmstadt, 64283 Darmstadt, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Interactive Graphics Systems Group, Technical University Darmstadt, 64283 Darmstadt</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Darmstadt</region><settlement type="city">Darmstadt</settlement></placeName></affiliation></author><author><name sortKey="Fellner, Dieter" sort="Fellner, Dieter" uniqKey="Fellner D" first="Dieter" last="Fellner">Dieter Fellner</name><affiliation wicri:level="3"><nlm:aff id="I2">Interactive Graphics Systems Group, Technical University Darmstadt, 64283 Darmstadt, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Interactive Graphics Systems Group, Technical University Darmstadt, 64283 Darmstadt</wicri:regionArea><placeName><region type="land" nuts="1">Hesse (Land)</region><region type="district" nuts="2">District de Darmstadt</region><settlement type="city">Darmstadt</settlement></placeName></affiliation></author><author><name sortKey="Klenzner, Thomas" sort="Klenzner, Thomas" uniqKey="Klenzner T" first="Thomas" last="Klenzner">Thomas Klenzner</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><wicri:regionArea>Department of Otorhinolaryngology, University Hospital Düsseldorf, 40225 Düsseldorf</wicri:regionArea><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion></affiliation></author><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><wicri:regionArea>Department of Otorhinolaryngology, University Hospital Düsseldorf, 40225 Düsseldorf</wicri:regionArea><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion><wicri:noRegion>40225 Düsseldorf</wicri:noRegion></affiliation></author></analytic><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></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Li, X" uniqKey="Li X">X Li</name></author><author><name sortKey="Zhang, J" uniqKey="Zhang J">J Zhang</name></author><author><name sortKey="Sang, L" uniqKey="Sang L">L Sang</name></author><author><name sortKey="Zhang, W" uniqKey="Zhang W">W Zhang</name></author><author><name sortKey="Chu, Z" uniqKey="Chu Z">Z Chu</name></author><author><name sortKey="Liu, Y" uniqKey="Liu Y">Y Liu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sauerland, S" uniqKey="Sauerland S">S Sauerland</name></author><author><name sortKey="Jaschinski, T" uniqKey="Jaschinski T">T Jaschinski</name></author><author><name sortKey="Neugebauer, Ea" uniqKey="Neugebauer E">EA Neugebauer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Keus, F" uniqKey="Keus F">F 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