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[Clinical experience with navigation functions for temporal bone surgery : interim result after 40 patients]
G Strauß1, S Schaller, S Nowatschin
1Klinik und Poliklinik für HNO-Heilkunde/Plastische Operationen, Universität Leipzig, Liebigstr. 10-14, 04103, Leipzig, Deutschland. Gero.Strauss@medizin.uni-leipzig.de
HNO
|December 4, 2012
Summary
Navigation technology, including instrument navigation (IN), distance control (DC), and navigated control (NC), is usable in routine temporal bone surgery. These advanced features enhance acceptance in microscopic procedures.
Area of Science:
- Neurosurgery
- Otolaryngology
Context:
- Temporal bone surgery often lacks navigation assistance despite available technology.
- Instrument navigation (IN), distance control (DC), and navigated control (NC) offer potential benefits.
Purpose:
- To analyze the application and usability of navigation functionalities in lateral skull base and middle ear surgery.
- To evaluate the impact of navigation on surgical parameters.
Summary:
- 41 patients underwent temporal bone approaches using an optoelectric navigation system.
- Distance control (DC) was used in 70.7% of cases, and navigated control (NC) in 14.6%.
- The facial nerve was the primary navigated structure; setup time averaged 7.78 min, and the LoQ index was 66 points.
Impact:
- Navigation technology is proven usable in clinical temporal bone surgery.
- DC and NC features increase the acceptance of navigation in microscopic surgery.
- No technical complications were recorded, indicating safety and feasibility.
