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Development of computer-aided surgery for otorhinolaryngology
L Klimek1, R Mösges, G Schlöndorff
1Department of Otorhinolaryngology, Mainz University Hospital, Germany.
Summary
Computer-aided surgery (CAS) enhances intraoperative navigation using digital imaging and real-time data. This technology is valuable in ENT procedures, though further advancements are needed.
Area of Science:
- Otorhinolaryngology
- Medical Imaging
- Surgical Navigation
Background:
- Computer-aided surgery (CAS) integrates digital imaging (CT, MRI) for intraoperative guidance.
- CAS systems have evolved since 1986, utilizing various coordinate-measuring technologies.
- Applications span diverse ENT surgical fields, including paranasal sinuses and skull base.
Purpose of the Study:
- To review the application and utility of CAS in otorhinolaryngologic surgery.
- To highlight specific surgical procedures where CAS has proven beneficial.
- To assess the current state and future development needs of CAS.
Main Methods:
- Development and application of multiple CAS system generations.
- Integration of digital imaging data (CT, MRI) for real-time processing.
- Utilizing various coordinate-measuring devices (robot arm, electromechanical, optical).
Main Results:
- CAS has been successfully applied in numerous ENT surgeries since 1986.
- Significant benefits observed in acoustic neuroma removal, complex sinus surgeries, orbital decompression, and foreign body extraction.
- CAS is a valuable tool for biopsies and educational purposes.
Conclusions:
- Computer-aided surgery is a mature and routinely applicable tool in ENT.
- CAS significantly improves precision in complex otorhinolaryngologic procedures.
- Continued technical innovation is essential for the future of CAS in surgery.