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Efficacy of Image-Guided Percutaneous Endoscopic Ear Surgery: A Novel Augmented Reality-Assisted Minimally Invasive
Masaya Uchida1, Yu Matsumoto2, Shigefumi Morioka1
1Department of Otorhinolaryngology Tracheoesophageal Surgery, Japanese Red Cross, Kyoto Diani Hospital, Kyoto, Japan.
Summary
Image-guided percutaneous endoscopic ear surgery (IGPEES) enhances precision and safety in ear operations. This novel technique, integrating augmented reality, offers improved access to difficult areas with no observed complications.
Area of Science:
- Otolaryngology
- Medical Technology
- Surgical Innovation
Background:
- Transcanal endoscopic ear surgery (TEES) has limitations in accessing certain temporal bone regions.
- Conventional methods may require more invasive procedures like mastoidectomy for complete access.
Purpose of the Study:
- To evaluate the efficacy and safety of a novel technique, image-guided percutaneous endoscopic ear surgery (IGPEES).
- To assess IGPEES's ability to provide precise, minimally invasive access to challenging ear structures.
Main Methods:
- Retrospective analysis of 11 cases at a tertiary referral center.
- Evaluation of setup time, navigation accuracy, and complication rates of IGPEES.
- Utilized augmented reality (AR) and advanced navigation systems.
Main Results:
- IGPEES demonstrated reduced setup time compared to conventional systems.
- Enhanced navigation accuracy was observed with the IGPEES technique.
- No postoperative complications were reported in the analyzed cases.
Conclusions:
- The integration of AR in IGPEES significantly improves surgical visualization and precision.
- IGPEES presents a promising advancement for otologic surgery, potentially transforming treatment for complex ear conditions.
